Many changes have occurred since the COVID-19 Public Health Emergency (PHE) was declared on January 31st, 2020 including the many updates that CMS provided at the beginning of March 2020. The continuous changes have made it complex for providers and staff to bill for telehealth services.

The Pacific Basin Telehealth Resource Center has developed this informational billing guide to assist with those who have any questions concerning telehealth billing. This guide will review common terms, and policies from Medicare, Medicaid, and our local commercial payers. The purpose of this guide is to provide guidance to:

• Telehealth billing (CPT codes, modifiers, POS, and other information to assist with reimbursement)
• Documentation requirements
• Cost share information for the various payers
• Software solutions

This guide will review the permanent policies that each payer has enacted as well as those that highlight temporary expansions in place during the PHE. Please note that this information changes rapidly, we will continue to work on this guide and update it as new changes come out.