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In the 2021 Medicare Physician Fee Schedule, CMS temporarily changed direct supervision rules to allow the supervising physician to be remote and use real-time, interactive audio-video technology. This change does not require the physician's real-time presence at, or live observation of, the service via interactive audio-video technology. The other significant impact to physician payments will come from changes related to evaluation and management (E/M) services. CMS released the CY 2021 Physician Fee Schedule (PFS) proposed rule, which includes significant updates that will affect physician payments beginning in January 2021. Retained COVID-19 telehealth flexibilities.

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