Month: August 2020
NABH and Other Healthcare Groups Support Eliminating the Provider Relief Fund Tax Penalties Act
Written by Emily Wilkins (NABH) on . Posted in Letters.
Letter Support the Elimination of the Provider Relief Fund Tax Penalties Act
HHS Extends Phase 2 General Distribution Deadline to Sept. 13
Written by Emily Wilkins (NABH) on . Posted in Alerts.
2020 NABH Annual Survey Starts Aug. 28!
Written by Emily Wilkins (NABH) on . Posted in Alerts.
Milliman Release: “Study Reveals Individuals with Behavioral Health Conditions in Addition to Physical Conditions Drive High Total Healthcare Costs; Small Portion Spent on Behavioral Treatment, Vast Majority Spent on Physical Treatment”
Written by Emily Wilkins (NABH) on . Posted in News Releases.
HHS to Host Provider Relief Fund Webinar on Thursday, Aug. 13
Written by Emily Wilkins (NABH) on . Posted in Alerts.
Coalition Letter In Support Of TREATS Act
Written by Emily Wilkins (NABH) on . Posted in Letters.
NABH Analysis: CMS Proposes Expanding Medicare Telehealth Benefits and Scope of Practice Changes Beyond Pandemic
Written by Emily Wilkins (NABH) on . Posted in Analysis.
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Home visits for the evaluation and management of an established patient: less complex and last typically 25 minutes, | |
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Certain types of visits for patients with cognitive impairments, | |
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Group psychotherapy, | |
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Neurobehavioral status exams, | |
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Care planning for patients with cognitive impairment, | |
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Less complex domiciliary, rest home, or custodial care services, and | |
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Prolonged evaluation and management (E/M) services. |
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Psychological and neuropsychological testing, | |
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Emergency department visits, | |
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Home visits to address moderate to severe issues, typically lasting 60 minutes, | |
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More complex domiciliary, rest home, or custodial care services, and | |
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Nursing facilities discharge day management. |
Updates to Evaluation and Management Codes
In this proposed rule, CMS has proposed revaluing a number of code sets that rely on or are analogous to E/M visits including psychiatric diagnostic evaluations and psychotherapy services. CMS has also proposed simplified coding and billing requirements for E/M visits to take effect in January 2021.Proposed Changes to Scope of Practice Rules and Related Issues
CMS has also proposed changes to allow healthcare professionals to practice up to the top of their professional training and to continue some of the workforce flexibilities allowed during the PHE, including:![]() |
Allowing nurse practitioners, clinical nurse specialists, physician assistants, and certified nurse-midwives (instead of only physicians) to supervise others performing diagnostic tests consistent with state law and licensure, providing that they maintain the required relationships with supervising/collaborating physicians as required by state law, | |
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Clarifying that physicians and nonphysician practitioners, including therapists, can review and verify documentation entered into the medical record by members of the medical team for their own services that are paid under the Medicare physician fee schedule, | |
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Clarifying that therapy students, and students of other disciplines, working under a physician or practitioner who furnishes and bills directly for their professional services to the Medicare program, may document in the record so long as it is reviewed and verified (signed and dated) by the billing physician, practitioner, or therapist, and | |
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Requesting comment on whether to continue temporarily or permanently Medicare coverage for services of residents that are provided outside of the scope of their approved GME programs and furnished to inpatients of a hospital in which they have their training program as separately billable physicians’ services. |
HHS Extends Deadline for Provider Relief Funding Until Aug. 28
Written by Emily Wilkins (NABH) on . Posted in Alerts.
Wit v. UnitedHealthcare Hearing Delayed to Wednesday, Sept. 2
Written by Emily Wilkins (NABH) on . Posted in Alerts.
CMS Announces 2.2% Payment Update and Scope-in-Practice Changes for 2021
Written by Emily Wilkins (NABH) on . Posted in Alerts.