CTC CTC Reimbursement & Billing for Telehealth

Question 1

Which federal program first established telehealth reimbursement policies for rural areas under the Balanced Budget Act of 1997?

Accepted Answer

Medicare

Answer

Medicare was the first federal program to establish formal telehealth reimbursement under the Balanced Budget Act of 1997, initially limited to rural originating sites.

Question 2

What is the correct place of service (POS) code used when billing Medicare for a telehealth visit conducted via real-time audio-visual technology?

Accepted Answer

POS 02

Answer

POS 02 (Telehealth) is the designated place of service code for Medicare telehealth visits conducted via real-time interactive audio-visual technology.

Question 3

Which modifier is appended to CPT codes to indicate a service was provided via telehealth for Medicare billing?

Accepted Answer

-GT

Answer

The -GT modifier (via interactive audio and video telecommunications systems) is used with CPT codes to indicate Medicare telehealth services.

Question 4

Under the COVID-19 public health emergency waivers, which originating site restriction was temporarily lifted for Medicare telehealth?

Accepted Answer

The patient's home became an eligible originating site

Answer

During the COVID-19 PHE, CMS waived the rural originating site requirement, allowing patients' homes to serve as eligible originating sites for Medicare telehealth.

Question 5

What is a 'distant site' in telehealth billing terminology?

Accepted Answer

The location where the healthcare provider is located during the telehealth visit

Answer

The distant site is the location of the healthcare provider rendering the telehealth service, as opposed to the originating site where the patient is located.

(CTC) Certified Telehealth Coordinator Practice Test

(CTC) Certified Telehealth Coordinator Practice Test

CTC CTC Reimbursement & Billing for Telehealth