CTP Documentation and Billing 2

Question 1

Which modifier is appended to a CPT code to indicate a telehealth service was provided via audio-visual technology?

Accepted Answer

Modifier 95

Answer

Modifier 95 indicates synchronous telemedicine services rendered via real-time interactive audio and video telecommunications.

Question 2

A telehealth provider sees a patient for the first time via video. What level of documentation is required compared to an in-person new patient visit?

Accepted Answer

The same history, exam, and medical decision-making standards apply

Answer

Documentation requirements for telehealth new patient visits mirror those of in-person visits, including history, exam elements performed, and medical decision-making.

Question 3

Which element MUST be documented in every telehealth encounter note to support billing?

Accepted Answer

Confirmation that the patient provided verbal or written consent for telehealth

Answer

Documentation must confirm patient consent to the telehealth visit, as consent is a billing requirement under CMS and most state regulations.

Question 4

Under Medicare rules, what is the role of the 'originating site' in telehealth billing?

Accepted Answer

It is the patient's physical location during the telehealth visit

Answer

The originating site is where the patient is located during the telehealth encounter, and it may be eligible for a facility fee under Medicare rules.

Question 5

A patient calls in for a phone-only visit and does not have video capability. Which CPT codes are most appropriate for a 15-minute telephone E/M service?

Accepted Answer

99441–99443

Answer

CPT codes 99441–99443 describe physician telephone E/M services lasting 5–10, 11–20, and 21–30 minutes respectively.

(CTP) Certified Telehealth Practitioner Practice Test

(CTP) Certified Telehealth Practitioner Practice Test

CTP Documentation and Billing 2