2019-32: Telemedicine/Telehealth Billing Changes Effective August 1, 2019

Date: 07/01/19

Centers for Medicare & Medicaid Services (CMS) recently removed the requirement to use the GT modifier on professional claims for telemedicine/telehealth services.

Effective August 1, 2019, providers will be required to use Place of Service (POS) 02 with modifier 95 for the billing of telemedicine/telehealth services.

Upon implementation, claims will deny without the combination of POS 02 and modifier 95. Providers will be required to resubmit with the correct POS and modifier in order for claims to process.

Louisiana Healthcare Connections is updating its system to accommodate the alternative payment methodology.

Providers can review Health Plan Advisory 19-11 for additional information.