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Reimbursement to Value in Telehealth - Richelle Marting - Coding & Billing
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CODING AND BILLING FOR TELEHEALTH April 2017
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Transcript of Reimbursement to Value in Telehealth - Richelle Marting - Coding & Billing
CODING AND BILLING FOR TELEHEALTH
April 2017
OVERVIEW Identification of Codes, Billing Rules Modifiers for Services
MEDICARE TELEHEALTH SERVICES
Psychiatry/Psychology Services Diagnostic evaluation with/without medical services
MEDICARE TELEHEALTH SERVICES
MEDICARE TELEHEALTH SERVICES
MEDICARE TELEHEALTH SERVICES
MEDICARE TELEHEALTH SERVICES
1 hour of 10 hour/year benefit must be face to face
MEDICARE TELEHEALTH SERVICES
MEDICARE TELEHEALTH SERVICES
Subsequent Hospital Care Limited 1 telehealth visit every 3 days Limit doesn’t apply to consults
Subsequent Nursing Facility Limited 1 telehealth visit every 30 days Cannot provide federally mandated initial or periodic visits via telehealth
MEDICARE TELEHEALTH SERVICES
Professional Services -GT: Interactive audit and video telecommunications systems
99203-GT Certifies beneficiary was present Eligible originating site
-GQ: Asynchronous telecommunications system (Alaska, Hawaii) Place of service 02: Telehealth
MEDICARE TELEHEALTH SERVICES
-GT: Interactive audit and video telecommunications systems
99203-GT -GQ
99203 GT
MEDICARE TELEHEALTH SERVICES
Originating Site Services Q3014 Billed by provider/facility where patient is located Fee updated annually 2017 fee: $25.40 80% of originating site fee
QUESTIONSRichelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I
Forbes Law Group, LLC
6900 College Blvd, Ste 840
Overland Park, KS 66211
(913) 341 – 8600
