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Billing for Telehealth Encounters: An Introductory Guide on Fee-for-service

Last Reviewed:
Resource Type:
Tools/Toolkits for providers
Author(s):
Center for Connected Health Policy
Publication Year:
2020

The focus of this guide is primarily on fee-for-service Medicare and an example of one Medicaid program, California, highlighted in the blue MediCal boxes. Most of the descriptions and definitions are from the Centers for Medicare and Medicaid Services (CMS). Managed care plans, private payers and employer-based plans generally follow these rules though not every time, so always check with the plan. This resource is only provided as a guide and should not be considered legal advice.

Populations:
Adults
Children
Families
General patient population
Mothers
Settings:
Community Mental Health Centers
Health Centers
Hospitals
Patient-Centered Medical Home (PCMH)
Primary Care Settings
Substance use disorder (SUD) treatment programs
Veterans Affairs (VA) health care settings
Topics:
Billing/Reimbursement Strategies
Telehealth