Wiki Telehealth Billing 2024 Change- Provider required to list home address

[Kimberly Suarez]

Does anyone have any updated guidance regarding the change for telehealth billing- Jan 1st 2024- per the CAA 2023- providers who are providing telehealth services will have to list their home address on their medicare enrollment application in PECOS, this requirement will list the providers home address in box 32/33 of the CMS-1500. Does anyone know if a provider ties their home address with the practice TIN, could the practice address still go in box 32 and 33 or does the providers home address still have to be listed on the claim?

Thank you in advance,

 

[jkyles]

Hi there, CMS revoked the home address requirement in the final 2024 Medicare physician fee schedule. You can continue to report the office address through 2024.

Response: We thank commenters for bringing this issue to our attention. Through CY
2024, we will continue to permit the distant site practitioner to use their currently enrolled
practice location instead of their home address when providing telehealth services from their
home. We will also consider this issue further for future rulemaking and request that interested
parties provide clear examples of how the enrollment process shows material privacy risks to
inform future enrollment and payment policy development. We request further information from
interested parties to better understand the scope of considerations involved with including a
practitioner’s home address as an enrolled practice location when that address is the distant site
location where they furnish Medicare telehealth services.

 

[Kimberly Suarez]

Hi there, CMS revoked the home address requirement in the final 2024 Medicare physician fee schedule. You can continue to report the office address through 2024.

Thank you so much for responding, do you happen to have the link to that update? I have been trying to locate it on CMS and cant find it.

 

[jkyles]

It's in the final rule. https://public-inspection.federalregister.gov/2023-24184.pdf