Medicare Telehealth Claims Processing

March 30, 2020

On March 27, National Government Services (NGS) issued an update regarding claim submission and payment of Medicare telehealth services. On March 17, the Centers for Medicare & Medicaid Services (CMS) announced that fee-for-service (FFS) Medicare coverage was expanded for telehealth services, allowing for reimbursement of previously covered telehealth services when provided to beneficiaries in their home environments, regardless of geographic location.  This expanded coverage is effective March 6, 2020, and on March 27, NGS announced it is now accepting and processing such claims.

NGS does not anticipate claim rejections and denials relative to telehealth services provided to beneficiaries in their home environment.  If claim rejections and denials do occur, providers are urged to notify NGS and IHA, immediately.  More information can be found here.   

IHA has not received similar notification from Wisconsin Physician Services (WPS).  When we receive similar communication from WPS, we will forward it to all hospitals and health systems.