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Center for Medicare and Medicaid Services Releases 2020 Physician Fee Schedule

Published Friday, November 22, 2019

The Center for Medicare and Medicaid Services (CMS) has finalized their CY 2020 proposed revisions related to the Physicians Fee Schedule (PFS). For items related to telehealth, CMS has decided to finalize their proposal to add three new codes for a bundled episode of care for treatment of opioid use disorder to the list of services that are eligible for telehealth reimbursement. Additionally, CMS has finalized a bundled payment structure for opioid use disorder (OUD) treatment by opioid treatment programs (OTPs), and would allow the counseling and therapy (face-to-face) components to be delivered via live interactive video. CMS has also taken steps to further refine the codes for transitional care management (TCM) and chronic care management (CCM), and create new codes for principal care management (PCM) services for patients that have only one serious chronic condition. 

The Center for Connected Health Policy has released a FACT SHEET containing more information.