Insight Article
This facility fee is a separately billable Part B service. For the
professional service (at the distant site), the CPT code for the
specific service provided would be reported, appended by the GT
modifier (via interactive audio and video telecommunications
system).
Strategies for Successful Implementation
In order to ensure an efficient implementation in your organization,
be sure to:
ï‚·
ï‚·
ï‚·
ï‚·
ï‚·
ï‚·
Obtain institutional and administrative support for
telemedicine services.
Integrate with existing infrastructure for
documentation/coding/billing processes.
Start with low hanging fruit services where opportunity
exists to address specific patient needs that are not
currently being met.
Identify the outcomes you wish to measure and develop a
system to do so.
Develop (and share) quality metrics, demonstrating the
“win-win” for both sides.
Partner with policymakers and support further
enhancements to reimbursement for telemedicine services.
For more information, please refer to the most recent MedLearn
Matters article at:
https://www.cms.gov/Outreach-and-Education/Medicare-LearningNetwork-MLN/MLNProducts/downloads/TelehealthSrvcsfctsht.pdf
The 2016 list of eligible telehealth services can be found at:
ï‚· https://www.cms.gov/Medicare/Medicare-GeneralInformation/Telehealth/Telehealth-Codes.html
© Wipfli LLP
About the Author
Jeanne Chapdelaine, Director
With over 25 years of health care experience, Jeanne Chapdelaine is
the director of Wipfli LLP’s revenue optimization and integrity (ROI)
service line. She coordinates service delivery to health care clients
for their revenue capture processes, coding and documentation,
business office functions, service pricing, reimbursement, regulatory
compliance, and third-party payor contracts and provides a wide
range of related technical services to the firm’s clients. Jeanne helps
health care organizations by focusing on the issues that will have the
greatest financial impact.
Her national client mix ranges from small
rural practices to large health systems. She works well with
physicians, gaining their confidence and cooperation.
About Wipfli’s Health Care Industry Practice
Wipfli’s national health care practice has nearly 100 associates
dedicated to serving more than 1,800 clients in 46 states, including
integrated delivery systems, large community hospitals, critical access
and rural hospitals, physician practices, and senior living
organizations. Wipfli can advise in all areas of business, from finance
and operations to human resources, information technology, and
reimbursement.
For more information, visit www.wipfli.com/healthcare.
About Wipfli LLP
With more than 1,500 associates, 32 offices in the United States, and
2 offices in India, Wipfli LLP ranks among the top 25 accounting and
business consulting firms in the nation. For over 85 years, Wipfli has
provided private and publicly held companies with industry-focused
assurance, accounting, tax, and consulting services to help clients
overcome their business challenges today and plan for tomorrow. For
more information, visit www.wipfli.com.
2
.