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FQHC Coding – Telehealth/Prolonged Services/Chronic Care Management

Hello,

I am new to working for an FQHC and my facility would like to start billing for telehealth services starting 2019. However I keep finding conflicting information on the NY Medicaid website and MLN on whether or not we are qualified to bill for distant/originating sites. We are located in Brooklyn, NY. Can anyone please shed some light on the requirements needed to bill for telehealth, specifically telepsychiatry.

https://www.health.ny.gov/health_car…5/mar15_mu.pdf

https://www.cms.gov/Outreach-and-Edu…rvcsfctsht.pdf

https://www.cms.gov/Outreach-and-Edu…cfactsheet.pdf

Also can FQHC’s bill for Prolonged Services with direct patient contact? I read the PDF I put above and it is not included, however they define FQHC visits as "A FQHC visit is a medically-necessary medical or mental health visit, or a qualified preventive health visit. The visit must be a face-to-face (one-on-one) encounter between a FQHC patient and a FQHC practitioner during which time one or more FQHC services are furnished. "

Are you all billing for Chronic Care Management? I am trying to get it implemented here but they are saying it will be hard to enforce and hard to track. Do you have any tips?

Thank you,

Lauren

Medical Billing and Coding Forum