{"id":31646,"date":"2020-12-10T14:29:13","date_gmt":"2020-12-10T14:29:13","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=31646"},"modified":"2020-12-10T14:29:13","modified_gmt":"2020-12-10T14:29:13","slug":"cms-finalizes-proposed-cuts-to-medicare-part-b-therapy-services-for-2021-expands-telehealth-coverage-2","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/cms-finalizes-proposed-cuts-to-medicare-part-b-therapy-services-for-2021-expands-telehealth-coverage-2\/","title":{"rendered":"CMS Finalizes Proposed Cuts to Medicare Part B Therapy Services for 2021, Expands Telehealth Coverage"},"content":{"rendered":"\n\n\n<p>The federal government on Tuesday finalized its proposed physician fee schedule for the 2021 calendar year, formalizing cuts to Medicare reimbursement rates for therapy services provided to residents covered under Part B \u2014 while also expanding some telehealth flexibilities offered during COVID-19.<\/p>\n\n\n\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) in August floated a 9% cut to Part B physical and occupational therapy rates;&nbsp;<a href=\"https:\/\/www.cms.gov\/files\/document\/12120-pfs-final-rule.pdf\">the finalized Physician Fee Schedule (PFS) announced Tuesday<\/a>&nbsp;appears to keep those same cuts intact, National Association for the Support of Long-Term Care executive vice president Cynthia Morton told SNN via e-mail.<\/p>\n\n\n\n<p>\u201cIt\u2019s shocking \u2026 cutting nursing facilities\u2019 services during a pandemic when the most vulnerable to COVID are being treated in nursing facilities,\u201d Morton wrote to SNN.<\/p>\n\n\n\n<p>Medicare Part B covers so-called \u201cdual-eligible\u201d nursing home residents, or those who qualify for both Medicare and Medicaid.<\/p>\n\n\n\n<p>\u201cOf all the settings that bill Part B therapy, nursing facilities bill the most,\u201d Morton told SNN back in August.<\/p>\n\n\n\n<p>The reduction in therapy payments was proposed to keep the PFS revenue-neutral, offsetting increases in reimbursements for primary care physicians.<\/p>\n\n\n\n<p>CMS on Tuesday also&nbsp;<a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-1\">moved to extend Medicare coverage<\/a>&nbsp;of telehealth services allowed on an emergency basis during the COVID-19 crisis past the end of the formal public health emergency (PHE).<\/p>\n\n\n\n<p>\u201cThese additions allow beneficiaries in rural areas who are in a medical facility (like a nursing home) to continue to have access to telehealth services such as certain types of emergency department visits, therapy services, and critical care services,\u201d CMS noted in a statement.<\/p>\n\n\n\n<p>The federal government broke down nearly all remaining barriers to providing virtual health interventions in nursing facilities early during the COVID-19 crisis, though the agency noted that it does not have the authority to permanently expand nursing home telehealth outside of rural areas.<\/p>\n\n\n\n<p>CMS will commission a study of the temporary telehealth steps taken during the pandemic.<\/p>\n\n\n\n<p>\u201cThe study will explore new opportunities for services where telehealth and virtual care supervision, and remote monitoring can be used to more efficiently bring care to patients and to enhance program integrity, whether they are being treated in the hospital or at home,\u201d CMS noted.<\/p>\n\n\n\n<p>Various voices in long-term health care, including CMS administrator Seema Verma, have predicted that the COVID-19 crisis will accelerate the growth of telehealth in Medicare and the health care landscape more broadly, as beneficiaries see the benefits of virtual visits allowed under temporary waivers.<\/p>\n\n\n\n<p>\u201cThe pandemic accentuated just how transformative it could be, and several months in, it\u2019s clear that the healthcare system has adapted seamlessly to a historic telehealth expansion that inaugurates a new era in healthcare delivery,\u201d Verma said in a statement.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The federal government on Tuesday finalized its proposed physician fee schedule for the 2021 calendar [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":6857,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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