CMS proposes expanded telehealth coverage for 2015

CMS proposes expanded telehealth coverage for 2015

According to a proposed update to the Medicare Physician Fee Schedule (PFS) for the 2015 calendar year, annual wellness visits and psychotherapy are among four services the Centers for Medicare & Medicaid Services proposes that Medicare beneficiaries can receive via telehealth.

Under the proposal, annual wellness visits and psychotherapy, as well as psychoanalysis and “prolonged evaluation and management services,” would be covered as Category 1 services. Such services, according to CMS, are defined as “similar to professional consultations, office visits and office psychiatry services” currently covered by the agency.

Wellness visits, CMS says, would include a personalized prevention plan of service, an initial visit and a subsequent visit.

Prolonged evaluation and management services, according to the agency, would include “prolonged service in the office or other outpatient setting” that required direct patient contact beyond usual care; CMS provided coding for both the first hour beyond such care, and each additional 30 minutes.

Telehealth services are complementary technology that is used in the SHMG Navigation Center and deployed as a successful tool that assist risk-based contract providers coordinate care, reduce hospital readmissions and manage chronic care conditions. Read more about SHMG services.

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