Telehealth is witnessed high and low acceptance during COVID-19 pandemic last year, and it might play a key role in care delivery in 2022. During pandemic, guidelines has been loosened for more acceptance of telehealth services as in-person care may not be available all the time.

1. Medicare Telehealth Billing Guidelines For 2022

2. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
Medicare Telehealth Billing Guidelines For 2022
Telehealth is witnessed high and low acceptance during COVID-19 pandemic last year, and it might play a key role in care
delivery in 2022. During pandemic, guidelines has been loosened for more acceptance of telehealth services as in-
person care may not be available all the time. CMS has updated the Telehealth Services List to show minor changes due
to various activities, such as the CY 2022 MPFS Final Rule and legislative changes from the Consolidated Appropriations
Act of 2021. In this article, we briefly discussed these Medicare telehealth billing guidelines.
Temporarily Added Telehealth Services
Due to the provisions of the Consolidated Appropriations Act of 2021, the CMS continues to evaluate the inclusion of
telehealth services that were temporarily added to the Medicare telehealth services list during the COVID-19 PHE
(Public Health Emergency). CMS has finalized certain services added to the Medicare telehealth services list will remain
on the list through December 31, 2023.This will allow additional time for CMS to evaluate whether each service should
be permanently added to the Medicare telehealth services list. The previous telehealth restrictions limiting Telehealth
Mental Health services to only patients residing in rural areas, no longer apply. CMS also extended inclusion of certain
cardiac and intensive cardiac rehabilitation codes through the end of CY 2023. This will allow for more time for CMS to
gather data to decide whether or not each telehealth service will be permanently added to the Medicare telehealth
services list.

3. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
Medicare Telehealth Billing Guidelines For 2022
Definition of ‘Originating Sites’
Section 123 of the Consolidated Appropriations Act (CAA) also removed the geographic restrictions and added the home
of the beneficiary as a permissible originating site for telehealth services furnished for the purposes of diagnosis,
evaluation or treatment of a mental health disorder. In CR 12519, CMS clarified that the patient’s home includes
temporary lodging such as hotels, or homeless shelters, or other temporary lodging that are a short distance from the
patient’s actual home, where the ‘originating site facility fee’ doesn’t apply.
Revised POS 02 and POS 10
POS 02 (Telehealth provided other than in patient’s home): The location where health services and health related
services are provided or received, through telecommunication technology. Patient is not located in their home when
receiving health services or health related services through telecommunication technology.
POS 10 (Telehealth provided in patient’s home): The location where health services and health related services are
provided or received through telecommunication technology. Patient is located in their home (which is a location other
than a hospital or other facility where the patient receives care in a private residence) when receiving health services or
health related services through telecommunication technology.

4. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
Medicare Telehealth Billing Guidelines For 2022
Newly Added Modifiers
The 2 additional modifiers for CY 2022 relate to telehealth mental health services. The modifiers are:
• FQ – A telehealth service was furnished using real-time audio-only communication technology
• FR – A supervising practitioner was present through a real-time two-way, audio/video communication technology
• 93 – A new modifier 93 (Synchronous telemedicine service rendered via telephone or other real-time interactive
audio-only telecommunications system) became effective January 1, 2022. This modifier which allows reporting of
medical services that are provided via real-time interaction between the physician or other qualified health care
professional and a patient through audio-only technology.
For Telehealth services, every payer has unique billing guidelines and reimbursement policies, we can assist you in
getting accurate reimbursements for your practice. Medisys Data Solutions is a leading medical billing company
providing specialty-wise billing and coding services. To know more about our Telehealth billing services, contact us at
info@medisysdata.com/ 302-261-9187

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