2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
104 identified and removed by our proposed 5 percent threshold discussed previously. We will continue to work with the RUC PLI Workgroup examine this issue in the future. D. Medicare Telehealth Services [If you choose to comment on issues in this section, please include the caption “TELEHEALTH” at the beginning of your comments.] 1. Requests for adding services to the list of Medicare telehealth services Section 1834(m) of the Act defines telehealth services as professional consultations, office and other outpatient visits, and office psychiatry services identified as of July 1, 2000 by CPT codes 99241 through 99275, 99201 through 99215, 90804 through 90809, and 90862. In addition, the statute requires us to establish a process for adding services to or deleting services from the list of telehealth services on an annual basis. In the December 31, 2002 Federal Register (67 FR 79988), we established a process for adding or deleting services to the list of Medicare telehealth services. This process provides the public an ongoing opportunity to submit requests for adding services. We assign any request to make additions to the list of Medicare telehealth services to one of the following categories:
● Category #1: Services that are similar to office and other outpatient visits, consultation, and office 105 psychiatry services. In reviewing these requests, we look for similarities between the proposed and existing telehealth services for the roles of, and interactions among, the beneficiary, the physician (or other practitioner) at the distant site and, if necessary, the telepresenter. We also look for similarities in the telecommunications system used to deliver the proposed service, for example, the use of interactive audio and video equipment. ● Category #2: Services that are not similar to the current list of telehealth services. Our review of these requests includes an assessment of whether the use of a telecommunications system to deliver the service produces similar diagnostic findings or therapeutic interventions as compared with the face-to-face "hands on" delivery of the same service. Requestors should submit evidence showing that the use of a telecommunications system does not affect the diagnosis or treatment plan as compared to a face-to- face delivery of the requested service. Since establishing the process, we have added the psychiatric diagnostic interview examination and ESRD services with 2 to 3 visits per month and 4 or more visits per month to the list of Medicare telehealth services
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104<br />
identified and removed by our <strong>proposed</strong> 5 percent threshold<br />
discussed previously. We will continue to work with the RUC<br />
PLI Workgroup examine this issue in the future.<br />
D. Medicare Telehealth Services<br />
[If you choose to comment on issues in this section, please<br />
include the caption “TELEHEALTH” at the beginning <strong>of</strong> your<br />
comments.]<br />
1. Requests for adding services to the list <strong>of</strong> Medicare<br />
telehealth services<br />
Section 1834(m) <strong>of</strong> the Act defines telehealth services<br />
as pr<strong>of</strong>essional consultations, <strong>of</strong>fice and other outpatient<br />
visits, and <strong>of</strong>fice psychiatry services identified as <strong>of</strong><br />
July 1, 2000 by CPT codes 99241 through 99275, 99201 through<br />
99215, 90804 through 90809, and 90862. In addition, the<br />
statute requires us to establish a process for adding<br />
services to or deleting services from the list <strong>of</strong> telehealth<br />
services on an annual basis.<br />
In the December 31, 2002 Federal Register<br />
(67 FR 79988), we established a process for adding or<br />
deleting services to the list <strong>of</strong> Medicare telehealth<br />
services. This process provides the public an ongoing<br />
opportunity to submit requests for adding services. We<br />
assign any request to make additions to the list <strong>of</strong> Medicare<br />
telehealth services to one <strong>of</strong> the following categories:
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