CMS proposes expanded telehealth coverage for 2015


Annual wellness visits and psychotherapy are among four services the Centers for Medicare & Medicaid Services is proposing to add to the list of services that can be provided to Medicare beneficiaries via telehealth, according to a proposed update to the Medicare Physician Fee Schedule for the 2015 calendar year issued late 7/3/2014.

Under the proposal, annual wellness visits and psychotherapy, as well as psychoanalysis and "prolonged evaluation and management services" would be covered as Category 1 services. Such services, according to CMS, are defined as "similar to professional consultations, office visits and office psychiatry services" currently covered by the agency.

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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