New CMS Changes Just Issued

Updated CMS Guidance Provides Parity in Payment for Telephone Services

Today, CMS announced that it will provide parity in payment for telephone services. Specifically, Medicare payment for the telephone evaluation and management visits would be equivalent to Medicare payment for office/outpatient visits with established patients retroactive to March 1, 2020. This would increase payments for these services from a range of about $14-$41 to about $46-$110.

ASE applauds CMS’s efforts to continue to provide more support for providers in the fight against COVID-19. This change in policy had been a priority for ASE and the Alliance of Specialty Medicine. Recently, as part of the Alliance, we sent CMS a letter highlighting the need for this change to support physician practices as they seek to deliver medically necessary care under unprecedented conditions.

The guidance updated today provides temporary regulatory waivers and new rules to maximize the flexibility in the response to COVID-19.

Telephone Evaluation, Management/Assessment and Management Services, and Behavioral Health and Education Services

  • A broad range of clinicians, including physicians, can now provide certain services by telephone to their patients.
  • Medicare payment for the telephone evaluation and management visits (CPT codes 99441-99443) is equivalent to the Medicare payment for office/outpatient visits with established* patients effective March 1, 2020.
  • E/M codes must be reported with modifier 95, or CMS will pay the “current” rates of $14-$41.
  • When clinicians are furnishing an evaluation and management (E/M) service that would otherwise be reported as an in-person or telehealth visit, using audio-only technology, practitioners may bill using these telephone E/M codes provided that it is appropriate to furnish the service using audio-only technology and all of the required elements in the applicable telephone E/M code (99441-99443) description are met.
  • Using new waiver authority, CMS is also allowing many behavioral health and education services to be furnished via telehealth using audio-only communications.

Click here for the full list of telehealth services notes which services are eligible to be furnished via audio-only technology, including the telephone evaluation and management visits.

 *ASE is seeking clarification from CMS if this change includes new patients

ASE Headquarters – COVID-19 Update

Beginning March 26, 2020, the county where the ASE Headquarters is located is under a government order to “Stay at Home” due to the spread of the coronavirus. These “Stay at Home” recommendations continue to be in effect and depend on the infection rates in the County/State. ASE will keep all but essential personnel telecommuting until a time when it is judged safe to return to work. We are not suspending or closing operations; our employees will remain working and providing excellent customer service to our members and the cardiovascular ultrasound community. However, ASE will slightly modify its official open hours to 9 AM – 4 PM Eastern TimeMonday-Friday. Should you need to get in touch with a staff person, call our main office at 919-861-5574 and a phone list by department will be available. A staff directory is also available here. All general questions can also be sent through ASE@ASEcho.org. Thank you and our best wishes for your continued safety.