Breaking News: Telehealth Update for Institutional Providers of Therapy Services

Breaking news

CMS has added hospital outpatient and other institutional providers as eligible providers of telehealth services for the duration of the COVID-19 crisis. Therapy services paid under Part B and reported on an UB-04 form (with the -95 modifier) can be paid for as long as they are not part of a bundled institutional payment. This rule includes hospital outpatient services, SNF billing Part B, CAH, CORFs, ORFs, and home health billing Part B (for patients not under a care plan).

CMS clearly states that institutional providers with patients that are part of bundled institutional payments may not bill for telehealth at this time—this would be all Medicare Part A.

During their May 21st office hours call, CMS clarified that therapy providers in hospital outpatient can provide e-visits and telephone services as well.

We will provide more details as they become available.

Disclaimer: The information in this blog post (“Post”) is provided for general informational purposes only, and may not reflect the current law in your jurisdiction. No information contained in this Post should be construed as legal advice from MedBridge, Inc., or the individual author, nor is it intended to be a substitute for legal counsel on any subject matter.