Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
rulemaking. In section III. M. of this final rule with
comment period, we describe certain limitations on the
types of services for which a Medicare telehealth payment
will be made when these entities serve as the originating
site. These requirements are similar to those in place
under current policies for the existing list of telehealth
originating sites, but are also tailored to address the
particular characteristics of the newly added originating
sites. It is necessary to address these requirements in a
timely manner in order to avoid potential duplicate billing
and payment, and to ensure that facilities appropriately
furnish the requisite scope of services for which payment
is included in their bundled or prospective payment. For
the reasons described above, we believe that completion of
notice and comment rulemaking prior to adopting these
policies would delay timely implementation of policies that
are important to quality care and program integrity.
Therefore, to the extent these requirements are not
self-implementing, we find good cause to waive notice and
comment rulemaking as a delay in implementation would be
contrary to the public interest.
As detailed above in this section, we are implementing
certain aspects of sections 131(c), 144(b), and 149 of the
MIPPA as described in sections III.C., III.J., and III.M.
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