Summary of Policies in the CY 2022 MPFS Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List - Revised

MLN Matters Number: MM12519 Revised
Related CR Release Date: December 2, 2021
Related CR Transmittal Number: R11146CP
Related Change Request (CR) Number: 12519
Effective Date: January 1, 2022
Implementation Date: January 3, 2022

Note: CMS revised this Article due to a revised CR 12519. In the Article, CMS added language to show that the originating site facility fee doesn’t apply to Medicare telehealth services when the originating site is the patient’s home. For mental telehealth services, CMS shows there must be a non-telehealth service every 12 months (instead of 6 months) after initiating telehealth. These changes are in dark red font on page 2. CMS also changed the CR release date, transmittal number, and the web address of the CR. All other information is the same.

CR 12519 informs you of:

  • Updates to payment policies and Medicare payment rates for services physicians and Non-Physician Practitioners (NPPs) provide that Medicare pays for with the Medicare Physician Fee Schedule (MPFS) in Calendar Year (CY) 2022
  • Updates to Medicare Telehealth Services and Telehealth origination site facility fee payment amounts
  • Billing for Physician Assistant (PA) Services and other policy changes related to Medicare Part B

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12519.


            Last Updated Wed, 15 Dec 2021 21:12:48 +0000