EPISODE · Dec 10, 2024 · 30 MIN
Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"
from The Compliance Guy · host Sean M. Weiss
Summary In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of these regulations to ensure compliance and optimal patient care. Takeaways This is the last hashtag Terry Tuesday for 2024. We have spent quite a bit of time taking a look at the CMS final rule. Direct supervision means immediately available. Audio only is not sufficient for direct supervision. Behavioral health has gotten a huge leap in virtual care. You need to know that your commercial plans also update their language. The perfect example when UnitedHealthcare last year said, we're not going to pay for audio only anymore. You have to be careful because it's something you have to say, OK, this is why I did it. It's a gift. It is an add-on gift that says we respect and understand. I would still caution our audience to not use this as a blanket add-on code.
What this episode covers
Summary In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of these regulations to ensure compliance and optimal patient care. Takeaways This is the last hashtag Terry Tuesday for 2024. We have spent quite a bit of time taking a look at the CMS final rule. Direct supervision means immediately available. Audio only is not sufficient for direct supervision. Behavioral health has gotten a huge leap in virtual care. You need to know that your commercial plans also update their language. The perfect example when UnitedHealthcare last year said, we're not going to pay for audio only anymore. You have to be careful because it's something you have to say, OK, this is why I did it. It's a gift. It is an add-on gift that says we respect and understand. I would still caution our audience to not use this as a blanket add-on code.
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Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"
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