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MLN901705 - Telehealth Services - HHS.gov

(9 days ago) WEBThe payment amount for HCPCS code Q3014 (Telehealth originating site facility fee) is 80% of the lesser of the actual charge ($28.64 for CY 2023 services). We base this on the percentage increase in the Medicare Economic Index (MEI) as defined in section 1842(i)(3) of the Social Security Act. The 2023 MEI increase is 3.8%.

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/MLN901705-508.pdf

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Telehealth policy changes after the COVID-19 public health …

(2 days ago) WEBRecent legislation authorized an extension of many of the Medicare telehealth flexibilities that were in place during the COVID-19 public health emergency through December 31, 2024. Some non-behavioral/mental telehealth services can be delivered using audio-only communication platforms; An in-person visit within six …

https://telehealth.hhs.gov/providers/telehealth-policy/policy-changes-after-the-covid-19-public-health-emergency

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Billing and coding Medicare Fee-for-Service claims - HHS.gov

(3 days ago) WEBTelephone visits and audio-only telehealth. Medicare is temporarily waiving the audio-video requirement for many telehealth services. Codes that have audio-only waivers are noted in the list of telehealth services. Place of Service codes. When billing telehealth claims, it is important to understand the place of service (POS) codes …

https://telehealth.hhs.gov/providers/billing-and-reimbursement/billing-and-coding-medicare-fee-for-service-claims

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HHS Issues Guidance on HIPAA and Audio-Only Telehealth

(9 days ago) WEBNews. HHS Issues Guidance on HIPAA and Audio-Only Telehealth. FOR IMMEDIATE RELEASE June 13, 2022. Contact: HHS Press Office 202-690-6343 [email protected]. HHS Issues Guidance on HIPAA and Audio-Only Telehealth. Today, the U.S. Department of Health and Human Services (HHS), through its Office for Civil Rights …

https://www.hhs.gov/about/news/2022/06/13/hhs-issues-guidance-hipaa-audio-telehealth.html

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CMS Finalizes Changes for Telehealth Services for 2023

(9 days ago) WEBDiscontinuing reimbursement of telephone (audio-only) evaluation and management (E/M) services; CMS added additional services to the Medicare Telehealth Services List on a Category 3 basis and potentially extended the expiration of these codes by modifying their expiration to through the later of the end of 2023 or 151 days after the …

https://www.foley.com/insights/publications/2022/11/cms-finalizes-changes-telehealth-services-2023/

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CMS Update: Medicare Telehealth 2023 Factsheet

(7 days ago) WEBThe Medicare telehealth 2023 factsheet known as "Telehealth Services" for clinicians seeking telehealth reimbursement was released by CMS. LIVE CME or CE e-Learning Activity Audio-only telehealth is available for non-behavioral or mental telehealth through December 31, 2024.

https://telehealth.org/medicare-telehealth-2023-factsheet-released/

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Audio-Only Telehealth Now Approved Permanently for Mental …

(8 days ago) WEBAudio-only telehealth services for mental health and substance use disorders are now permanently reimbursed under the Medicare program. The expansion of telehealth to include audio-only services applies only to mental health and substance use disorders. CMS expanded the definition of the patient’s home residence to include …

https://psychnews.psychiatryonline.org/doi/10.1176/appi.pn.2022.1.23

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Medicare "Audio-Only" Telehealth Services - CodingIntel

(4 days ago) WEBMedicare requires real-time, audio and visual communication for most telehealth services, such as office visits and hospital services. The April 30, 2020 revised telehealth list has a column “Can Audio-only Interaction Meet the Requirements” and some codes are indicated as “yes”. These waiver provisions are in effect until the end of

https://codingintel.com/medicare-audio-only-telehealth-services/

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Audio-Only & Other Telehealth Services Approved for …

(7 days ago) WEBThe PFS governing payment for audio-only telehealth for Medicare was published in the Federal Register on November 19, 2021, and went into effect on January 1, 2022. In the 2022 Physician Fee Schedule , the Centers for Medicare and Medicaid Services (CMS) expanded the definition of telehealth services that qualify for …

https://telehealth.org/audio-only-other-telehealth-services-approved-for-reimbursement/

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CMS to Permanently Cover Audio-Only Telemedicine for Mental …

(Just Now) WEBCurrently, Medicare covers audio-only telehealth under temporary waivers that will expire when the Public Health Emergency (PHE) ends. The change, contained in the 2022 Physician Fee Schedule proposed rule, is intended to maintain patient access to mental health care post-PHE and reflects CMS’ growing confidence in virtual care …

https://www.foley.com/insights/publications/2021/07/cms-cover-audio-only-telemedicine-mental-health/

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Audio-Only Telehealth Post-PHE -- Medicare, Medicaid, and …

