Data reflects visits up to early June in 2020. These temporary changes have increased access to telehealth among the Medicare population. Photo by National Cancer Institute on Unsplash. 116 -136 (March 27, 2020). Even the state with the lowest telehealth adoption, Nebraska, saw an increase in telehealth, up to 22 percent of primary care visits. Share on twitter. Joint Principles from the Center for Medicare Advocacy and the Medicare Rights Center. When making decisions about whether and how to expand Medicare coverage for telehealth, we urge policymakers to: Sign up to receive Medicare news, policy developments, and other useful updates from the Medicare Rights. These waivers generally expanded who can provide telehealth, where it can be provided, and how it can be provided (Figure 2). This suggests there will be continued interest in telehealth post-pandemic for millions of Medicare beneficiaries. Massachusetts, Rhode Island, Connecticut, and New York saw the highest uptake in telehealth primary care visits at the beginning of the PHE. Instead, we urge Congress and the Administration to move forward deliberately. "As soon as we declared COVID-19 a public health emergency, the Trump Administration took bold and rapid action to dramatically expand services that can be provided via telehealth and make it far more convenient for patients and providers," said HHS Secretary Alex M. Azar. By contrast, providers in urban counties, saw greater telehealth use in March and April and smaller declines in May. For Telehealth services provided with a DOS of July 1, 2020 through the end of the COVID PHE, health centers must submit just the new G2025 code and the 95 Modifier is optional.PMG also recommends including the HCPCS code that afforded use of G2025 BUT only after a health center’s revenue cycle management (i.e., RCM/billing) team confirms such with … Internal CMS analysis has found that before the PHE, only 14,000 beneficiaries received a telehealth service in a week but during the PHE period from mid-March through early-July, over 10.1 million beneficiaries have received a telehealth service. ASPA Press Contacts For example, in a survey of about 300 practitioners (oncologists, specialists, and primary care) by IQVIA between April 17 and 22, 2020, practitioners said only 9 percent of their patient interaction was via telehealth prior to the pandemic; but that increased to 51 percent during the pandemic period, and they expected it to remain at 21 percent after the pandemic ends. Within the CPT code set, Appendix P — CPT Codes That May Be Used For July 23, 2020 Share on facebook. Urban areas with high rates of COVID-19 - New York City, Boston, Phoenix and Seattle - saw high but wide-ranging uptake in telehealth primary care visits at the beginning of the PHE, ranging from one third of primary care visits in Phoenix to nearly two-thirds in Boston. HIPAA privacy protections must apply to telehealth interactions between the patient and provider and personal health data must also be kept secure; Ensure any expansion of telehealth is identical in traditional Medicare and private Medicare Advantage, and that the services and necessary equipment to access telehealth are equally available to all beneficiaries, regardless of the coverage pathway they choose; Ensure that telehealth does not weaken Medicare Advantage network adequacy standards, including by prohibiting telehealth providers from satisfying network adequacy requirements; Require public release of data concerning Medicare-covered telehealth, including the type of services provided, beneficiary experience and preferences, programmatic and beneficiary spending, health outcomes, and quality measurements; ensure monitoring, oversight, data collection, and evaluation continues ongoingly so as to best inform future telehealth policymaking; and. These waivers generally expanded who can provide telehealth, where it can be provided, and how it can be provided (Figure 2). The report finds telehealth adoption increased by nearly 50 percent in primary care at the peak and further dissects weekly utilization rates from January through early June 2020. The current PHE declaration is set to expire on July 25, 2020. These services are not considered to fall within the Section 1834(m) definition of “Medicare telehealth” and therefore, the geographic and site of service restrictions do not apply. Share on linkedin. The federal government has taken steps to make providing and receiving care through telehealth easier. Iowa, South Dakota and Oklahoma, more rural states, experienced a one-third increase of primary care visits by telehealth in April. CMS is thoroughly assessing this new legislation and new and revised FAQs will be released as implementation plans are announced. Provider support for the waivers was seen in surveys like a recent Premier survey of officials from 245 health systems and other providers. An updated 20 July 2020 XML file has been released which incorporates the updates to the COVID-19 items to include a requirement that GPs and other medical practitioners working in general practice can only perform a remote service where they … July 2020 Telehealth Updates. March and April 2020 allowing significant telehealth flexibility in the Medicare program. During the weeks ending June 26–November 6, 2020, the overall percentage of weekly health care visits conducted via telehealth (telehealth visits) decreased by 25%, from 35.8% during the week ending June 26 to 26.9% for the week ending November 6, averaging 30.2% over the study period. Share on email. 1, 2020, CMS published additional services that will be covered as telehealth for the duration of the Public Health Crisis (PHC) caused by COVID-19. 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