Home Health & Hospice Week

Industry Note:

Don't Forget: You Can Report Telehealth G-Codes Starting Jan. 1

It may not be a requirement yet, but the sooner you start submitting telehealth visits on claims, the sooner they’ll show up in Medicare data about your payment and services — and affect that shocking 25 percent profit margin figure MedPAC just released.

“Effective January 1, 2023, Home Health Agencies (HHAs) may begin voluntarily reporting the new telecommunications G-codes on HH claims with HH periods of care that start on or after January 1, 2023,” HHH Medicare Administrative Contractor Palmetto GBA reminds agencies in a Dec. 22 post to its website. “On July 1, 2023, reporting these new codes will become mandatory with HH periods of care that start on or after July 1, 2023.”

Tip: “Claims will be returned containing HCPCS codes G0320, G0321 and G0322 if there is not another line item on the claim with the same revenue code and a G HCPCS code other than G0320, G0321 and G0322,” Palmetto advises. For example, “a claim with a line reporting revenue code 0551 and G0320 must also have a revenue code 055x line containing HCPCS G0299, G0300, G0162, G0493, G0494, G0495 or G0496,” Palmetto offers.

The article is at www.palmettogba.com/palmetto/jmhhh.nsf/DID/VMCTLPL2JJ.

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