Actually, during the COVID-19 Public Health Emergency (PHE), you bill the place of service that your provider normally bills. So, if they normally bill office, you bill POS 11. That way you get paid the office fee which includes the practice expense. This is because CMS is not paying an originating site, so they pay the provider the full fee, including practice expense. If you bill using POS 02, you will be paid the Facility fee, which does not have the practice expense and is a lower rate. There is a blog in the knowledgebase on this topic, with a title referring to Modifier 95. And BTW, you also need a modifier 95, to tell CMS that the service is telehealth, since you are using the normal POS. And you use the address of your doctor’s normal billing location in box 32, which if your doctor normally works from an office, it would be the office address. You use POS 11 and the doctor’s office address, even if the telehealth is performed from the provider’s home.
