Kathleen Meleedy, owner of It Is Well Coaching & Consulting, supports the proposal to establish payment conditions and national valuation for health and well-being coaching. She advocates for maintaining certification requirements, allowing for flexible supervision by registered nurses, and ensuring telehealth access for these services.

The commenter represents Rural Health Clinics (RHCs) and opposes the proposed rule because it fails to include same-day billing for Annual Wellness Visits (AWVs) and does not allow Registered Nurses to furnish these visits in RHCs. They are requesting that CMS add these flexibilities to the CY2027 Medicare Physician Fee Schedule Final Rule to improve rural healthcare access.

Kelly Ayala, a nurse practitioner with 24 years of experience, supports the proposed rule and urges CMS to create specific codes that allow nursing work to be seen, counted, and reimbursed. She advocates for the inclusion of nurses and nurse practitioners in the multidisciplinary body responsible for valuing CPT codes, particularly those related to AI-supported care.

Marion Leary, a nursing education professional, supports the proposed rule but argues that it should go further by creating specific billing codes for nursing work. She advocates for the recognition and reimbursement of nursing-led quality and safety improvements, which she claims are currently bundled into other clinician billing.

A registered nurse expresses strong opposition to the proposed CMS changes, arguing that the administration lacks understanding of healthcare complexities. The commenter specifically criticizes plans regarding AI-administered care, Medicaid requirements for disabled patients, and prescription benefits for seniors.

Lulette Infante, a nurse consultant and administrator, supports the proposed rule but urges CMS to create specific codes that recognize and reimburse nursing work. She argues that nursing contributions to patient safety and quality are currently invisible in claims data and should be explicitly accounted for.

Anna Bazil, a registered nurse, supports the proposed rule but urges CMS to ensure AI safety and protect nurse staffing levels. She advocates for the creation of specific codes to recognize and reimburse nursing work that prevents patient harm, which is currently bundled into other billing categories.

The commenter supports the reimbursement of services for Nurse Coaches, arguing that they help patients bridge the gap between medical advice and daily implementation. They suggest that empowering patients with self-management skills is a more efficient way to manage chronic conditions and alleviate the burden on the healthcare system.

The commenter, representing a Rural Health Clinic (RHC), opposes the proposed rule because it fails to include same-day billing flexibilities for Annual Wellness Visits (AWVs) and does not allow Registered Nurses to furnish these visits in the RHC setting. They urge CMS to adopt these changes to improve access to preventive care and achieve equity with Federally Qualified Health Center (FQHC) policies.