Medicare_Claims_Processing_Manual / Chapter_12 / 190.6.1_-_Submission_of_TelehealthClaims_for_Distant_Site_Practitioners

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This Medicare Claims Processing Manual section covers claim submission for telehealth services furnished by distant-site practitioners and the separate billing process for originating-site facility fees. It is relevant to physicians, practitioners, billing staff, and coders who work with Medicare telehealth claims, carrier-processed claims, and place-of-service reporting. The article also addresses the general type of telehealth services discussed, the associated billing pathway, and the policy context for the originating site facility fee.

Why This Topic Matters

Telehealth billing under Medicare involves specific claim routing and a separate facility fee process, so understanding the manual’s guidance helps billing teams submit claims to the correct carrier and identify when the originating-site fee is involved.

What You Will Learn

  • How Medicare telehealth claims are routed for distant-site professional services
  • How originating-site facility fee billing is separated from professional telehealth billing
  • What general claim elements are associated with telehealth submissions
  • Which types of practitioners and billing offices are addressed by the guidance

Who Should Read This

  • Physicians
  • Practitioners
  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Medicare claims processors

Codes Discussed

Modifiers Discussed


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