Specifically, section 1834(m)(8)(B) of the Act, as added by the CARES Act, required that the Secretary develop and implement payment methods for FQHCs and RHCs that serve as a distant site during the PHE for the COVID-19 pandemic
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This modified definition adds the term non-live and further clarifies that Chat bots and AI forums do not constitute live interaction
Therefore, Table 45 represents our CY 2024 payment rates for the listed items, multiplied by 1.036
Specifically, the proposed APCM services incorporate elements of chronic care management (CPT codes 99487, 99489, 99490, 99491, 99439, 99437), principal care management (CPT codes 99424, 99425, 99426, 99427)), transitional care management (CPT codes 99495 and 99496), interprofessional internet consultation furnished by treating/requesting practitioner (CPT code 99452), remote evaluation of patient videos/images (HCPCS code G2250), virtual check-ins (HCPCS code G2251 and G2252), and online digital E/M or e-visits (CPT codes 98970, 98971, 98972, 99421, 99422, 99423) into this new bundled PFS payment beginning for CY 2025