- General Information
- Originating Site
- Billing for Originating Site
- Facility Fee for Originating Site
- Distant Site
- Billing and Payment for Distant Site Professional Fee
- List of Covered Medicare Telehealth Services
- G0 Modifier Required for Telehealth for Individuals with Acute Stroke
- GT Modifier
- Clarification of Telehealth for DSMT
- ESRD-Related Services as a Telehealth Service
- Related Content
Facility Fee for Originating Site
The originating site facility fee is a separately billable Part B payment. The payment amount to the originating site is the lesser of 80 percent of the actual charge or 80 percent of the originating site facility fee, except CAHs. The beneficiary is responsible for any unmet deductible amount and Medicare coinsurance. The contractor pays the facility fee outside of other payment methodologies. The originating site facility fee payment methodology for each type of facility can be found by referencing the CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 12, Section 190, Medicare Payment for Telehealth Services.
Originating sites are paid an originating site facility fee for telehealth services as described by HCPCS code Q3014. When billing for the originating site, the POS is 11 and the location address is where the beneficiary was located.
You can bill National Government Services for the originating site facility fee, which is a separately billable Part B payment.