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2. CY 2023 Medicare Physician Fee Schedule
Proposed Rule
On 7th July 2022, the Centers for Medicare & Medicaid Services (CMS) issued a
proposed rule that announces and solicits public comments on proposed policy
changes for Medicare payments under the Physician Fee Schedule (PFS), and
other Medicare Part B issues, effective on or after January 1, 2023. This calendar
year (CY) 2023 PFS proposed rule made lots of provisions including expanding
Medicare telehealth use even after the end of a public health emergency (PHE).
3. Expanding Medicare Telehealth Use after PHE
For the calendar year 2023, CMS is proposing a number of policies related to
Medicare telehealth services including making several services that are
temporarily available as telehealth services for the PHE available through CY
2023 on a Category III basis, which will allow more time for collection of data that
could support their eventual inclusion as permanent additions to the Medicare
telehealth services list. CMS is proposing to extend the duration of time that
services are temporarily included on the telehealth services list during the PHE,
but are not included on a Category I, II, or III bases for a period of 151 days
following the end of the PHE, in alignment with the Consolidated Appropriations
Act, 2022 (CAA, 2022).
4. Increased Use of Medicare Telehealth During PHE
To reduce COVID-19 exposure in health care environments, the Centers for
Medicare & Medicaid Services (CMS) authorized waivers in March 2020 that
expanded telehealth services for Medicare beneficiaries. These waivers allowed
for telehealth in-home visits, services in urban areas, and audio-only interaction
for some services. The US Department of Health and Human Services (HHS)
report noted that in 2020, a greater proportion of beneficiaries in urban than rural
areas used telehealth services. Among clinicians, behavioral health specialists
had the highest increase in telehealth visits. In 2019, only 1 percent of visits to
behavioral health specialists were telehealth; in 2020, the percentage jumped to
38.1 percent. By the end of 2020, telehealth visits to behavioral specialists were
as common as in-person visits.
5. E M A I L : I N F O @ M E D I C A L B I L L E R S A N D C O D E R S . C O M
F A X N O : 8 8 8 - 3 1 6 - 4 5 6 6
T O L L F R E E N O : 8 8 8 - 3 5 7 - 3 2 2 6
Address
Wilmington, 108 West, 13th street, Wilmington, DE 19801
Texas, 539 W. Commerce St #1482 Dallas, TX 75208
