Telepractice: Billing Guide for Telehealth Encounters

Author(s):
Center for Connected Health Policy

Recommended because:
A consistent set of definitions for telehealth terminology has been hard to establish through the years. Definitions vary on the federal, state and individual payer level. For the purposes of this guide, we will use two examples, Medicare and California’s Medicaid program, Medi-Cal, as starting points. The following terms are provided to emphasize the key differences between the government programs, as this has implications on billing and what goes on the CMS 1500 or professional fee claim form and the UB-04 or facility fee claim form.