CMS also wants to eliminate the requirement for doctors to justify the medical necessity of a home visit instead of an office visit, and may eliminate a policy that prevents payment for same-day visits with several practitioners with the same specialty in a group practice. For rural patients who have a hard time getting to the doctor, all those proposals could help with accessing better care.
"Elsewhere in the rule, the agency plans to continue a controversial site-neutral policy launched in 2018. For the second year in the row, off-campus facilities built after Nov. 2, 2015, will be paid 40 percent of the outpatient rates for the services they provide," Dickson reports. But CMS wants to include some changes to the policy, such as "letting physicians decide whether they want to opt in if they have a low volume of Medicare Part B enrollees or reimbursements and offering a waiver for clinicians who participate in a new Medicare Advantage demonstration."