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Telehealth FAQ: You Asked, We Answered - AAPC Under the wavier, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country, including in patients’ homes Since issuing the Section 1135 waiver, CMS has issued additional waivers and relaxed more regulations pertaining to Medicare-covered entities
CMS Extends Remote Supervision Flexibilities in CY 2025 Rule CMS has now extended the supervision flexibilities through December 31, 2025 In the final rule, CMS declined to make the remote direct supervision flexibilities permanent for all services, but did adopt its proposal to make remote direct supervision permanent for a limited subset of services
AdminInfo19-07-HHA - Centers for Medicare Medicaid Services Does the requirement to transmit OASIS data apply to all patients seen by the HHA? A No A HHA must transmit a completed OASIS to the CMS system for all Medicare patients, Medicaid patients, and patients utilizing any federally funded health plan options that are part of the Medicare program (e g , Medicare Advantage (MA) plans) See §484 45(a)
Revalidations (Renewing Your Enrollment) | CMS You’re required to revalidate—or renew—your enrollment record periodically to maintain Medicare billing privileges In general, providers and suppliers revalidate every five years but DMEPOS suppliers revalidate every three years CMS also reserves the right to request off-cycle revalidations
Your Billing Responsibilities | CMS If WC denies a claim or a portion of a claim, the claim can be filed with Medicare for consideration of payment Treated for an illness or injury caused by an accident, and liability and or no-fault insurance will cover the medical expenses as the primary payer
LPN Supervision Requirements in Home Health: Expert Q A For example, Medicaid home health (in Alabama as of 2007) supervisory visits by an RN must be done at least every 60 days when services are provided by an LPN, HHA, or orderly The services may be provided on a part-time basis only and must be ordered by the attending physician
Understand Medicare Physician Supervision Requirements - AAPC Note: Medicare physician supervision requirements do not apply to hospital inpatient services For inpatient services, the Centers for Medicare Medicaid Services (CMS) defers to hospital policy and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards
FAQs: Evaluation And Management Services (Part B) One of the practitioners must have face-to-face (in-person) contact with the patient, but it does not necessarily have to be the physician, nor the practitioner who performs the substantive portion and bills for the visit