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Aug 23, 2018

CMS Proposes New Rules to Combat Opioid Crisis

In response to the President’s Commission on Combatting Drug Addiction and the Opioid Crisis, Centers for Medicare & Medicaid Services (CMS) has proposed new rules in an effort to curb the ongoing problem.  Click here to view the CMS Fact Sheet detailing the proposals.» Read More

Jul 19, 2018

CMS Proposes Overhaul of Billing Rules and Pays for Telehealth

On July 12, 2018, The Centers for Medicare & Medicaid Services (CMS) proposed a major overhaul of the way doctors have billed Medicare for patient visits for two decades. Some of the key provisions in the lengthy proposed rule include:

  • simplifying the billing process to require less documentation that must be submitted by collapsing four separate levels of documentation requirements into one;
  • allowing physicians to use their medical decision making or time spent with the patient to designate the level of patient care needed in lieu of using the traditional evaluation and management codes;
  • paying physicians for certain telemedicine services; and
  • continuing the site-neutral policy that pays off-campus facilities 40% of the outpatient rates for the services they provide to encourage “fairer competition between hospitals and physician practices by promoting greater payment alignment between outpatient care settings.”
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