![]() April 30 UPDATE: If the patient is at the hospital, and the physician is at their home quarantined during a telehealth visit, the hospital cannot bill the telehealth originator code Q3014 for the technical resources provided to the patient. The expansion of services only applies to services billed by the physician. ![]() Can a facility charge for a telehealth visit?Ī. There is no facility charge for the expanded telehealth services under the public health emergency. 6) Document the visit in the patient’s medical record. ![]() 5) Ensure your billing system can add the address of physician's home if they are conducting telehealth visits from there. 4) Send an invitation to the patient for a visit. 3) Ensure the patient has the capability to conduct an A/V visit and downloads the necessary app. 2) Determine which patients need telehealth vs. 1) Establish how you will be doing your A/V visits and purchase Zoom, Skype, Go to Meeting, etc., licenses as necessary to conduct the length of the meetings you desire. Is there a checklist or "to do" list for a practice (freestanding) to establish telehealth visits?Ī. The archived webinar featuring Bedard further addresses the implications of the temporary CMS telehealth coverage decisions in response to the pandemic. Below, she answers questions submitted by webinar participants regarding the coverage of telehealth and telephone visits and the coding for those services. Since this national emergency declaration, the Centers for Medicare & Medicaid Services (CMS) has issued a series of waivers and flexibilities relaxing restrictions regarding telehealth, including an Interim Final Rule, which was released March 30.ĭuring the webinar, Bedard updated participants about the details of the new Interim Rule coverage adopted by CMS. For patients with compromised immune systems who are more vulnerable to the virus, being able to access care remotely can be a lifesaving option.ĪCCC recently hosted a webcast in which Teri Bedard, BA, RT(R)(T), CPC-the Director of Client Services at Revenue Cycle Coding Strategies LLC-discussed the rapid changes in the coverage of and billing for telehealth services stemming from the COVID-19 public health emergency. With the dawn of the COVID-19 pandemic, telehealth has become an essential method of delivering care to many patients. A summary of the telehealth provisions in the second rule is available here. In light of this, several of the answers below have been updated to reflect the second Interim Final Rule. This Rule adds to and changes many of the recent telehealth coverage expansions with waivers of the provisions previously outlined by CMS in the wake of the declared Public Health Emergency (PHE). On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a second Interim Final Rule- COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers-in response to the coronavirus pandemic.
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