CMS Plans for the End of the PHE

In an update on the 2021 Physician Fee Schedule from CMS, Foley & Lardner LLP provides a summary of CPT codes that will become permanent, be removed, or be temporarily introduced until the end of the public health emergency.

CMS grouped the telehealth services into three lists: 1) nine (9) codes that will become permanent; 2) seventy-four (74) codes that will be removed when the PHE expires; and 3) thirteen (13) codes to add to the list, but only on a temporary basis (CMS dubbed these Category 3 codes). Concurrent with the CMS proposed rule, the White House issued an Executive Order designed to enhance access to telehealth services under Medicare by charging CMS to create even more virtual care coverage opportunities. 

“COVID-19: Here’s What CMS Will Do With the Temporary Telehealth Codes When the PHE Ends,” Foley & Lardner LLP

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CMS Plans for the End of the PHE
2021 Physician Fee Schedule Details for RPM Billing

RPM Impact from Final 2021 Medicare Physician Fee Schedule

Along with clarifying portions of the proposed rule, the 2021 MPFS renders some of the changes during the public health emergency (PHE) permanent and allows others to expire at the end of the PHE. Below, we break down important components of the final rule related to remote patient monitoring (RPM).

2021 Physician Fee Schedule Details for RPM Billing

RPM Impact from Final 2021 Medicare Physician Fee Schedule

Along with clarifying portions of the proposed rule, the 2021 MPFS renders some of the changes during the public health emergency (PHE) permanent and allows others to expire at the end of the PHE. Below, we break down important components of the final rule related to remote patient monitoring (RPM).