Informational Bulletin 19-11: Telemedicine/Telehealth Billing Changes (revised 5.18.22)

Date: 05/19/22

On May 18, 2022, the Louisiana Department of Health revised IB 19-11: Telemedicine/Telehealth Billing Changes.

Below is a summary of the changes:

The Centers for Medicare and Medicaid Services (CMS) added a new place of service (POS) for telehealth services provided in the patient’s home effective for dates of service on and after January 1, 2022. 

Providers are required to use the appropriate POS, either 02 (other than home) or 10 (home) with modifier 95 for the billing of telemedicine/telehealth services based on the beneficiary’s location at the time of service.

Upon implementation, claims submitted without the appropriate POS and modifier combination will deny. Providers will be required to resubmit with the correct POS and modifier in order for claims to process. Providers must use procedure codes appropriate to telemedicine/telehealth services to receive reimbursement. 

Fee for service policy regarding this billing change will be published on www.lamedicaid.com under the Provider Manuals link, within the Professional Services manual. Questions regarding this message and fee for service claims are to be directed to  Gainwell Technologies Provider Relations at (800) 473-2783 or (225) 924-5040. 

Providers are encouraged to review the entire Informational Bulletin 19-11 for additional details.