Medicare Telehealth Billing Changes Effective 6/1/2020 

Claims received with dates of service June 1, 2020 and after will be processed in alignment with CMS (Centers for Medicare and Medicaid Services) billing guidelines. Claims with POS (place of service) 02, will process at the Facility RVU rate and claims with POS 11 and appropriate modifier will be reimbursed at the Non-Facility rate.  Please see https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf

PacificSource will be reprocessing claims from DOS (dates of service) 3/1/2020 through May 31, 2020 at the Non-Facility when the claim had been billed with POS 02.

Please reach out to your Provider Service Representative with any questions.