Telehealth/Telemedicine Enrollment

Telehealth and/or Telemedicine is the use of telecommunications technology to provide health care services to persons who are at some distance from the provider. It involves a spectrum of technologies. To access Telehealth vs Telemedicine, Distant Site, Originating Site, Eligible Providers, Eligible Services, Acceptable Equipment, Billing, Federal Demonstration Project information, go to the Telehealth/Telemedicine webpage.

View the below telehealth/telemedicine enrollment related information on this page.

Group Billing for their Reassignments

  • Group must have an approved enrollment record in the state where the provider is providing the services
  • Group must add the providers location as a practice location on their enrollment
    • This cannot include: privately owned boat, hotel room or car
  • Provider must then reassign benefits to the group
  • Provider must be licensed in state where the services are provided

Example: If patient is seen in California and x-ray reading is out of Florida, then group must establish a practice location in Florida and provider must be reassigned newly established group enrollment in Florida. Provider must be licensed in Florida.

Applications needed

  • Group will submit an 855B to initially enroll or add the location in the state the provider rendering services
  • Provider will submit an 855R to reassign to the group
    • If the provider is not actively enrolled, or new to Medicare; an 855I will need to be submitted
  • All of these updates can be completed via PECOS or Paper

Sole Proprietor

  • Sole Proprietor who bills Telehealth/Telemedicine must enroll the practice location where the services are rendered
  • Provider will set up a practice location with either his/her home as the practice location or a rented/leased office space where the services are rendered
  • Provider must be licensed in state where the services are rendered
  • Example: If patient is seen in California and provider is rendering services in Florida, the provider must enroll in Florida and add that practice location to their enrollment

Applications needed

  • Provider will submit an 855I application to the correct MAC
  • This can be completed via paper or PECOS

Resources

 

Last Updated Wed, 26 May 2021 17:41:44 +0000