decisionhealth Newsletters, Answer Books - 2012 Issue 10 (October)
Telemedicine services / Eligible sites and providers
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare telehealth eligibility at the originating and distant sites, the types of facilities and practitioners involved, and the basic billing elements associated with telemedicine services. It is intended for coders, billing staff, and compliance personnel who need a high-level understanding of Medicare telehealth site requirements and claim reporting concepts.
Why This Topic Matters
Telehealth billing depends on where the patient is located, what type of facility is involved, and which practitioners may furnish the service. Understanding these eligibility and claim-reporting basics helps support accurate Medicare claims processing and policy compliance.
Article Sections
-
Originating site eligibility
Discusses the general Medicare telehealth location requirements for the patient and the types of facilities that may serve in this role. Also notes a limited exception tied to certain federal telemedicine participation.
-
Originating site billing
Covers the facility fee billing concept associated with the originating site and related Medicare claims processing guidance.
-
Distant site practitioners and claims
Summarizes the practitioner categories that may furnish telehealth services from the distant site and the claim reporting element referenced for telehealth services.
-
Payment considerations
Describes general reimbursement and patient liability concepts for professional services furnished by the distant site practitioner.
What You Will Learn
- The Medicare framework for telehealth originating and distant site participation
- Which types of facilities are discussed as eligible telehealth sites
- Which practitioner groups are discussed as eligible telehealth providers
- The basic billing and claims reporting elements referenced for telehealth services
- General payment and beneficiary cost-sharing concepts for telemedicine services
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Telehealth program administrators
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com