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Telehealth, Split or (Shared) Visit, Critical Care, and Teaching Physician Billing Proposals in the CY 2022 Medicare Physician Fee Schedule Proposed Rule | Baker Ober Health Law

Telehealth, Split or (Shared) Visit, Critical Care, and Teaching Physician Billing Proposals in the CY 2022 Medicare Physician Fee Schedule Proposed Rule | Baker Ober Health Law
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Happy New Year? 2021 Medicare Physician Fee Schedule is a Mixed Bag | Pullman & Comley - Connecticut Health Law

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While much of the health care industry looks to put this year in the rear view mirror, planning ahead for Connecticut providers who treat Medicare beneficiaries requires taking stock of the recently issued Physician Fee Schedule Final Rule that goes into effect January 1, 2021. The Centers for Medicare and Medicaid Services (CMS) annual update of payment rates and policies adopts simplified evaluation and management (E/M) coding and documentation requirements, and expands coverage for telehealth services and the scope of practice of non-physician practitioners, but all of this is tempered by the final rule significantly reducing reimbursement for some providers. ....

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CMS Issues 2021 MPFS and QPP Final Rule | Holland & Knight LLP

Highlights
The Centers for Medicare & Medicaid Services (CMS) has published the Calendar Year (CY) 2021 Final Rule for the Medicare Physician Fee Schedule (MPFS), which contains updates to the Quality Payment Program (QPP). The MPFS dictates Medicare rates and policies under Part B, while the QPP implements two value-based payment programs: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
Among notable changes, CMS has proposed to make permanent certain telehealth changes that have been implemented in response to the COVID-19 public health emergency (PHE), confirmed the evaluation and management (E/M) documentation guidelines and payment changes finalized in the 2020 MPFS, and delayed the MIPS Value Pathway (MVP) until the 2022 performance period or later. ....

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