Behavioral Health Business July 12, 2024
The Centers for Medicare & Medicaid Services’ latest proposed fee schedule includes codes for providers to bill Medicare for certain digital therapeutics.
On July 10, CMS released its proposed 2025 Physician Fee Schedule (PFS) rule. It contained several behavioral health-related provisions, including changes to how intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) will be compensated.
In the same rule, CMS proposes three new Healthcare Common Procedure Coding System (HCPCS) codes for compensating providers for the use of “digital mental health treatment (DMHT) devices furnished incident to or integral to professional behavioral health services used in conjunction with ongoing behavioral health care treatment under a behavioral health treatment plan of care.” Only devices that are cleared by the Food...
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