How you bill for your telemedicine services has changed. The CMS Related Change Request notice states that telehealth claims submitted after October 1st “will be rejected” if they do not implement the changes.
The culprit is Medicare’s telemedicine distant and originating site regulations. In fact, one of the key reasons telehealth claims are denied is because of a lack of compliance with the current complex rules. The challenge is that the regulations are confusing, and don’t necessarily provide you with real-world examples of when they should be applied. This is where coding and billing expert, Stephanie Thomas, CPC, CANPC, can help.
During her targeted 60-minute online training (including 30 minutes of presentation and a 30-minute Q&A), Stephanie will provide you with a plain-English breakdown of both distant and originating site telemedicine regulations, and how you can apply them in real-world situations, and how these changes affect how you code.
Here are just a few of the questions you'll get answered by taking advantage of this 60-minute telemedicine distant and originating site online training session:
- Can the patient video conference from their home and have that be considered the originating site?
- Must there always be a distant and originating site on each claim?
- Can an originating and distant site be billed under the same tax ID number?
- If a physician works from home is this an acceptable distant site if the originating site meets all requirements?
- If a primary care provider is present at the originating site and will be following up on the care plan, and a (sub)specialty physician is providing a consultation at a distant site, can both providers bill for the visit?
- Must we bill HCPCS code Q3014 at the originating site for a G0425 to be reimbursed?
- Are there geographic restrictions to bill for the originating site fee?
- Are there requirements for what staff must be present at the originating site with the patient?
- How should we bill medication management and e-scribing via telehealth?
- What are the requirements for a location to qualify as a distant site?
- What POS code should we use for an originating site?
IMPORTANT: This training will be direct and to the point. It has been designed to ensure you get the information you need within the time constraints of your busy schedule. This training will NOT discuss other aspects of telemedicine coding and billing. It will concentrate exclusively on how outpatient services can comply with CMS distant and originating site regulations.
Mastering both distant and originating site regulations is essential to your ability to ethically and optimally get paid for these newly reimbursable services. This online training is a must-see for both, providers who currently provide telehealth services and for those trying to decide whether to offer them.
Meet Your Expert: Stephanie Thomas, CPC, CANPC
She does this by simplifying complex coding and billing rules and educating providers and staff on proper utilization techniques. She is a proven coding and billing educator, and regularly speaks at both local and national events.
CEUs: This program meets AAPC guidelines for 0.5 CEUs. On Demand product requires successful completion of a Post-Test for Core A, CPMA and CEMC for continuing education units.