MPFS 2018: Expect More Changes to Telehealth Coding Next Year

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews Medicare Physician Fee Schedule discussion related to telehealth coverage and coding for current and proposed calendar year changes. It is aimed at coders, billers, and healthcare organizations that need to track how CMS may expand telehealth-related reporting options and adjust claim requirements. The piece also highlights the general categories of services involved, the policy context, and the organizations and sources referenced in the proposal materials.

Why This Topic Matters

Telehealth payment and reporting policies can change which services are eligible for Medicare coverage and how claims are submitted. Understanding the proposed updates helps practices monitor compliance and prepare for operational changes.

Article Sections

  1. Current telehealth services in CY 2017

    An overview of telehealth-related services discussed in the Medicare Physician Fee Schedule context for the prior calendar year. The section introduces the general service categories covered in the article.

  2. Prepare for CY 2018 Proposed Updates

    A summary of proposed additions and policy changes described in the CY 2018 MPFS materials. The section focuses on the broader telehealth policy direction and related reporting considerations.

  3. Modifier change

    A brief discussion of a proposed change affecting telehealth claim submission requirements. The section explains the reported direction of the policy change without detailing implementation steps.

  4. Note

    Additional commentary from telehealth industry leaders on the significance of the proposed changes. This section provides perspective on the broader impact of telehealth policy evolution.

  5. Resources

    Links to the Medicare and federal rulemaking documents referenced by the article. This section points readers to the source materials underlying the discussion.

What You Will Learn

  • How the article frames telehealth coverage changes in the Medicare Physician Fee Schedule
  • Which broad telehealth service categories are part of the discussion
  • What types of proposed policy updates are mentioned for the upcoming year
  • What claim-processing topic is highlighted as changing for telehealth reporting
  • Which CMS and federal reference materials are cited

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practices
  • Telehealth program administrators

Codes Discussed

Modifiers Discussed


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