Telehealth and Proposed CY 2023 Medicare Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) recently released its proposed CY 2023 fee schedule that included specific provisions related to telehealth. Highlights include:

  • Extending services added to the Medicare Telehealth services list for 151 after the end of the Public Health Emergency (PHE).

  • Extending telehealth policy flexibilities for 151 days after the end of the PHE.
    • All sites across the United States, including the patient's home, will be allowed as the originating site for telehealth services.
    • Practitioners including occupational, physical, speech-language therapists, and audiologists would be eligible to continue providing telehealth services.
    • Federally qualified health centers (FCHQ) and rural health clinics (RHC) can be originating or distant sites for telehealth services.
    • Providers will not have to meet in-person visit requirements to deliver mental health services via video or audio-only telehealth visits.
    • Audio-only telehealth services will continue for certain service codes.
    • Extending some Category 3 telehealth services coverage through CY 2023.
    • Adding coverage for prolonged services in various settings permanently
    • Sunsetting modifier 95 starting after 151 post end of the Public Health Emergency (PHE).
    • Ending the requirement of virtual direct supervision for certain services.

source: https://www.jdsupra.com/legalnews/proposed-cy-2023-medicare-physician-fee-7071686/