TEW Magazine

  The Centers for Medicare & Medicaid Services (CMS) have proposed certain changes. These changes may affect how ABA services are delivered and billed for. The changes can be a bit overwhelming, including updates to the Medicare Physician Fee Schedule (MPFS), telehealth approval, and medical billing and coding processes. This article will break down the changes and make them easier to navigate. The telehealth approval status of CPT codes for ABA services In the realm of  ABA Billing , telehealth has been a hot topic. CMS has proposed that the CPT codes for adaptive behavior/ABA services (97151 – 97158, 0362T, 0373T) remain carrier-priced throughout 2023. These codes were temporarily added to the Medicare telehealth list during the COVID-19 public health emergency (PHE). CMS has also proposed including the full ABA services code set in its temporary telehealth Category 3, allowing telehealth delivery of these services until the end of 2023. However, permanent telehealth del...