Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC physician or other supplier. The “office of the billing physician or other supplier” is any medical office space, regardless of number of locations, in which the ordering physician or other ordering supplier regularly furnishes patient care, and includes space where the billing physician or other supplier furnishes diagnostic testing, if the space is located in the same building (as defined in §411.351) in which the ordering physician or other ordering supplier regularly furnishes patient care. With respect to a billing physician or other supplier that is a physician organization (as defined in §411.351 of this chapter), the “office of the billing physician or other supplier” is space in which the ordering physician provides substantially the full range of patient care services that the ordering physician provides generally. The performance of the TC includes both the conducting of the TC as well as the supervision of the TC. * * * * * 24. Section 414.65 is amended by revising paragraph (a)(1) to read as follows: §414.65 Payment for telehealth services. (a) * * * (1) The Medicare payment amount for office or other outpatient visits, consultation, individual psychotherapy, 1118
CMS-1403-FC psychiatric diagnostic interview examination, pharmacologic management, end-stage renal disease related services included in the monthly capitation payment (except for one visit per month to examine the access site), and individual medical nutrition therapy furnished via an interactive telecommunications system is equal to the current fee schedule amount applicable for the service of the physician or practitioner. The Medicare payment amount for follow-up inpatient telehealth consultations furnished via an interactive telecommunications system is equal to the current fee schedule amount applicable to subsequent hospital care provided by a physician or practitioner. * * * * * 25. Section 414.67 is amended by adding paragraph (d) to read as follows: §414.67 Incentive payments for Health Professional Shortage Areas. * * * * * (d) HPSA bonuses are payable for services furnished by physicians in areas designated as geographic HPSAs as of December 31 of the prior year. Physicians furnishing services in areas that are designated as geographic HPSAs prior to the beginning of the year but not included on the published list of zip codes for which automated HPSA bonus 1119
- Page 1067 and 1068: CMS-1403-FC e-prescribing and who m
- Page 1069 and 1070: CMS-1403-FC anti-markup provisions
- Page 1071 and 1072: CMS-1403-FC approximately $50 per h
- Page 1073 and 1074: CMS-1403-FC e-prescribing measure i
- Page 1075 and 1076: CMS-1403-FC we estimate that each e
- Page 1077 and 1078: CMS-1403-FC P. Prohibition Concerni
- Page 1079 and 1080: CMS-1403-FC that provides a calcula
- Page 1081 and 1082: CMS-1403-FC treatment) that occur a
- Page 1083 and 1084: CMS-1403-FC locality (+5.37 percent
- Page 1085 and 1086: CMS-1403-FC additional rental payme
- Page 1087 and 1088: CMS-1403-FC T. Competitive Acquisit
- Page 1089 and 1090: CMS-1403-FC Program; II.T. Electron
- Page 1091 and 1092: CMS-1403-FC which means that in 200
- Page 1093 and 1094: CMS-1403-FC List of Subjects 42 CFR
- Page 1095 and 1096: CMS-1403-FC For the reasons set for
- Page 1097 and 1098: CMS-1403-FC (1) Except as specified
- Page 1099 and 1100: CMS-1403-FC pressure, a visual acui
- Page 1101 and 1102: CMS-1403-FC (ii) A speech-language
- Page 1103 and 1104: CMS-1403-FC during the hours that t
- Page 1105 and 1106: CMS-1403-FC (i) Be certified as a n
- Page 1107 and 1108: CMS-1403-FC 14. Section 410.155 is
- Page 1109 and 1110: CMS-1403-FC prostate cancer screeni
- Page 1111 and 1112: CMS-1403-FC B. Amending the definit
- Page 1113 and 1114: CMS-1403-FC The revisions and addit
- Page 1115 and 1116: CMS-1403-FC or institution other th
- Page 1117: CMS-1403-FC substantially all (whic
- Page 1121 and 1122: CMS-1403-FC repairing, maintaining,
- Page 1123 and 1124: CMS-1403-FC B. Deleting paragraph (
- Page 1125 and 1126: CMS-1403-FC during any period of me
- Page 1127 and 1128: CMS-1403-FC (c)(1). A. Revising the
- Page 1129 and 1130: CMS-1403-FC * * * * * (b) * * * (2)
- Page 1131 and 1132: CMS-1403-FC assigned to such drug p
- Page 1133 and 1134: CMS-1403-FC 33. In §415.130(d), th
- Page 1135 and 1136: CMS-1403-FC (6) An ambulance provid
- Page 1137 and 1138: CMS-1403-FC §424.57 Special paymen
- Page 1139 and 1140: CMS-1403-FC Final adverse action me
- Page 1141 and 1142: CMS-1403-FC (b) Reporting requireme
- Page 1143 and 1144: CMS-1403-FC of Medicare billing pri
- Page 1145 and 1146: CMS-1403-FC (a) Physicians, nonphys
- Page 1147 and 1148: CMS-1403-FC * * * * * (g) Effective
- Page 1149 and 1150: CMS-1403-FC that meet the qualifica
- Page 1151 and 1152: CMS-1403-FC (3) Have equivalent tra
- Page 1153 and 1154: CMS-1403-FC §485.711 Condition of
- Page 1155 and 1156: CMS-1403-FC Subpart C--Conditions f
- Page 1157 and 1158: CMS-1403-FC Authority: Catalog of F
- Page 1159 and 1160: CMS-1403-FC Addendum B means that C
- Page 1161 and 1162: CMS-1403-FC which they are incident
- Page 1163 and 1164: CMS-1403-FC T = There are RVUs for
- Page 1165 and 1166: CMS-1403-FC ADDENDUM B: Relative Va
- Page 1167 and 1168: CMS-1403-FC Physi- cian Work Fully
<strong>CMS</strong>-1403-FC<br />
psychiatric diagnostic interview examination, pharmacologic<br />
management, end-stage renal disease related services<br />
included in the monthly capitation payment (except for one<br />
visit per month to examine the access site), and individual<br />
medical nutrition therapy furnished via an interactive<br />
telecommunications system is equal to the current fee<br />
schedule amount applicable for the service of the physician<br />
or practitioner. The Medicare payment amount for follow-up<br />
inpatient telehealth consultations furnished via an<br />
interactive telecommunications system is equal to the<br />
current fee schedule amount applicable to subsequent<br />
hospital care provided by a physician or practitioner.<br />
* * * * *<br />
25. Section 414.67 is amended by adding paragraph (d)<br />
to read as follows:<br />
§414.67 Incentive payments for Health Professional Shortage<br />
Areas.<br />
* * * * *<br />
(d) HPSA bonuses are payable for services furnished by<br />
physicians in areas designated as geographic HPSAs as of<br />
December 31 of the prior year. Physicians furnishing<br />
services in areas that are designated as geographic HPSAs<br />
prior to the beginning of the year but not included on the<br />
published list of zip codes for which automated HPSA bonus<br />
1119