CTP Insurance Coverage and Reimbursement Flashcards
6 cards from real CTP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CTP Insurance Coverage and Reimbursement flashcards as text
Under CMS COVID-19 public health emergency waivers, which Medicare originating site restriction was temporarily lifted?
Answer: Patients could receive telehealth services from their home
CMS PHE waivers allowed Medicare beneficiaries to receive telehealth services from their homes, eliminating the rural originating site requirement.
Which modifier is used on Medicare claims to designate a service delivered via interactive audio and video telecommunications?
Answer: Modifier GT
Medicare requires Modifier GT on claims to indicate a service was provided via interactive audio and video telecommunications system for telehealth.
Which federal law governs prescribing controlled substances via telehealth for patients the practitioner has never seen in person?
Answer: Ryan Haight Online Pharmacy Consumer Protection Act
The Ryan Haight Act requires an in-person evaluation before prescribing controlled substances via the internet, with exceptions during declared emergencies.
Which telehealth modality involves capturing patient data and transmitting it asynchronously to a provider for later review?
Answer: Store-and-forward
Store-and-forward involves capturing and transmitting patient data such as images or records asynchronously to a provider who reviews it at a later time.
Which place of service (POS) code specifically designates telehealth services provided to a patient at their home?
Answer: POS 10
CMS introduced POS 10 to designate telehealth services provided to a patient at their home, distinct from POS 02 used for telehealth at other locations.
Which legislation expanded Medicare telehealth originating sites to include federally qualified health centers (FQHCs) and rural health clinics (RHCs)?
Answer: Bipartisan Budget Act of 2018
The Bipartisan Budget Act of 2018 added FQHCs and RHCs to the list of eligible Medicare telehealth originating sites.