decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 10 (October)
View a patient’s pic? Under CMS proposal, you can get paid for that
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Article Overview
This article explains proposed 2019 CMS Medicare physician fee schedule policies focused on virtual check-ins, remote review of patient-submitted images or video, and interprofessional consultation services. It is relevant to physicians, billing and coding professionals, compliance staff, and practice managers who need to understand proposed telehealth-related coverage changes, associated documentation considerations, and the general payment framework discussed in the rulemaking.
Why This Topic Matters
The proposal could affect how practices bill for technology-enabled encounters and consultations, so readers need to understand what CMS is considering, which service categories are involved, and what implementation issues were raised in the article.
Article Sections
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CMS proposal for technology-based services
Introduces the proposed Medicare physician fee schedule changes and the broader move toward virtual and video-based care. Summarizes the context for the new service categories discussed in the article.
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Virtual check-in service
Describes the proposed patient communication service and the circumstances CMS discusses for reporting it. Covers general timing, patient-initiated use, and related administrative considerations.
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Remote review of patient-submitted images or video
Reviews the proposed service for assessing recorded images or video submitted by a patient. Discusses its intended use cases and the general bundling and timing issues raised in the article.
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Interprofessional internet consultation codes
Summarizes proposed payment for physician-to-physician consultation services conducted through electronic communication. Covers the broader interprofessional service category and related operational concerns noted in the article.
What You Will Learn
- The general scope of CMS’s proposed 2019 technology-based payment changes
- Which broad categories of virtual patient communication services are addressed
- How the article frames proposed interprofessional consultation services
- What types of implementation and documentation issues are highlighted
- Which specialties and practice settings may be most affected
Who Should Read This
- Physicians
- Coding professionals
- Billing staff
- Compliance teams
- Practice managers
- Telehealth stakeholders
Codes Discussed
Code Ranges Discussed
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