decisionhealth Newsletters, Part B News - 2018 Issue 8 (August)
View a patient’s pic? Under CMS proposal, you can get paid for that
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Article Overview
This article explains several proposed CMS payment policies for technology-enabled care under the 2019 Medicare physician fee schedule. It is aimed at physicians, coders, compliance staff, and practice managers who need to understand how virtual check-ins, remote image review, and interprofessional consultation services are being framed for possible coverage and payment. The discussion focuses on the broad structure of the proposals, practical implementation concerns, and the types of services CMS is considering for payment.
Why This Topic Matters
If finalized, the proposals could expand how providers are reimbursed for communication- and technology-based encounters. The article helps readers track which kinds of remote services CMS is considering, what operational issues are highlighted, and where uncertainty remains in the proposed policy.
Article Sections
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CMS expands tech-based coverage proposals
Introduces the proposed Medicare physician fee schedule changes and the broader move toward virtual and video-based care. It also frames the policy context and the implementation concerns raised by experts.
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Virtual check-in service
Covers the proposed communication-based service for brief patient contact and the general compliance considerations discussed in the article. The section addresses timing, medical necessity, and possible use in care management contexts.
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Store-and-forward image review
Discusses the proposed remote evaluation of patient-submitted images or video and the settings in which it may apply. The section also outlines the article’s discussion of follow-up care and related billing concerns.
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Interprofessional internet consultation codes
Describes the proposed payment approach for provider-to-provider consultation services and the related changes to existing interprofessional codes. It also touches on consent, settings, and reporting considerations mentioned in the article.
What You Will Learn
- How CMS is proposing to structure new technology-based Medicare physician services
- What categories of virtual patient encounters are discussed in the proposal
- How interprofessional consultation services are being reconsidered for payment
- What operational and compliance issues are highlighted for practices reviewing the proposal
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Telehealth stakeholders
Codes Discussed
Code Ranges Discussed
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