Wiki Professional billing OB/GYN (NY)

Create Wiki Sort by date
0
Unless you are a telemedicine originating site, which I am certain you are not, you would not bill Q3014.
Q3014 is for the originating site (where the patient is located) to bill for telemedicine.
 
0
No. Q3014 is ONLY for the originating site (facility) where the patient is located. As a physician practice, you would never bill Q3014. I just sent you a DM summarizing a lot of the telemedicine and telephone encounter information.
 
0
I appreciate the help, coming across some conflicting information.
I value your feedback on this, see below

This comes from a site which details the telehealth laws of all 50 states: https://www.cchpca.org/sites/defaul...mursement Policies Report Fall 2019 FINAL.pdf

Outpatient departments, clinics, emergency rooms, and private practitioner’s offices serving as originating sites may only bill a facility fee using CPT code Q3014, to recoup administrative expenses associated with the telemedicine encounter. Outpatient departments, clinics, and emergency rooms must bill a facility fee through Ambulatory Patient Groups. Source: NNY Dept. of Health, Medicaid Update, Vol. 35, Number 2, February 2019, p. 8-10. (Accessed Sept. 2019)
 
0
klapetri@ilovemygyn.com said:
I appreciate the help, coming across some conflicting information.
I value your feedback on this, see below

This comes from a site which details the telehealth laws of all 50 states: https://www.cchpca.org/sites/default/files/2019-10/50 State Telehalth Laws and Reibmursement Policies Report Fall 2019 FINAL.pdf

Outpatient departments, clinics, emergency rooms, and private practitioner’s offices serving as originating sites may only bill a facility fee using CPT code Q3014, to recoup administrative expenses associated with the telemedicine encounter. Outpatient departments, clinics, and emergency rooms must bill a facility fee through Ambulatory Patient Groups. Source: NNY Dept. of Health, Medicaid Update, Vol. 35, Number 2, February 2019, p. 8-10. (Accessed Sept. 2019)
Click to expand...

Those are the old rules. Everything we know about telehealth is out, and there are new rules (temporarily) in place.
 
0
These references are for telehealth before COVID19, which we wouldn't be able to bill on Long Island.
And yes, Q3014 is for the facility originating site where the patient is located. Prior to the telemedicine expansion, a patient could not be located in their home - had to be at an approved originating site. The approved originating site would bill Q3014 for their expense to have the patient physically there.

To hopefully better explain it, telehealth before COVID19 was used to help provide medical care to patients in designated rural areas or with a physician shortage. So, let's say a patient somewhere in the middle of upstate NY goes to their local community hospital. The local community hospital may literally have 20 total beds. There may be a physician there, or PA, but there's no specialist/subspecialist 24/7. The local ER doc needs a neurology consult. They may conduct that via video conferencing to a neurologist elsewhere.
That is what telemedicine was traditionally for. Now, the physician may actually be very close in location, but to help slow the spread, is not having the patient come to the office.

All the practices now inquiring about telemedicine were never able to bill for it historically. This is only due to the emergency, and most of the rules are different.
 
You must log in or register to reply here.
Top