TRANSMITTALS ~ You'll Receive A Pay Hike For Telehealth Fees

Why This Topic Matters

It helps readers identify which Medicare transmittals may affect claim submission, reporting programs, payment amounts, and coverage status without having to review each source document separately.

Article Sections

1. Medicare enrollment revalidation and application handling

   Discusses Medicare enrollment processing changes tied to older enrollments and how applications are handled when certain administrative conditions are not met.

2. Telehealth and payment updates

   Covers a telehealth facility fee update and related Medicare payment adjustments affecting selected services and claims processing.

3. Physician voluntary reporting program changes

   Summarizes changes related to physician quality reporting and the introduction of additional reporting codes for the year.

4. Medically Unlikely Edits and claim denials

   Explains updates to Medicare edit logic for claims with unusual daily unit counts and the data elements used in those edits.

5. IVIG pre-administration payment policy

   Addresses Medicare payment policy for intravenous immune globulin and related billing instructions tied to the product claim.

6. Medical Review timing and contractor response requirements

   Covers Medicare contractor decision timing during Medical Review and the documentation of review outcomes.

7. Part B drug ASP updates

   Notes quarterly average sales price updates for Part B drugs issued through CMS transmittals.

8. Coverage updates and noncoverage determinations

   Summarizes items involving covered services, services not covered by Medicare, and related benefit considerations.

9. Oncology reporting code changes and related payment updates

   Describes revisions affecting oncology demonstration reporting, functional MRI coding, and other payment-related changes.

10. Office-based supply and equipment payment updates

    Covers carrier pricing guidance for selected supplies and equipment used in physician office settings.

11. Local coverage for thoracic electrical bioimpedance

    Addresses local contractor discretion regarding coverage of a diagnostic service for drug-resistant hypertension.