(Just Now) WEBDuring the height of the COVID-19 pandemic, the Public Health Emergency (PHE) allowed individuals with Medicare to have a broader access to a variety of telehealth services to include audio-only visits. This blog will explore how audio-only telehealth visits looked during the PHE and what to expect post-PHE focusing primarily on …

https://telehealthresourcecenter.org/news/audio-only-telehealth-post-phe-medicare-medicaid-and-private-payers/

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Telehealth and Medicare: The Use of Audio-Only Visits

(Just Now) WEBThe use of audio-only visits also varies among states. In 2021, the share of Medicare telehealth visits that were audio-only visits ranged from 14% to 40% among states (see Figure 2). In nine states, 33% or more of Medicare telehealth visits were audio-only. Audio-only visits can enhance access to care For some individuals, audio …

https://blog.aarp.org/thinking-policy/telehealth-and-medicare-the-use-of-audio-only-visits

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Large national payer to change audio-only telehealth policy

(9 days ago) WEBUnitedHealthcare will restrict payment for audio-only telehealth services to certain procedure codes starting in May. The insurer had expanded audio-only coverage in response to the COVID-19 pandemic.

https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/uhc-audio-telehealth.html

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Audio-Only Telehealth HIPAA Guidance Issued: Practitioner Update

(7 days ago) WEBCovered health care providers increasingly use remote communication technologies to provide audio-only telehealth. New audio-only HIPAA privacy guidance was issued on 6/13/22 by the US Department of Health and Human Services (HHS) Office for Civil Rights (OCR). The OCR is responsible for enforcing the privacy regulations to …

https://telehealth.org/audio-only-telehealth-hipaa-guidance-issued-practitioner-update/

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Trends and Disparities in Pandemic Telehealth Use among People …

(6 days ago) WEBThis Issue Brief explores telehealth use for people and Medicare beneficiaries with disabilities and examines questions on the use of audio-only telehealth during the second and third years of the coronavirus disease 2019 (COVID-19) pandemic. The study used data from the Medicare Current Beneficiary Survey (MCBS) COVID-19 2021 …

https://www.aspe.hhs.gov/reports/pandemic-telehealth-use-people-disabilities

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CMS Proposes to Cut Audio-Only Telehealth Coverage

(7 days ago) WEBThe Centers for Medicare & Medicaid Services has proposed dropping Medicare coverage for audio-only telehealth services once the Covid-19 public health emergency is over. The proposal imperils a service that had become popular during the pandemic, when health systems shifted in-person care to virtual channels to cut down …

https://www.psqh.com/news/cms-proposes-to-cut-audio-only-telehealth-coverage/

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Two Feenstra-Led Bills to Keep Rural Hospitals Open and Protect …

(6 days ago) WEBThe Audio-Only Telehealth Access Act would make Medicare’s coverage of audio-only telehealth services permanent. The current Medicare waiver – which is set to expire on December 31st, 2024 – allows CMS to reimburse providers for patient evaluation, patient management, and behavioral health services over the phone.

https://feenstra.house.gov/media/press-releases/two-feenstra-led-bills-keep-rural-hospitals-open-and-protect-access-telehealth

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Permanently expanding telehealth access will improve public …

(8 days ago) WEBPermanently expanding telehealth access will improve public health. May 13, 2024. Telehealth was a literal lifeline for patients during the COVID-19 public health emergency, ensuring access to a physician’s care without the risks of leaving home. This was only possible because Congress acted quickly to implement legislative and …

https://www.ama-assn.org/about/leadership/permanently-expanding-telehealth-access-will-improve-public-health

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Increased Use of Medicare Telehealth During the Pandemic

(7 days ago) WEBThe authors found that overall Medicare Part B visits—when accounting for both in-person and telehealth—decreased from 1.1 billion in 2019 to approximately 989 million in 2020. However, 2020 telehealth visits increased to 52.7 million from approximately 840 000 in 2019. Ninety-two percent of telehealth visits occurred in …

https://jamanetwork.com/journals/jama/fullarticle/2788367

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Updates to the Telehealth Services Supplement MES

(Just Now) WEBReimbursement and billing guidelines for audio-only telehealth have been added along with a table (Table 8) listing services authorized for delivery by audio-only telehealth. For provider use only, have Medicaid Provider ID Number available. 1-804-786-6273. 1-800-552-8627.

https://vamedicaid.dmas.virginia.gov/memo/updates-telehealth-services-supplement

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HHSC Telemedicine and Telehealth Educational Video and …

(8 days ago) WEBAs mandated effective September 1, 2022, by Texas House Bill 4, 87th Legislature, Regular Session, 2021, the Texas Health and Human Services Commission implemented changes to the permanent delivery of some of the behavioral health Medicaid benefits by synchronous audiovisual or synchronous telephone (audio-only) technology.

https://www.bcbstx.com/provider/medicaid/education-and-reference/news/2024/05-14-2024-hhsc-telemedicine-telehealth-educational-video-infographics-bh

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