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Under a rule proposed by the Centers for Medicare and Medicaid Services (CMS) on July 8, Medicare Part B payments to medical practitioners would be allowed for non-face-to-face care for some patients if certain conditions are met. This is in contrast to the current physician fee schedule (PFS) policy, which does not allow separate payments for non-face-to-face evaluation and management (E/M) services. The non-face-to-face care management work is considered in calculating the relative value units (RVUs) for E/M services. “However, the physician community continues to tell us that the care management included in many of the E/M services, such as office visits, does not adequately describe the typical non-face-to-face care management work for certain categories of beneficiaries,” CMS said in the proposed rule.

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