Telehealth Billing Compliance: Medicare Says Goodbye to the GT Modifier
Starting in 2018 CMS decides to eliminate requirement to use the GT modifier on telehealth claims.
Providers have been required by Medicare to add special modifiers, primarily GT and GQ, to their CPT and HCPCS codes for more than a decade when it came to telehealth services billing. Things changed at the start of 2018 and now instead of using the GT modifier, telehealth services claims must be noted with “Place of Service 02.” This white paper discusses why careful coding matters; reviews that GT and GQ modifiers are gone, but not completely; and examines that the government is paying attention to the growth of telehealth.
Nathaniel (Nate) Lacktman is a partner and health care lawyer with Foley & Lardner LLP. He is the chair of the firm’s Telemedicine Industry Team and co-chair of the firm’s Digital Health Work Group. He advises health care providers and technology companies on business arrangements, compliance, and corporate matters, with particular attention to telehealth, digital health, and health innovation. His approach to practicing law emphasizes strategic counseling, creative business modeling, and fresh approaches to realize clients' ambitious and innovative goals.
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