OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for reimbursement. 31% of the telehealth claims did not. Specifically:
24% were unallowable because the beneficiaries received services at nonrural originating sites
7% were billed by ineligible institutional providers
3% were for services provided to beneficiaries at unauthorized originating sites
2% were for services provided by an unallowable means of communication
1% was for a noncovered service
1% was for services provided by a physician located outside the United States
Understand Medicare telehealth requirements—including coverage, coding, and documentation rules—and ensure your telehealth program and claims comply.
Bank on TCI’s all-new, end-to-end Telemedicine & Telehealth Handbook for Medical Practices 2018 to equip you to plan and implement your telehealth services, weigh the cost of care and technology, and master payment aspects, compliance, and other legal requirements.
Our experts take the guesswork out of best practices and government regulations, laying out in-depth information on Medicare and Medicaid reimbursement. Capitalize on insightful answers to readers’ questions. Get the inside scoop on coding, billing, compliance, and everything between to launch your telehealth services without a hitch.
Grow your patient population—and improve outcomes—with a vital telemedicine program:
Master the New 2018 Telemedicine Codes
Navigate the Ins and Outs of Telemedicine and Telehealth
Nail Down Where Telehealth Services Can Take Place
Tackle HIPAA and Compliance Issues for Telemedicine and Telehealth
Get to Know the Basics on Telehealth Reimbursement
Ace Accurate Coding for Telemedicine and Telehealth
Power Up Your Claim Submittals for Services Furnished Via Telehealth
Conquer Inpatient Telehealth Consultations
Lock Down Appropriate Licensure
Are You Eligible for a Geographic Waiver?
Soar to Success with Telemedicine and Telehealth at Your Facility
Gain Tips for Managing the Rapidly Changing Telehealth Technology
Make the Grade with These Consumer-Centered Telehealth Design Principles
Capitalize on New Telemedicine Options from CMS
Get Modifier Updates and Other Expert Documentation Tips
Plus—get easy lookup access to:
Telehealth Services Arranged Alphabetically by Code Descriptor
Telehealth Services Ordered Numerically by Code Number
Glossary of Telemedicine and Telehealth Terminology
And so much more!
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We’re happy to have you on board with us!