HCPro, JustCoding Outpatient - 2017 Issue 49 (December)
Healthcare News: CMS cuts physician modifier -GT reporting requirement, adds codes for telehealth
December 5th, 2017
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Article Overview
This news piece explains CMS updates affecting telehealth claim reporting and payment under the 2018 Medicare Physician Fee Schedule. It is relevant to physicians, coders, billing staff, and compliance teams working with Medicare telehealth services because it highlights changes to claim submission requirements, telehealth-related service coding, and payment treatment for selected services. The article also references the earlier 2017 place-of-service update that shaped the reporting change.
Why This Topic Matters
Telehealth billing requirements can affect claim acceptance, compliance, and reimbursement, so CMS policy updates are important for organizations that submit professional telehealth claims. This article helps readers understand the scope of the telehealth-related changes discussed in the final rule.
What You Will Learn
- How CMS updated telehealth claim reporting requirements for professional services
- Which telehealth-related service codes CMS added or recognized in the final rule
- How place-of-service policy changes relate to telehealth claim reporting
- Which Medicare fee schedule update introduced the policy changes discussed in the article
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Compliance professionals
- Revenue cycle teams
- Health information management professionals
Codes Discussed
Modifiers Discussed
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