额外的细节
报销的更新
- CMS正在最终确定2024年CY的转换系数为32美元.74,也就是3.比2023年33美元的转换系数低4%.89. 类似于2023年经历的对话因素减少, this reduction continues to reflect the expiration of the statutory payment increase and budget neutrality adjustments.
编码和覆盖
- 护理人员培训bet8娱乐: CMS is finalizing its proposal to provide payment when practitioners (including physicians, nonphysicians, and therapists) train and involve caregivers to support patients with treatment plans for certain diseases and illnesses, 比如痴呆.
- 与健康有关的社会需要bet8娱乐: To better account for resources needed to provide multidisciplinary support, CMS is finalizing its proposal to pay separately for Community Health Integration (CHI), 健康的社会决定因素风险评估, 以及主要疾病导航bet8娱乐.
- CMS is also finalizing the addition of the SDOH risk assessments to annual wellness visits as an optional element with additional payments and no patient coinsurance or deductible. 进一步, CMS is finalizing proposed codes and payments for these risk assessments to occur on the same day as an E&M访问.
- E .附加付款&Mbet8娱乐:1月1日开始, 2024, CMS is finalizing proposed implementation of a separate add-on payment for HCPCS code G2211 (prolonged office/outpatient E&M services) to better account for the cost of providing longitudinal and chronic condition care services.
- 值得注意的, implementation of this add-on payment has redistributive impacts for other CY 2024 payments under the PFS, 由于法定预算中立的要求.
- 分裂/共享E&M访问: 2024年冬奥, CMS is finalizing a revision to the definition of the “substantive portion” of a split (or shared) visit to include revisions to the CPT guidelines. 具体地说, 用于医疗保险计费目的, the substantive portion reflects more than half of the total time spent by the physician or nonphysician practitioner, 或者是医疗决策的实质性部分. 值得注意的, CMS implemented public comments that requested the definition account for time spent in visits and/or in medical decision-making.
- 远程医疗bet8娱乐的灵活性: CMS is finalizing several proposals to continue providing practitioners with flexibility around how telehealth can be furnished, 至少要到2024年底. 这包括最终确定:
- Proposal to add health and well-being coaching services to the list of covered Medicare telehealth services on a temporary basis for CY 2024 and the addition of SDOH risk assessments on a permanent basis.
- Proposal to implement nonfacility PFS rate for telehealth services furnished to people in their homes.
- Continuation of the direct supervision definition to permit the presence of a supervising practitioner through live audio and video interactive telecommunications through December 31, 2024.
- Policy to continue allowing teaching physicians to use audio/video real-time communications technology to be present when a resident furnishes telehealth services in residency training locations through the end of CY 2024.
- Implementation of several provisions mandated by the Consolidated Appropriations Act (CAA) of 2023, including but not limited to temporary expansion of originating telehealth sites, 扩大远程医疗从业人员的定义, and continued payment for telehealth services furnished by Rural Health Clinics and Federally Qualified Health Centers.
- 行为健康bet8娱乐:
- 执行2023年《bet8网站备用》的规定, CMS is finalizing its proposal to provide 分区, and 一起 Medicare Part B coverage and payment under the PFS. CMS is also finalizing corresponding changes to behavioral health integration codes to allow 分区, and 一起 to bill for services.
- 也包括在CAA中, CMS is finalizing its proposal to establish new HCPCS codes for psychotherapy crisis services that are furnished in an applicable site of service (any place of service where the nonfacility rate for psychotherapy for crisis services applies, 除了办公室环境, 包括住宅或移动单位). Payment for these crisis services will be equal to 150% of the fee schedule amount for nonfacility sites of service for each year.
- CMS is also finalizing its proposal to allow Health Behavior Assessment and Intervention (HBAI) services (CPT codes 96156, 96158, 96159, 96164, 96165, 96167, 96168)由临床社工计费, 分区,, 一起, 临床心理学家.
- CMS is also finalizing its proposal to modify the requirements for the hospice Conditions of Participation (CoPs) to allow social workers, 一起, 或分区,担任安宁疗护跨学科小组(IDG)的成员。.
- 最后, CMS is finalizing its proposal to apply an adjustment to the work RVUs for psychotherapy codes payable under the PFS, 在4年的过渡期内,将实施哪些CMS. 回应公众意见, CMS is also finalizing the application of this adjustment to psychotherapy codes that are billed with an E&M访问和HBAI代码.
- 阿片类药物治疗方案(OTPs): CMS is finalizing its proposal to extend current flexibilities to allow for assessments furnished via audio-only telecommunications through the end of CY 2024.
其他的更新
- 医疗保险B部分预防疫苗管理费用: 1月1日生效, 2024, CMS is extending the additional payment for in-home COVID-19 vaccine administration to pneumococcal, 流感, 以及在家中接种乙肝疫苗.
- 扩大糖尿病筛查: CMS is finalizing its proposal to expand coverage of diabetes screening to include the hemoglobin A1c (HbA1c) test, 简化和扩展频率限制, and to remove the specific clinical test criteria from the codified definition of “diabetes” for screening.
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编辑: 马特杂粮面包
出版于2023年11月2日