Page 27 - Part 2 Introduction to Telemedicine

SVMIC Introduction to Telemedicine

frequently update their knowledge of telemedicine coding and
reimbursement.
10

Medicare reimburses only for specific services when they are

delivered via live video. Store-and-forward services are not eligible,
except for CMS demonstration programs in Alaska and Hawaii.

Medicare does not reimburse for remote patient monitoring
services.

The specific telehealth services eligible for reimbursement under

Medicare are identified by Current Procedural Terminology (CPT)
or Healthcare Common Procedure Coding System (HCPCS) codes.

Each year, the US Department of Health and Human Services
considers submissions for new telehealth-delivered services to be

approved. CMS maintains a list of current CPT codes eligible for

Medicare reimbursement for CY 2018.

Medicare limits the types of professionals who can provide

telehealth-delivered services to:

 Physicians

 Nurse practitioners

 Physician assistants

 Nurse midwives

 Clinical nurse specialists

 Clinical psychologists and clinical social workers (these

professionals cannot bill for psychotherapy services that
include medical evaluation and management services)

 Registered dietitians or nutrition professionals

10 http://www.cchpca.org/telehealth-and-medicare [7/16/18]

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