Healthcare Law Reza Ghafoorian Healthcare Law Reza Ghafoorian

2021 EXPANSION OF TELEHEALTH SERVICE COVERAGE BY CMS

On August 3, 2020, the Center for Medicare and Medicaid published its Proposed Rules for Medicare Physician Fee Schedule (PFS) for Calendar Year 2021. Public Comment period on the Proposed Rule ended on October 5, 2020. In the Proposed Rule, CMS proposed to add several telehealth services to its coverage on a permanent basis for 2021.

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Healthcare Law Reza Ghafoorian Healthcare Law Reza Ghafoorian

TELEMEDICINE IN THE TIME OF COVID-19

With an increase in telemedicine usage, there is also concern and opportunities for fraud. Many factors contribute to fraud in telemedicine, such as a lack of baseline model for the types, charges, frequency of claims generally involving telehealth, identity theft, and prescribing medically unnecessary drugs and DME.

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