tci Medicare Compliance & Reimbursement - 2023 Issue Q1
Regulations: Bolster Your Post-COVID Policies With This Federal Insight
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Article Overview
This article reviews federal Medicare and public health emergency transition guidance issued by CMS and HHS as the COVID-19 PHE approached its end. It is useful for healthcare organizations, compliance teams, and billing professionals who need a high-level understanding of which categories of provider and program flexibilities are being reviewed, extended, monitored, or scheduled to change. The article covers broad policy areas such as telehealth, remote patient monitoring, and Stark Law-related waivers, along with the agencies’ framework for evaluating future post-PHE policy decisions.
Why This Topic Matters
The end of the COVID-19 public health emergency affects a wide range of Medicare and healthcare operational flexibilities. Understanding the transition guidance helps organizations anticipate policy changes and align compliance, reimbursement, and care-delivery processes.
Article Sections
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Federal transition updates
Overview of CMS and HHS updates tied to the planned end of the COVID-19 public health emergency. Covers the agencies’ transition materials and the range of provider and program areas addressed.
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Provider and program fact sheets
Summary of the categories of Medicare providers and programs included in the CMS fact sheets. This section identifies the broad scope of the transition guidance without detailing individual policy provisions.
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Expect Medicare guidance to continue to evolve
Discussion of CMS’s broader approach to reviewing waivers and flexibilities during the transition period. Includes the agency’s general framework for assessing future policy needs and stakeholder input.
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Examples from the Physicians and Other Clinicians fact sheet
High-level examples of transition topics highlighted for physician and clinician settings. Covers broad subject areas such as telehealth, remote patient monitoring, and Stark Law-related waivers.
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Resources
Links and references to the CMS and HHS transition materials noted in the article.
What You Will Learn
- Which federal agencies issued post-COVID transition guidance
- Which provider and program categories were addressed in the CMS fact sheets
- How CMS describes its general approach to reviewing waivers and flexibilities
- Which broad policy areas were highlighted as examples in physician and clinician guidance
- Where to find the referenced CMS and HHS transition resources
Who Should Read This
- Medical coders
- Billing specialists
- Compliance professionals
- Practice managers
- Healthcare administrators
- Revenue cycle staff
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