Telemedicine, Telehealth, and the TIE
Reviewing telemedicine and telehealth resources on the TIE.
2008 Telemedicine Meeting Schedule
Medicare Reimburses for Neurobehavioral Telehealth Exams
The Centers for Medicare & Medicare Services (CMS) recently announced in that the neurobehavioral status exam (Healthcare Common Procedure Coding System (HCPCS) code 96116) has been added to the list of Medicare telehealth services. Previously, CMS determined that, if the eligibility criteria, and conditions of payment are satisfied, the use of a telecommunications system may substitute for a face-to-face, "hands on" encounter for consultation, office visits, individual psychotherapy, pharmacologic management, psychiatric diagnostic interview examination, end stage renal disease related services, and individual medical nutrition therapy.
When billing this code as a Medicare telehealth service, you must append modifier GT ("telehealth service via interactive audio-video telecommunication system"), and all other criteria for telehealth reimbursement under Medicare must be met as set forth in the Medicare Benefit Policy Manual (Publication 100-02, Chapter 15, Section 270) and the Medicare Claims Processing Manual (Publication 100-04, Chapter 12, Section 190).
HCPCS code 96116, neurobehavioral status exam, involves clinical assessment of thinking, reasoning and judgment per hour of a psychologist's or physician's time.
Labels: legal, reimbursement, telehealth, telemedicine