Telehealth services

RebeccaWoodward*

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Does anybody know if Medicare covers telehealth services now?
190 - Medicare Payment for Telehealth Services

Effective October 1, 2001, coverage and payment for Medicare telehealth includes consultation, office visits, individual psychotherapy, and pharmacologic management delivered via a telecommunications system. Eligible geographic areas include rural health professional shortage areas (HPSA) and counties not classified as a metropolitan statistical area (MSA). Additionally, Federal telemedicine demonstration projects as of December 31, 2000, may serve as the originating site regardless of geographic location.

Then refer to:

190.2 - Eligibility Criteria

http://www.cms.gov/manuals/downloads/clm104c12.pdf
 

dballard2004

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Just to add to Rebecca's reply:

If you meet the criteria for reporting telehealth services to Medicare, to my understanding, you also need to append one of the following modifiers:

GQ Via asynchronous telecommunications system
GT Via interactive audio/video telecommunication systems
 
Last edited:

arizona1

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telemedicine /telehealth

Is telemedicine an allowable submission to CMS for Risk Adjustment
Thank you
 
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