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Billing and Coding for Telehealth - Office Hours - Shared screen with speaker view
Mindy Pownell
it just was released
Mindy Pownell
CMS has released the long-awaited guidance on telehealth billing for RHCs. Here is a link to the MLN document: https://www.cms.gov/files/document/se20016.pdf NARHC will be conducting a FREE Webinar on Monday, April 20 to go over this policy announcement and respond to your questions. More information on how to register for this FREE webinar will be distributed later today (4/17). Here are key points on what CMS is adopting: 1. Medicare claims for RHC telehealth visits occurring since March 27th will be paid by Medicare. If you have been holding these telehealth claims, you can submit them and they will be paid. 2. CMS has established a uniform RHC telehealth payment rate of $92.00 per visit. This rate will apply to telehealth visits performed by independent or provider-based RHCs. 3. All RHCs will bill for telehealth visits the same as you would bill for an in-person visit and use the CG modifier AND also use the 95 modifier on the claim line to signify that the visit was via telehealth rather than in-person.
Mary Hoffman
Thank you, Mindy! I will share this info aloud....
Mindy Pownell
thank you. I'm only on video!
Mindy Pownell
look at answer 3
Jeff Anderson
thought I was muted know I am now
Mindy Pownell
you were asking as to what code to be used.
Amy Parisien
If providers are at home when providing telehealth services, do we have to affiliate their home address with our facility?
Colleen Stadlman
would these be used the same with our G codes for our PPS?
Colleen Stadlman
Could you please add me to your list as I received this from my supervisor
Mindy Pownell
4. In order to expedite adoption of this policy, CMS will INITIALLY pay the RHC?Ts all-inclusive rate for this visit. 5. Beginning in July, CMS will automatically adjust ALL RHC telehealth claims to reflect the $92 telehealth per visit rate that were submitted between now and July. RHCs with a per visit rate below $92.00 will receive an additional payment reflecting the difference between their AIR and $92.00. For RHCs with an AIR above $92.00, CMS will RECOUP the difference. 6. Costs associated with the delivery of a telehealth visit will be reported on the RHC cost report however, they will be included in line 79 of the cost report, non-reimbursable RHC costs. This is so that RHC telehealth costs and telehealth visits will not be counted when determining the RHCs cost-per visit. Please review the information from CMS and we look forward to talking with you on Monday as we take a closer examination of the CMS RHC telehealth policy