2022 MPFS proposed rule: Review critical care and telehealth updates

Why This Topic Matters

The proposed rule includes changes that can affect reimbursement, documentation, telehealth availability, and reporting workflows across multiple specialties. Readers can use the article to understand which policy areas are being revised and where implementation planning may be needed.

Article Sections

1. Conversion factor and payments

   Summarizes the proposed Medicare payment updates and the general impact on specialty reimbursement. Also notes the anesthesia payment update and other broad payment effects.

2. Additional updates

   Introduces several other policy changes included in the proposed rule, including payment status for physician assistants, new CPT codes, and related operational changes.

3. New CPT codes

   Describes the addition of new procedural and care management codes proposed for the coming year and references supporting table-based details.

4. Split/shared and critical care guidelines

   Covers proposed guidance affecting critical care services and split/shared visits in facility settings, including how CMS is handling related policy development.

5. Enforcement of eRx for controlled substances could be delayed

   Outlines proposed timing changes and exceptions related to electronic prescribing requirements for controlled substances under Medicare Part D.

6. Telehealth updates

   Reviews proposed telehealth policy changes, including which services are being considered for permanent or temporary inclusion and how mental health telehealth may be expanded.

7. Quality Payment Program

   Summarizes proposed updates to MIPS and MVP implementation timing, clinical categories, and performance category scoring for the upcoming year.