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Members of Congress did not come to a budget agreement before the Oct. 1 start of the fiscal year, and a government shutdown of all but "essential" spending is now in effect. CMS has issued some advice to providers.
 
 
The following article will appear in the 9/29/25 issue of Part B News. Subscribers can access more than 400 articles on telehealth and telemedicine.
 
After five years, most – but not all – of Medicare’s telehealth expansions are scheduled to end at midnight, Oct. 1. Even though one quarter of eligible Medicare patients continue to take advantage of the broader telehealth benefit, it seems unlikely that Congress will pass another last-minute extension or a permanent upgrade to Medicare telehealth law to keep the popular policies in place.
 

 

 
 
Payments for remote physiologic monitoring (RPM) services have skyrocketed under Medicare, surpassing $535 million in 2024. That's up from just $15 million five years earlier. As services spike, the HHS Office of Inspector General (OIG) is sending out a warning: we're keeping an eye on you.
 
 
 
You'll find five additions to the telehealth-eligible list of codes for CY 2026, along with a lone deletion. CMS published the updated telehealth services list as a supplementary file to the proposed 2026 Medicare physician fee schedule.
 
 
Professional Part B Medicare fees are on the upswing overall, but site of service will be a huge factor in reimbursement in 2026. The proposed 2026 Medicare physician fee schedule, released today, boosts the Part B conversion factor for CY 2026, adds billing opportunities for behavioral health services, previews new codes and updates the agency's quality reporting programs.
 
CMS also signaled other notable priorities, including significant changes to the way the agency calculates rate-setting on a per-code basis, a new payment model called the Ambulatory Specialty Model (ASM) that's focused on the treatment of heart failure and lower back pain, telehealth flexibilities and more.
 

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