Q3014 is the fee for the telehealth originating site facility fee which is where the patient is located and this code is intended to reimburse the facility/clinic for their expenses related to the patient's use of their supplies and staff. There should not be any professional fees billed by the originating site because the treating provider is at the distant site and bills separately for their professional fees. So, if your provider is providing a consult that means your provider is at the distant site; therefore, your provider cannot/should not be reimbursed for the originating site fee represented by Q3014.
Where is the patient located when your provider is performing their consult service? That location could be eligible to bill Q3014 if it one of the sites authorized by law, which are: Physician or practitioner's office; Hospital; Critical access hospital; Rural health clinic; Federally qualified health center; Community mental health center; Skilled nursing facility; Hospital-based or CAH-based renal dialysis center. If the patient is in any other location than one of these locations Q3014 is not billable by the originating site.