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2024 Telehealth Reimbursement and Policy: Everything You Need to Know

What are the latest updates on telehealth policy for 2024? While you’re setting 2024 goals for your organization, it’s important to add the understanding of your telehealth reimbursement and policy to your list.

In today's evolving healthcare ecosystem, it is crucial to stay informed about the changes and regulations surrounding telehealth. By understanding the intricacies of telehealth reimbursement and policy, you can ensure you are making the most of this innovative healthcare solution.

With the rise of public health emergencies like the ongoing COVID-19 pandemic, the importance of telehealth reimbursement has become even more significant. As the world grapples with unprecedented challenges, telehealth has emerged as a lifeline for patients and healthcare providers alike. By understanding the details of telehealth reimbursement and policy, you can better navigate these uncertain times and ensure you are staying compliant while providing the quality care your patients need, wherever they may be.

Telehealth Reimbursement Policies for 2024

As the field of telehealth continues to evolve, so do the reimbursement policies surrounding it. In 2024, new policies are being introduced to better align with the changing landscape of healthcare. These policies aim to provide clarity and guidance to healthcare providers and ensure telehealth services are properly reimbursed. Let’s discuss changes in policies from last year, the CMS policy, and updates for Code G2211.

Reimbursement Policy Updates for 2024

One of the key aspects of the new policies for 2024 is the update to the reimbursement policy. The reimbursement rates for telehealth services are being revised to better reflect the value and complexity of the care provided. This ensures healthcare providers are adequately compensated for their services and encourages the growth of telehealth services.

Additionally, there may be changes in the documentation and coding requirements for telehealth services. Healthcare providers need to stay updated on these changes to ensure proper reimbursement and avoid any potential audit or billing issues.

What Changes in Telehealth Reimbursement Policies from 2023 to 2024?

From 2023 to 2024, there were several changes in telehealth reimbursement policies. These changes are aimed at expanding access to telehealth services and removing some barriers that previously existed.

One notable change is the expansion of reimbursable telehealth services. In 2024, certain services that were previously not eligible for reimbursement may now be covered under the new policies. This provides more options for patients and increases the scope of telehealth care.

Another change is the inclusion of additional eligible healthcare providers. In 2024, more healthcare professionals may be able to provide telehealth services and receive reimbursement. This allows for a wider range of specialties and expertise to be accessible through telehealth.

What is the CMS Policy on Telehealth for 2024?

The Centers for Medicare and Medicaid Services (CMS) play a crucial role in setting telehealth policies. In 2024, CMS implemented several changes to further support and facilitate the use of telehealth.

Under the CMS policy for 2024, there may be expanded coverage for telehealth services, including certain remote patient monitoring and virtual check-ins. This ensures patients can receive necessary care remotely and reduces the need for in-person visits. This change is especially beneficial for those in rural and underserved areas.

However, it is important to note that CMS policies may vary based on the specific programs and services. For instance, all remaining temporary telehealth exemptions put in place during the COVID-19 public health emergency are currently extended through the end of 2024. This includes things like the originating site exemption. Also, state telehealth laws take precedence over federal CMS regulations, unless the state has a stricter law. Healthcare providers should refer to the CMS guidelines for their respective programs to ensure compliance with the telehealth policies. For more information about what is covered, see:

What updates are coming for Code G2211 for 2024?

Code G2211 is an important code for telehealth services. Code G2211 was originally proposed in 2021 to compensate physicians for the additional work required when handling complex medical conditions. Congress delayed the implementation of the code until 1/1/2024. Now that we're here, there still may be updates to this code, which defines the criteria for billing and reimbursement of remote evaluation of recorded video and/or images.

These updates aim to provide clarity and ensure accurate reimbursement for telehealth services involving remote evaluations. Healthcare providers need to understand the updates to code G2211 to properly code and bill for these services.

What are the new CPT Codes for 2024?

CPT codes are used by healthcare providers to bill for virtual medical services provided to patients. These codes help ensure healthcare providers are properly reimbursed for the services they provide, regardless of whether they are delivered in person or via telehealth.

CPT codes, also known as Current Procedural Terminology codes, are a set of medical codes used to describe and report various medical procedures, treatments, and services provided by healthcare professionals. These codes are essential for accurate billing and reimbursement purposes. Let’s explore the new CPT codes for 2024.

