Medicare covers some services performed via real-time audio and video between a patient in an underserved area and a physician or other practitioner who is not in the same place as the patient. Requirements for Medicare telehealth services include:
- Patient must be in a either a rural Health Professional Shortage Area (HPCS) located in a rural census tract or in a county outside a Metropolitan Statistical Area (MSA).
- The patient is in the “originating site” and the facility bills Q3041. There is small payment to the facility for that service.
- The practitioner is somewhere else, provides the service remotely, and bills for the service. This is considered the “distant site.”
- The distant site bills with place of service 02. The originating site is billed by the facility on an UB, and that form does not include a space for POS.
- As of October 1, 2018, the GT modifier is only allowed on institutional claims billed by a Critical Access Hospital (CAH) Method II.
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