Medicare Coding for Telehealth: 2024 Claims Now Paying Correctly
Wednesday, March 6, 2024
As previously updated - there are new Medicare coding requirements for telehealth claims, which began Jan. 1,2024. See below for that information.
Due to a systemic error with Medicare, claims with this coding were paying at a lower facility rate for January and most of February. That error has now been corrected, and claims should now pay at higher non-facility rate. Any claims previously submitted will be reprocessed and paid out correctly.
For private practice billing to Medicare for telehealth services, there will be some coding changes starting on Jan. 1, 2024.
It will be important to follow these guidelines in order to receive accurate reimbursement.
- For sessions after December 31, 2023, use POS 10 for telehealth services when the client is in their home, or any place other than a hospital or facility.
- Note that POS 02 is intended for telehealth when client is located at a hospital or facility, and payment would be at the lower facility rate.
- There is no longer a telehealth modifier required for video sessions. For audio-only sessions, use modifier 93.
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