CMS breaks telehealth barriers for COVID-19: Home visits allowed, co-pays waived [Update]
by Julia Kyles, CPC, and Richard Scott on Mar 17, 2020
You’ll find immediate opportunity to provide virtual visits to patients enrolled in Medicare plans as CMS seeks to facilitate screening and treatment of novel coronavirus (COVID-19) cases through telehealth services.
In
an announcement today, CMS said it would lift restrictions on providing most telehealth services to patients. For example, providers will be able to connect with Medicare patients in their homes or in other locations via face-to-face video technology. Previous rules limited providers and patients to specific “originating” and “distant” sites.
The new Medicare rules underscore CMS’ intentions to free up virtual-based visits as the COVID-19 pandemic spreads, adding to a March 10 announcement that enhanced access among Medicare Advantage carriers.
6 things you need to know
- Practices will be able to bill telehealth encounters for any patient in any location. The designated area and originating site restrictions have been lifted.
- Visits may be conducted with certain smartphones. The law lifted the restriction of telehealth visits by telephone if both the patient’s and the provider’s phones have audio and video capabilities and a real-time, two-way encounter is conducted.
- The law limits the waiver to established patients, but HHS will not conduct audits to check a patient’s status.
- You don’t have to charge a co-pay. The HHS Office of Inspector General announced that practices may waive the cost-sharing amounts for telehealth visits.
- State law still holds sway. Check your state scope of practice to make sure your non-physician practitioners are allowed to provide telehealth services, and if so, which ones.
- You may still report remote visits such as online digital E/M visits and virtual check-ins. Update: Practices may waive co-payments for these services and remote physiologic monitoring, the OIG clarified in a March 24 FAQ.
This is a developing story. Stay tuned for more.