This week, CMS released proposed updates to how physician and other service providers are reimbursed by Medicare. In addition to several technical updates to how payment rates are set, CMS is proposing to add several telehealth services to their current list as well as to the list under the COVID-19 public health emergency; to allow direct supervision to be provided using real-time, interactive audio and video technology; and to make permanent the public health emergency waiver allowing nurse practitioners (NPs), clinical nurse specialists (CNSs), physician assistants (PAs), and certified nurse-midwives (CNMs) to supervise the performance of diagnostic tests. CMS is also proposing revisions to simplify coding and billing requirements for Evaluation and Management (E/M) visits including office/outpatient visits.