Medicare isn’t known for surprises. When it proposes something for its annual update to the Physician Fee Schedule (PFS), there’s usually a long history of how that proposal came to be. The title of CMS’ recent press release about the PFS – CMS Proposes Historic Changes to Modernize Medicare and Restore the Doctor-Patient Relationship – should have been an indication that this time was different. But out of the 1,473 page proposal, there was one thing that was truly unexpected. They proposed paying doctors for virtual "check-ins" that help them know if patients need an office visit, using a new HCPCS code GVCI1.

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