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.
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