Series: Audits of Medicare Part B Telehealth Services During the COVID-19 Public Health Emergency

OBJECTIVE

Telehealth is playing an important role during the public health emergency (PHE), and CMS is exploring how telehealth services can be expanded beyond the PHE to provide care for Medicare beneficiaries. Because of telehealth's changing role, we will conduct a series of audits of Medicare Part B telehealth services in two phases. Phase one audits will focus on making an early assessment of whether services such as evaluation and management, opioid use disorder, end-stage renal disease, and psychotherapy (Work Plan number W-00-21-35801) meet Medicare requirements. Phase two audits will include additional audits of Medicare Part B telehealth services related to distant and originating site locations, virtual check-in services, electronic visits, remote patient monitoring, use of telehealth technology, and annual wellness visits to determine whether Medicare requirements are met.

There are 3 projects in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (1)

COMPLETED PROJECTS IN THIS SERIES (2)

Audit of Medicare Part B Telehealth Evaluation and Management Services Provided During the COVID-19 Public Health Emergency

Project A-01-21-00501 • Completed on February 13, 2024

ESRD-Related Telehealth Services During the COVID-19 Public Health Emergency

Project A-05-22-00015 • Completed on August 1, 2023

TIMELINE

• June 29, 2021
  Series Number W-00-24-35862 Assigned
• June 29, 2021
  Project Announced

  Audit of Medicare Part B Telehealth Evaluation and Management Services Provided During the COVID-19 Public Health Emergency - A-01-21-00501

• April 15, 2022
  Project Announced

  ESRD-Related Telehealth Services During the COVID-19 Public Health Emergency - A-05-22-00015

• October 3, 2022
  Project Announced

  Project A-05-23-00001

• August 1, 2023
  Project Complete - A-05-22-00015

  ESRD-Related Telehealth Services During the COVID-19 Public Health Emergency has been marked as complete. Report Published

• February 13, 2024
  Project Complete - A-01-21-00501

  Audit of Medicare Part B Telehealth Evaluation and Management Services Provided During the COVID-19 Public Health Emergency has been marked as complete. Report Published

• Today
  1 Audit In-Progress
• Est FY2026
  Estimated Fiscal Year for Series Completion

2 REPORT PUBLISHED

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