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Question:
Does Medicare reimburse telehealth services?
Answer:
Medicare policy covers and pays for telehealth services when beneficiaries are located in specific geographic areas. Within those geographic areas, beneficiaries must be located in one of the healthcare settings that are specified in federal law as eligible originating sites. The service must be on the list of approved Medicare telehealth services. Medicare pays a facility fee to the originating site and provides separate payment to the distant site practitioner for the service.
Additional information regarding Medicare telehealth services is available in the Medicare Benefit Policy Manual (Pub 100-02), chapter 15, section 270 and the Medicare Claims Processing Manual (Pub 100-04), chapter 12, section 190. For access to the manuals, go to https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs.html.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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