tci Medicare Compliance & Reimbursement - 2024 Issue Q1

Reader Questions: Consider This Insight On Qualifying for Home Visit

Question: One of the providers at our practice wants to bill 99350 when performing a home visit via telehealth video. The patient is in their home at the time of service. It seems to me if the doctor is in the office performing the visit over a video call, the criteria aren’t met for a home visit. Is this the correct code to use, or should I report a standard office evaluation and management (E/M) code? Ohio Subscriber Answer: The telehealth version of any E/M visit will never be able to meet all the criteria for a face-to-face...

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