HealthLeaders Media July 19, 2024
Eric Wicklund

The proposed Physician Fee Schedule includes, among other things, Medicare coverage for care management using telehealth and digital health tools, as well as coverage for some digital therapeutics devices used in behavioral health treatment

KEY TAKEAWAYS

– The proposed 2025 Medicare Physician Fee Schedule includes several new codes and reimbursement guidelines for the use of virtual care and digital health technology.

– Among the biggest surprises is a pathway for Advanced Primacy Care Management, which would reimburse providers not so much for time spent but for the use of telehealth and digital health to support value-based care.

– CMS is also proposing to permanently cover the use of audio-only telehealth, such as the telephone, in certain treatments, including substance abuse...

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