Isn't that the truth? I spend more time answering telehealth questions for our HOPD than anything else. I am sticking to my answer that telehealth is a professional service. Until CMS changes their guidance. Or, we have a commercial payer with concreate guidance. I am also monitoring your RAC guidance. Did I miss something? Is there opportunity for HOPD? Even UHC has professional in their guidance, not technical.
CMS is saying they are exploring options. If I had to guess, they will allow doctors who normally use POS 19 or 22 to use POS -11 so they can get payment parity to their independent colleagues. I do not think they will allow a separate facility fee. Now the next question is if they do that. will it be retroactive and will you have to rebill all of those or will the system see a -95 and a 19 or 22 and reprocess????
Are there any updates? In order for a physician to bill a visit charge, does the patient's home address need to be registered with the MAC or does that just apply to the facility fee?
Comments
Isn't that the truth? I spend more time answering telehealth questions for our HOPD than anything else. I am sticking to my answer that telehealth is a professional service. Until CMS changes their guidance. Or, we have a commercial payer with concreate guidance. I am also monitoring your RAC guidance. Did I miss something? Is there opportunity for HOPD? Even UHC has professional in their guidance, not technical.
thank you
Are there any updates? In order for a physician to bill a visit charge, does the patient's home address need to be registered with the MAC or does that just apply to the facility fee?