mskitaly09
Contributor
From my understanding the medical visits (Non-behavioral or non-mental) telehealth There are originating site requirements and geographic location restrictions. Home telehealth goes away—-patient must be in an origination site (clinic, hospital, or other eligible facility) to receive care.
Behavioral or mental telehealth -No originating site requirements or geographic location restrictions, Patients can continue to use telehealth from home with no rural geography limits. Services of diagnosing, evaluating and/or treating from home is a permissible originating site for the following: Mental/behavioral health service, End-stage renal disease (ESRD) home dialysis service, Treatment for a substance use disorder
Audio-only telehealth: Continues only for behavioral/mental health services
My question is: I am having a discussing with management--- For an FQHC with some psych providers who bill medical E/M codes (99212-99215) with associating mental health diagnosis (F-series diagnosis codes). However, these psych providers are licensed under behavioral. Are these considered medical providers OR still psych providers based on their license/ billing and coding for behavioral/mental health services? Would they still be able to do the behavioral telehealth visits with NO changes with the location/geographic OR would this be considered under medical visits of non-behavioral/ non-mental telehealth visits and the Medicare patients would have to be seen in person and not telehealth?
Please review and advised
Thank You,
Nekita King
Behavioral or mental telehealth -No originating site requirements or geographic location restrictions, Patients can continue to use telehealth from home with no rural geography limits. Services of diagnosing, evaluating and/or treating from home is a permissible originating site for the following: Mental/behavioral health service, End-stage renal disease (ESRD) home dialysis service, Treatment for a substance use disorder
Audio-only telehealth: Continues only for behavioral/mental health services
My question is: I am having a discussing with management--- For an FQHC with some psych providers who bill medical E/M codes (99212-99215) with associating mental health diagnosis (F-series diagnosis codes). However, these psych providers are licensed under behavioral. Are these considered medical providers OR still psych providers based on their license/ billing and coding for behavioral/mental health services? Would they still be able to do the behavioral telehealth visits with NO changes with the location/geographic OR would this be considered under medical visits of non-behavioral/ non-mental telehealth visits and the Medicare patients would have to be seen in person and not telehealth?
Please review and advised
Thank You,
Nekita King