Healthcare IT News August 13, 2024
“Medicare is a trend setter. By legitimizing these treatments within the Medicare system, it sets a precedent for other insurers to follow suit, potentially transforming the landscape of mental healthcare delivery,” Digital Therapeutics Alliance CEO says.
The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services involving DMHT devices. This is the first time CMS has proposed Medicare reimbursable codes specific to digital therapeutic products through the physician services benefit.
Under the proposal from CMS, covered products must have FDA clearance. This distinction is crucial as it differentiates general wellness apps and DMHT devices that have proven efficacy and safety. When...
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