decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 7 (July)
Ask the expert: Billing Medicare for telehealth services
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Article Overview
This article is a practical Medicare telehealth billing overview for coders and billing staff. It summarizes the types of services Medicare covers, the kinds of practitioners who may furnish them, the communication and location requirements discussed in Medicare guidance, and the modifiers referenced for telehealth claims. It also points readers to the Medicare Claims Processing Manual for the fuller list of covered services.
Why This Topic Matters
Telehealth billing under Medicare depends on service eligibility, provider eligibility, patient location, and claim formatting. Knowing the general scope of coverage and the official manual reference helps practices determine whether a telehealth encounter may be billed and where to look for more detailed program rules.
What You Will Learn
- What Medicare telehealth coverage generally includes
- Which broad categories of services are discussed as eligible
- Which practitioner types are mentioned in the telehealth context
- What communication and location concepts are relevant to Medicare telehealth billing
- Where Medicare telehealth guidance is referenced in official manual materials
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle staff
- Compliance staff
- Physician practices
- Telehealth program administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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