NGS- Urgent News: Reimbursing Place of Service 10 at the Nonfacility Rate for Medicare Telehealth Services

Part B Providers in Jurisdiction 6 and Jurisdiction K

Claim Coding Impact: Part B telehealth service claims billed with place of service (POS) 10

Description of Issue

In calendar year (CY) 2024, the Centers for Medicare & Medicaid Services (CMS) issued a change to processing for telehealth services billed with POS 10. As of 1/1/2024, these claims are to be paid at the nonfacility physician fee schedule (PFS) rate. A system processing issue resulted in incorrect payments at the facility rate and this issue has now been corrected. As per CMS instructions issued 2/21/2024, National Government Services (NGS) will initiate a mass adjustment of all impacted claims with dates of service 1/1/2024 and after.

Source: https://view.email.ngsmedicare.com/?qs=4322c487cc1db68d828522513fbd61eec50f7a69f7136c3d8fe89af3165aabd4fda288273a30621a5f8ab2d47179677d671a4a92eddeb1515b066dfc4e92312c3aeac332f96107f23d952abb004bde0d