From January 1 – February 6, 2023, CMS incorrectly returned claims with telehealth services if they did not include an in-person visit with the same revenue code (reason code 31869). If CMS returned a claim from your agency, they are asking providers to re-submit to their Medicare Administrative Contractor. As of the CY2023 Final Home Health Rule, CMS has put in place G-Codes for telehealth services regardless of if they were rendered at the same time as in-person services. While providers are not reimbursed for telehealth services, CMS is collecting data to determine potential future policies around home health and telehealth.
