ICD10monitor May 31, 2023
David M. Glaser, Esq.

The spike in telehealth usage during the COVID pandemic has generated a plethora of questions about the ramifications of geography. Let’s cover a few.

First, as I mentioned in a prior article, Medicare applies a geographic adjuster. That means that if you’re supposed to bill using the locality of where the physician is sitting, it’s possible to do geographic arbitrage: plunking your physician in the highest-reimbursed area.

I’m not recommending that. In fact, it’s part of my argument that the location of the physician shouldn’t matter. And I want to remind folks that there’s no statute or regulation explicitly requiring billing where the physician sits. To be clear, there is also no statute or regulation specifically supporting my position. But...

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Topics: Digital Health, Patient / Consumer, Provider, Technology, Telehealth
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