Medicare
- Congress has approved the use of telehealth services to patients until March 31, 2025 from any location in the U.S. including home
- Starting April 1, 2025 physicians must be in an office or medical facility in a rural area. If you are not in a rural health care setting the only uses for Telehealth services will be covered include:
- Monthly End Stage Renal for home dialysis
- Services for diagnosis, evaluation, or treatment of symptoms of acute stroke
- Services for diagnosis, evaluation, or treatment of symptoms of a mental and/or behavioral health disorder
- Continue to bill with the same billing codes
- Documentation to include:
- Time spent with the patient
- The type of visit where it is audio or audio/video.
- If audio only include reason why audio only
- Where the patient is receiving the telehealth service
- In patient home
- Other than in patient’s home
Non Medicare Payers
- New set of billing codes
- Many commercial payers will continue to cover Telehealth services through the expiration date put forth by Medicare
- Commercial payers may place restrictions of services
- Performed by network designated providers
- Must continue to monitor on a per payer perspective
- Documentation to include:
- Time spent with the patient
- The type of visit where it is audio or audio/video.
- If audio only include reason why audio only
- Where the patient is receiving the telehealth service
- In patient home
- Other than in patient’s home
