42 C.F.R. 410.78 - Telehealth services
| Cite as | 42 C.F.R. 410.78 |
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66 practice notes
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Securing Updated and Necessary Statutory Evaluations Timely
...participation and public process to inform access to care; 42 CFR 447.400--Payments for Primary Care Services Furnished by Physicians; 42 CFR 410.78-- Telehealth services; 45 CFR 156.10-156.1256--Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to......
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Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models
...services they provide, rather than limiting MIPS telehealth reporting to be ``Medicare eligible telehealth services'' as defined at 42 CFR 410.78. One commenter requested that CMS expand the definition, use, and reporting of telehealth services, and clearly distinguish between MIPS eligible......
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RICU LLC v. United States Department of Health and Human Services, No. 21-5186
...§ 1395m(m)(1).4 Id. § 1395m(m)(4)(B), (C)(i), (F)(i).5 66 Fed. Reg. 55,246, 55,282, 55,284 (Nov. 1, 2001) (codified as amended at 42 C.F.R. § 410.78 ); see 42 U.S.C. § 1395w-4(b) -(e).6 See 42 C.F.R. § 410.78(b), (f).7 42 U.S.C. § 1320b-5(b)(8), (g)(1)(B).8 85 Fed. Reg. 19,230, 19,232, 19,2......
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Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations
...video equipment permitting two-way, real-time interactive communication between the patient and distant site physician or practitioner (42 CFR 410.78). Telehealth services are used to substitute for professional in-person visits when certain eligibility criteria are met. For patients receiv......
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2 cases
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RICU LLC v. United States Dep't of Health & Human Servs., 21-cv-452 (CRC)
...system.” HHS issued a Final Rule implementing the Telehealth Statute on November 1, 2001. See 66 Fed. Reg. 55246 (codified at 42 C.F.R. § 410.78) (“Telehealth Rule”). Nineteen years later, Congress sought to expand public access to health services in response to the COVID-19 pandemic throug......
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State v. Cooper, 2009 Ohio 6275 (Ohio App. 12/1/2009), No. 09AP-511.
...presented her mistake-of-fact defense on the following two grounds: (1) her trial counsel failed to present R.C. 5111.02, 5111.026, and 42 C.F.R. 410.78 to the jury, which would have supported her argument that she believed she was permitted to bill in the manner she did; and (2) her trial ......
50 firm's commentaries
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Dickinson Wright COVID-19 Resource Guide
...the physician or practitioner delivering the service is located at the time the service is provided via a telecommunications system.” 42 C.F.R. 410.78(a)(2). However, during an emergency period, Federally Qualified Health Centers and Rural Health Clinics now can also act as distant site pro......
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CMS Issues Final Medicare PFS Rule for CY 2019
...50325 of the Bipartisan Budget Act of 2018, CMS finalized a new modifier to identify acute stroke telehealth services and revisions to 42 C.F.R. § 410.78 and § 414.65 to allow for reimbursement for acute stroke telehealth services, including a definition of “mobile stroke unit” and the addi......
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Modernizing Medicare: CMS Expands Reimbursement for Virtual Care and Telehealth
...Accordingly, in the Final Rule, CMS updated its regulations to reflect these expansions. First, CMS finalized a new modifier and revised 42 CFR §§ 410.78 and 414.65 to implement amendments to acute stroke telehealth services. Section 1834(m)(6)(B) of the Act, as amended, now allows for acut......
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Congress’s COVID-19 Funding Legislation Expands Access to Telehealth Services for Medicare Beneficiaries
...generally across all geographic areas. [1] H.R.6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020. [2] 42 C.F.R. § 410.78(a)(3), [3] Sec. 223(b) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (P.L.106-554). [4] For more in......
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8 provisions
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Securing Updated and Necessary Statutory Evaluations Timely
...participation and public process to inform access to care; 42 CFR 447.400--Payments for Primary Care Services Furnished by Physicians; 42 CFR 410.78-- Telehealth services; 45 CFR 156.10-156.1256--Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to......
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Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models
...services they provide, rather than limiting MIPS telehealth reporting to be ``Medicare eligible telehealth services'' as defined at 42 CFR 410.78. One commenter requested that CMS expand the definition, use, and reporting of telehealth services, and clearly distinguish between MIPS eligible......
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Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations
...video equipment permitting two-way, real-time interactive communication between the patient and distant site physician or practitioner (42 CFR 410.78). Telehealth services are used to substitute for professional in-person visits when certain eligibility criteria are met. For patients receiv......
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Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-in Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions from the March 31st, May 8th and September 2nd Interim Fin
...further details, see the full discussion of the scope of Medicare telehealth services in the CY 2018 PFS final rule (82 FR 53006) and in 42 CFR 410.78 and a. Adding Services to the Medicare Telehealth Services List In the CY 2003 PFS final rule with comment period (67 FR 79988), we establis......
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