Back to Insights and Updates for ProvidersSeptember 2023

CMS billing update for home health services using telehealth

Tufts Health Plan Senior Care Options  |  Tufts Medicare Preferred HMO/PPO

In keeping with a bulletin from the Centers for Medicare and Medicaid Services (CMS), Point32Health now requires providers to report one of the following remote patient monitoring codes, as applicable, when billing for home health services administered via telehealth to our Tufts Health Medicare Preferred or Tufts Health Plan Senior Care Options members:

  • G0320: Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system
  • G0321: Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system
  • G0322: The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (for example, remote patient monitoring)

As a reminder, you should report the use of remote patient monitoring that spans a number of days as a single line item showing the start date of monitoring and the number of days of monitoring in the units field.

We’ve updated our Home Health Care Services Payment Policy for Tufts Health Plan Senior Products to reflect this new requirement.

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