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 ...

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19.02.2013 Views

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

<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

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