Telehealth Services: MAC Offers Insight on COVID-19 Telehealth Changes

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

Article Overview

This article explains how COVID-19-era Medicare telehealth flexibilities affected Part B practices and what Medicare Administrative Contractor guidance highlighted for billing and documentation. It is aimed at billing staff, coders, and practice administrators who need a general understanding of telehealth coverage changes, CMS reference materials, place-of-service reporting, and required encounter documentation during the public health emergency.

Why This Topic Matters

The piece helps readers orient themselves to temporary Medicare telehealth changes and the operational areas most affected by them, including claim submission, documentation, and use of CMS policy summaries. It is relevant to practices adjusting workflows during the public health emergency and trying to keep telehealth claims consistent with current guidance.

Article Sections

  1. Tip 1: Know That the Telehealth Waivers Are Temporary

    Explains the temporary nature of the COVID-19 telehealth flexibilities and their connection to the public health emergency. Provides general context for how long the expanded coverage remains in effect.

  2. Tip 2: Utilize Online CMS Code List

    Discusses the CMS telehealth code list and how it relates to Medicare telehealth claims during the public health emergency. Mentions broad billing considerations for covered service codes and telehealth reporting.

  3. Tip 3: Use Appropriate POS Codes

    Addresses place-of-service reporting for telehealth claims under the COVID-19 flexibilities. Covers the general issue of selecting a location indicator for Part B claims.

  4. Tip 4: Understand These Reimbursement Facts

    Summarizes general payment and coverage considerations for telehealth services during the public health emergency. Notes compliance and practice-location considerations discussed by the MAC.

  5. Tip 5: Remember to Document for F2F

    Reviews documentation themes for telehealth encounters during the pandemic, including the need to capture encounter details and participant information. Focuses on documentation expectations rather than clinical content.

  6. See New CMS Summary on Telehealth and More

    Introduces a CMS release that consolidates telehealth-related policy updates and related Medicare rules. Highlights the existence of a summary resource for practice review and protocol updates.

What You Will Learn

  • How COVID-19 changed Medicare telehealth coverage during the public health emergency
  • What general CMS resources were referenced for telehealth-covered services
  • Why billing teams needed to review place-of-service reporting for telehealth claims
  • What broad reimbursement and compliance themes were highlighted by the Medicare contractor
  • What documentation categories were emphasized for telehealth encounters
  • How CMS policy summaries were positioned as a reference for practice updates

Who Should Read This

  • Medicare Part B billing staff
  • Medical coders
  • Practice administrators
  • Revenue cycle staff
  • Compliance staff
  • Providers using telehealth services

Modifiers Discussed


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