decisionhealth Newsletters, Part B News - 2024 Issue 4 (April)
Hybrid providers: Keep using your office address, watch for new rules
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Article Overview
This premium article discusses CMS guidance affecting hybrid providers and how the National Plan and Provider Enumeration System (NPPES) policy applies to providers who split their work between an office and telehealth from home. It focuses on enrollment and billing address reporting, the extension of a temporary waiver through the end of 2024, and CMS’s request for further input as it considers future policy changes. The piece is most relevant to clinicians, billing staff, practice managers, and compliance professionals tracking Medicare telehealth and provider enrollment updates.
Why This Topic Matters
Provider enrollment and billing requirements can affect how hybrid practices maintain accurate records and stay aligned with current CMS expectations. The article also signals that future policy changes may alter how home-based telehealth services are reflected in enrollment data.
Article Sections
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Billing
Overview of CMS policy as it relates to provider enrollment and billing for telehealth-related practice locations.
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Watch for more rulemaking
Discussion of recent CMS rulemaking, the extension of a temporary waiver, and the agency’s interest in additional comments for future policy development.
What You Will Learn
- How CMS is treating enrollment and billing addresses for hybrid providers
- What the current policy means for providers who offer both office visits and telehealth
- Why CMS is seeking additional information for possible future rulemaking
- How recent Medicare physician fee schedule actions relate to this topic
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance officers
- Telehealth providers
- Physician groups
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