Q&A: Physician billing for wound care services rendered via telehealth

November 3rd, 2020

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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 article addresses physician claim reporting for wound care services delivered via telehealth during the COVID-19 public health emergency. It is aimed at coders, billing staff, and providers who need a general understanding of how telehealth-related place of service reporting and Medicare telehealth modifier considerations are discussed for wound care scenarios. The piece also notes that the guidance was given in the context of a webinar and a limited-information Q&A format.

Why This Topic Matters

Telehealth billing rules changed significantly during the COVID-19 public health emergency, and wound care services may be reported in different facility settings. Understanding the article helps billing teams recognize the broad reporting considerations discussed for physician claims and telehealth claims under Medicare.

Article Sections

  1. Question: Physician billing for wound care services rendered via telehealth

    Introduces the billing scenario and the telehealth context for wound care services during the public health emergency.

  2. Question: POS codes and modifiers for wound care telehealth claims

    Discusses general place of service reporting concepts and telehealth-related modifier considerations for physician and non-physician practitioner claims.

  3. Editor’s note

    Provides source context, attribution, and publication notes related to the answer and webinar background.

What You Will Learn

  • The general billing context for wound care services provided through telehealth during the COVID-19 public health emergency
  • How the article frames place of service reporting for telehealth claims
  • How the article discusses telehealth-related modifier reporting at a high level
  • The professional and publication context surrounding the Q&A response

Who Should Read This

  • Physician coders
  • Medical billers
  • Revenue cycle staff
  • Wound care practice administrators
  • Non-physician practitioner billing staff

Modifiers Discussed

  • HCPCS Level II: -GT

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