New CMS policy on billing for telehealth care providers

New CMS policy on billing for telehealth care providers

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New article by Andrea Fox on a new CMS policy and its impact on billing for telehealth providers: New CMS policy holds changes for how telehealth providers bill for care | Healthcare IT News

What Clinicians Need to Know

What’s changing
1) You can still provide telehealth from home, but you cannot bill Medicare using your office address if you’re physically at home
2) Your home becomes a reportable service location

What’s not changing
1) Telehealth itself is not eliminated
2) Many telehealth CPT codes remain payable
3) Some home-based telehealth remains allowed (e.g., certain mental health services)

Why this matters to clinicians
1) More paperwork and compliance steps
2) Potential limits on:
a. Evening/weekend telehealth
b. Cross-coverage
c. Virtual-first workflows
d. Risk of claim denials if location rules are not followed exactly

I hope you find this blog informative and valuable for your healthcare practice. If you have any further questions or need assistance, feel free to reach out!

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