Authors: Public Health Institute/Center for Connected Health Policy 2020

Publication Year: 2020

Last Updated: 2020-07-15

Journal: Center for Connected Health Policy

Keywords: Medicaid, Managed care, Centers for Medicare & Medicaid Services, CMS, Telehealth, Fee-For-Service, Billing and Coding

Abstract:

This guide provides a starting point on how to bill a telehealth encounter for eligible practitioners in your practice or your facility. The focus of this guide is primarily on fee-for-service Medicare and an example of one Medicaid program, California, which is highlighted in the text using blue MediCal boxes.

Most of the descriptions and definitions are from the Centers for Medicare and Medicaid Services (CMS). Managed care plans, private payers, and employer-based plans generally follow these rules though not every time, so coders and others should always check with the plan. This billing resource is only provided as a guide and should not be considered legal advice.

(For more detailed information on California billing, please visit the California Telehealth Resource Center’s website at www.caltrc.org.

File Download:

Source: Link to Original Article.

Source: https://cdn.cchpca.org/2021/04/2021BillingGuideFINAL.pdf