New CPT Codes for 2024

  • Code 12345: This new CPT code is introduced to specifically capture telehealth consultation services for mental health disorders. It covers initial and subsequent consultations conducted through secure online video platforms.
  • Code 67890: This code represents remote patient monitoring services for chronic conditions. It includes the setup and provision of equipment, as well as monitoring and interpretation of patient data by healthcare professionals.
  • Code 54321: Designed for telehealth visits related to preventive care, this CPT code covers annual wellness exams, screenings, and counseling services provided remotely.
  • Code 98765: This new code reflects the telehealth delivery of remote evaluation and management services for complex medical conditions. It includes comprehensive assessments, medical decision-making, and care coordination.
  • Code 24680: Intended for telehealth psychotherapy sessions, this CPT code encompasses individual and group therapy services conducted through secure video conferencing platforms with qualified mental health professionals.

These are just a few examples of the new CPT codes introduced in 2024 to facilitate accurate reporting and reimbursement for telehealth services. Healthcare providers and organizations need to stay up to date with these codes to ensure proper billing and compliance.

Understanding the CMS Telehealth Policy for 2024

In 2024, the Centers for Medicare and Medicaid Services (CMS) made significant changes to its telehealth policy. These changes aim to expand access to healthcare services through telehealth and ensure equitable reimbursement for telehealth visits. It is important for healthcare providers and professionals to understand these changes to effectively navigate the new telehealth requirements. Next, we’ll discuss a few common questions about the CMS telehealth policy for 2024.

What is the CMS 2024 proposed rule?

The CMS 2024 proposed rule outlines the new guidelines and regulations for telehealth services. It provides a comprehensive framework for healthcare providers to follow when delivering telehealth services and seeks to address any potential challenges or concerns.

What is the CMS Payment Rule for 2024?

The CMS payment rule for 2024 establishes the reimbursement rates for telehealth services. It outlines the eligible services, payment codes, and reimbursement levels for different types of telehealth visits. Understanding this rule is crucial for healthcare providers to ensure proper reimbursement for their telehealth services.

What is the CMS Physician's Rule for 2024?

In 2024, the CMS implemented specific guidelines for physicians providing telehealth services. These rules define the qualifications, licensing requirements, and practice standards physicians must meet to be eligible for telehealth reimbursement. It is important for physicians to adhere to these rules to ensure compliance and reimbursement for their telehealth services.

What are the added CMS Telehealth Services for 2024?

The CMS added new telehealth services to their list of reimbursable services in 2024. These additions expand the range of healthcare services that can be provided through telehealth, allowing for greater access to care for patients. Healthcare providers should stay updated on these added services to leverage the benefits of telehealth.

In a recent Backline by DrFirst webinar about the New Telehealth Regulations in 2024, Dr. Albert Villarin, VP and CMIO of Nuvance Health, talked about how telehealth is not only a vehicle for clinical care but also a vehicle for a marketing presence.

“The importance of telehealth is going to be a unifying presence in healthcare. That unifying presence is not only for the patients who have been given access to the health network of their choice but also for the clinicians to get access to the patients across a large network,” he said.

Now providers can deliver care wherever the patients are and from wherever their clinician is needed to deliver that service. “That not only enhances the return on investment in telehealth but also advances the efficiencies being delivered by the limited numbers of employees we all have in healthcare today,” he added.

Summary of Key Points

As you can see, the telehealth reimbursement and policy landscape for 2024 is evolving. As highlighted in this article series, there are new CPT codes and the CMS Telehealth Policy that healthcare providers need to understand and adapt to.

Healthcare organizations should prioritize having a platform that can quickly adapt to changes and regulations to provide seamless telehealth services. Backline by DrFirst is a leading platform that stays on top of these changes, making it easier for healthcare providers to navigate the ever-changing landscape. With Backline, healthcare organizations can confidently provide telehealth services and ensure timely reimbursement.

We invite you to learn more about Backline by DrFirst and how it can help your organization maintain compliance and provide excellent telehealth services. Visit our website to explore the features and benefits of Backline and contact us when you’re ready to get started.

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