A new guide from The Center for Connected Health Policy is designed to help practitioners navigate the ins and outs of billing CMS for telehealth services in all its forms. The guide called the Billing Guide For Telehealth Encounters was released in January of 2020. It covers essential definitions before delving into multiple telehealth scenarios and how to properly bill for them.
The guide defines the terms originating site and distant site before delving into what is considered the place of service.
The process of billing can be a great hassle for providers, and risky business. Often telehealth providers do not know how to correctly bill for their services and sometimes create legal and ethical issues by billing incorrectly. Debbie Duran the owner of Mental Health Billing & Consulting in Louisiana shares from her 28+ years of experience billing for mental health providers.
The Office of Inspector General is recommending that the Centers for Medicare & Medicaid Service (CMS) more closely review telehealth claims for adherence to requirements and offer education to providers to increase awareness of those requirements.
The Centers for Medicare & Medicaid Services (CMS), HHS published their final rule for 2018 stating the changes to the Medicare physician fee schedule(PFS) and other Medicare Part B payment policies.
Here is a summary of the important updates for behavioral health providers. However, DO NOT consider this as guidance for your Medicare billing. We advise that you consult directly with the Centers for Medicare & Medicaid Services (CMS) for guidance and to ensure the accuracy of your billing practices.