CTC CTC Reimbursement & Billing for Telehealth 2

Question 1

Which CPT code category is most commonly used to bill evaluation and management (E/M) telehealth visits for established patients?

Accepted Answer

99211–99215

Answer

CPT codes 99211–99215 are the office or outpatient E/M codes for established patients and are commonly used for telehealth billing.

Question 2

When a patient is located in a federally qualified health center (FQHC) during a telehealth visit, who bills for the originating site facility fee?

Accepted Answer

The FQHC as the originating site

Answer

The FQHC acting as the originating site bills for the originating site facility fee using HCPCS code Q3014.

Question 3

What HCPCS code is used to bill the Medicare telehealth originating site facility fee?

Accepted Answer

Q3014

Answer

HCPCS code Q3014 is the designated originating site facility fee code for Medicare telehealth services.

Question 4

Under Medicaid telehealth billing, which statement is most accurate?

Accepted Answer

States have flexibility to set their own telehealth coverage and reimbursement rules

Answer

Medicaid programs are state-administered, so each state sets its own telehealth coverage policies, eligible providers, and reimbursement rates within federal guidelines.

Question 5

Which documentation element is critical to include in a telehealth visit note to support medical necessity and billing compliance?

Accepted Answer

A statement confirming the patient's consent to telehealth and the technology modality used

Answer

Documenting patient consent and the telehealth modality (audio-video, audio-only) is essential for billing compliance and demonstrating that services were appropriately rendered.

(CTC) Certified Telehealth Coordinator Practice Test

(CTC) Certified Telehealth Coordinator Practice Test

CTC CTC Reimbursement & Billing for Telehealth 2