Improving Telehealth Billing Efficiency with Must-Know Essential Updates for 2025
In 2025, telehealth billing is set to undergo critical adjustments as several temporary flexibilities introduced during the COVID-19 public health emergency (PHE) expire. In fact, understanding these updates is essential for telehealth providers to ensure compliance and optimize reimbursement under the Medicare Physician Fee Schedule (MPFS). Therefore, the following is a comprehensive guide on the must-know telehealth billing changes for 2025, covering expiring PHE waivers, CMS-proposed flexibilities, and new requirements for billing procedures. Comprehensive guide on Telehealth Billing Changes in 2025 1. Expiring PHE Telehealth Flexibilities During the PHE, telehealth waivers expanded Medicare beneficiaries’ access to remote healthcare by broadening definitions for “originating site” and “audio-only telehealth” and allowing a wider variety of practitioners to bill for telehealth services. These waivers, extended through the 2023 Consolidated Appropriatio...