decisionhealth Newsletters, Part B News - 2024 Issue 3 (March)
MACs accidentally cut pay for telehealth in the patient’s home
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Article Overview
This article covers a Medicare telehealth payment issue tied to claims reported with place of service 10 for services furnished in the patient’s home. It is intended for physicians, billing staff, and other healthcare revenue cycle professionals who need to monitor claim payments, remittance advice, and MAC communications for affected claims. The article summarizes the scope of the issue, the contractors that have reported fixes or adjustments, and the general steps providers should take to monitor reimbursement.
Why This Topic Matters
Telehealth payment errors can affect reimbursement, claim follow-up, and cash flow. Understanding which contractors are correcting the issue helps practices monitor affected claims and avoid unnecessary resubmissions or appeals.
What You Will Learn
- How a Medicare telehealth payment issue is affecting certain claims
- Which Medicare administrative contractors have acknowledged or are addressing the problem
- What providers should monitor on remittance advice and claims issue pages
- Why affected practices should track reimbursement rather than assume automatic correction
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
Codes Discussed
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