tci ED Coding & Reimbursement Alert - 2016 Issue 12

Telehealth Rules for 2017: CMS Adds New Place Of Service Modifier for Telehealth Services

New telehealth POS 2 code for distant site from where the patient is being treated. CMS has been struggling with how to capture practice expense for telehealth services for the originating and distant site providers. In the 2017 final rule it has decided that using the facility practice expense RVUs for telehealth is consistent with its belief that direct practice expense costs are generally incurred at the location of the beneficiary not by the distant practitioner. As such, they will now use the facility PE RUVs to pay for telehealth serves with place of service (POS) code 2 Telehealth...

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