CMS to Pay Docs for Care Coordination, Telehealth
Written by Editor   
Thursday, November 06, 2014 09:25 AM

Doctors will be paid for Medicare care coordination, wellness and behavioral health telehealth visits. But, under final rules issued by the CMS late Friday, physicians also could see all Medicare payments cut by roughly 21% in April if the Medicare sustainable growth rate formula cuts are allowed to take effect.

As proposed earlier this year, Medicare will cover wellness and behavioral health telehealth visits starting in January, according to the final rule for Medicare's physician fees. Doctors also will be able to bill Medicare $40 per patient per month for care coordination for patients with multiple chronic conditions. The new payments are for non-face-to-face services.  Of course, these payments do not apply to Doctors of Chiropractic because of the federal limitation that requires medicare to ONLY pay for one service for chiropractors–the application of CMT.

In addition, the rule eliminates a controversial reporting exemption under the Physician Payments Sunshine Act for indirect financial ties between industry and physicians. It expands quality-performance penalties to all doctors. And it contains new quality criteria for the Medicare Shared Savings Program, a test of the accountable care payment and delivery model that now includes more than 300 accountable care organizations.