The Mismatch of Telehealth and Fee-for-Service Payment

“the “virtual check in” code introduced in the 2019 MPFS [Medicare Physician Fee Schedule] initiated payment for short communications with patients to avoid unneeded office visits. During the PHE [Public Health Emergency], restrictions on both telehealth visits and non-visit-based communications were loosened further, importantly permitting telehealth services to originate from the patient’s home instead of a medical facility. The Centers for Medicare and Medicaid Services also agreed to pay for routine phone calls between patients and their practitioners. Medicare initially set the rate for a 5- to 10-minute call comparable to a virtual check in—about $15—pegging the fee to relative … Read More