Telehealth Service – PT & Occupational Providers FAQs

Telehealth is defined as the use of electronic information and communication technologies, to deliver health care to patients at a distance.

What is telehealth under Medicaid direction during the State of Emergency?

Medicaid cover services provided via telehealth contain an assessment, analysis, discussion, treatment, education, care management, and/or self-management of a Medicaid member. During the State of Emergency, this extends to include telephone conversations like telephonic, telemedicine, store and forward, and remote patient monitoring.

How frequently you bill for the telehealth service?

PT Providers only bill for telehealth visits to content the total time spent with the patient during the whole week.

Does physical therapy services through telehealth reimbursable?

The PT Practice Act do not address billing/coding/reimbursement, and licensure authorization does not guarantee that a payer source will reimburse for the telehealth services. One should contact the payer source for an explanation on billing/reimbursement of telehealth physical therapy services.

Where can health care providers conduct telehealth?

OCR expects health care services to be provided in private settings, mainly by a doctor in a clinic or office connecting to a patient who is at home or another clinic. Therefore, providers should choose private locations and so patients should not receive telehealth services in public or semi-public settings

Are there any additional costs to use telehealth for my pt visits?

Amazingly, there are no additional charges for the patient for use of the telehealth format, compared to the in-person session fees.

 Is telehealth limited to services related to COVID-19 patients?

No, the statutory provision broadens telehealth flexibility without regard to the diagnosis of the patient. This is a critical point given the importance of social distancing and other strategies recommended to reduce the risk of COVID-19 transmission. It will basically prevent vulnerable beneficiaries from entering a health care facility when their needs can be met remotely.

Is there beneficiary out of pocket costs for telehealth services?

The use of telehealth does not change the out-of-pocket costs for beneficiaries with Original Medicare. Beneficiaries are generally liable for their deductible and coinsurance; however, the HHS Office of Inspector General (OIG) is providing flexibility for healthcare providers to reduce or waive cost-sharing for telehealth visits paid by federal healthcare programs.

You can Contact ZEE Medical Billing for a free analysis, plan to ramp up your revenue save you more time for patient care.

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