As of 3/6/20 and in response to the COVID-19 pandemic, CMS is allowing patients to receive a wider range of telehealth services in a variety of settings, including the patients home. Expanded services include: E/M visits, mental health counseling and certain preventive health screenings. These new services are in effect until the pandemic is over or until further notice.

Here are the key documentation requirements for these expanded telehealth services:

  • Patient consent and location
  • Similar documentation to a face-to-face visit including: Chief complaint, pertinent history, exam, MDM, diagnoses and duration of the encounter
  • A virtual service cannot be billed if the patient was seen within the previous 7 days or if the service leads to the patient being seen within the next 24 hours or the next available appointment

Follow the link to the Medicare factsheet for more information:

https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/TelehealthSrvcsfctsht.pdf

https://www.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf