Telehealth – Medicare Changes and Tools to Get Started

March 24, 2020 By: Quadax

As the COVID-19 curve increases, healthcare providers are looking at telehealth in an effort to keep patients in their homes.

In an attempt to keep you informed, we wanted to provide some basic information on Medicare changes regarding telehealth. For up-to-the-minute updates, visit the Center for Connected Health Policy documents for all state-related actions around COVID-19.

Here are some of the Medicare changes and what they mean:

‘Originating Site’ Restrictions Lifted

An originating site is the location where a Medicare patient receives telehealth services. With some exceptions, prior to the waiver, Medicare eligible originating sites were defined as the following facilities:

-  Provider offices
-  Hospitals
-  Critical access hospitals
-  Rural health clinics
-  Federally qualified health centers
-  Skilled nursing facilities
-  Community mental health centers
-  Hospital-based or critical access hospital-based renal dialysis center

Under the new emergency declaration and waivers, a patient’s home (or any location) is now an eligible originating site.

‘Place of Service’ Coding

The claim’s Place of Service should be billed as 02-Telehealth to indicate that the billed service is a professional telehealth visit from a distant site.

‘Established Relationship’ Requirement Removed

Previously, an established patient/provider relationship was required when billing for telehealth. Under the new emergency declaration and waivers, an established patient/provider relationship is no longer required.

Tools to Start Telehealth Services

You should first check with your EHR/PM system to determine if they have an integrated telehealth solution. 

If they don’t have a recommended solution or you want to start immediately, Zoom is a HIPAA-compliant platform that providers can begin using TODAY to see patients via telehealth.

How to Engage Patients

The concept of telehealth is relatively new to patients, so it’s important to have a strong patient engagement strategy to create awareness and adoption of your services.  This strategy should include mass patient broadcasting, patient portal communications, online scheduling, etc.

By implementing telehealth and strong patient engagement, your facility can find opportunities to avoid cancellations and bring in additional revenue while complying with stay-at-home/social distancing orders.

Stay well.


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