Medicare and other payers are rapidly updating the requirements and reimbursement levels for telehealth services. In April 29, 2020 CMS published in Interim Final Rule now allows telephone services to be paid the same rate as established office evaluation management visits. They also modified the requirements for time-based determination of service level for office space encounters, making them much more reasonable.
Apollo HIT provide support for practices as they transition to telehealth. Under the current waivers, enforcement organizations will be using discretion and the audit risk will be relatively low outside of extreme cases. However, once the waivers are no longer in effect practices will have to adapt to the updated requirements. Despite this, some of the more impactful changes to telehealth requirements under the waivers will likely carry forward, in particular office evaluation and management coding requirements.
Additional details on the Medicare waivers is available here: Ready or Not, Telehealth Takes Center Stage in a Pandemic
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