An Ounce of Prevention
The U.S. Office of Inspector General (OIG) has issued a "data snapshot" report about the relationship between Medicare beneficiaries and providers for telehealth services during the COVID-19 pandemic.
It's been about a month since the Centers for Medicare & Medicaid Services (CMS) published its 2022 Medicare Physician Fee Schedule proposed payment rule. Now that we've had some time to digest the document, we wanted to share thoughts on what we feel are some of the most significant proposed changes concerning telehealth and preventive services (e.g., remote patient monitoring, chronic care management). When the final rule is published, we'll be taking a deeper dive into the approved changes for 2022, including hosting a webinar on the topic. Make sure you join our telehealth regulatory update email list so you don't miss when registration for this program opens.
There are currently dozens of telehealth bills in Congress. As is the case with most pieces of federal legislation, a majority of these bills will go nowhere. However, some have the potential to become law and significantly reshape or at least affect the rules concerning the delivery and coverage of telehealth services.
Update: The 2022 Medicare Physician Fee Schedule (PFS) final rule further defined remote therapeutic monitoring (RTM), including finalizing five RTM CPT general medicine codes, but left many questions unanswered while also limiting coverage for these codes. You can learn more about the current state of RTM in this Physicians Practice column discussing the 2022 final rule written by Prevounce Co-Founder Daniel Tashnek.We anticipate receiving more information and clarification concerning RTM in the 2023 PFS proposed and final rules. * * * The Centers for Medicare & Medicaid Services (CMS) has issued its 2022 Medicare Physician Fee Schedule proposed rule. Within it are some potentially significant developments concerning remote therapeutic monitoring, which we will discuss below.
A broad, bipartisan group of 50 senators recently reintroduced the CONNECT for Health Act for a fourth time, and there is an expectation that this massive telehealth bill could become law. The bill was first introduced in 2016 and is generally considered the most comprehensive telehealth legislation in Congress. The latest version is officially known as the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021.