Can a Physician Doctor Office Bill for G0071 Virtual Communication Servcies – How to Report G0071 in Office

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READER’S QUESTION:

We are an office place of service 11, can we bill for G0071?

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Ok so we need to make some clarification here. The 2019 New HCPCS Code G0071 is for Place of Service 11 or any provider that are billing as Office.

Here’s what we have on Medicare’s website:

Effective January 1, 2019, New Virtual Communication Services using G0071 is for FQHCs and RHCs.

The FQHCs – Federally Qualified Health Center can receive payment for Virtual Communication services when at least 5 minutes of communication technology-based or remote evaluation services are furnished by an FQHC – Federally Qualified Health Center practitioner to a patient who has had an FQHC – Federally Qualified Health Center billable visit within the previous year, and both of the following requirements are met:

The medical discussion or remote evaluation is for a condition not related to an FQHC service provided within the previous 7 days;
The medical discussion or remote evaluation does not lead to an FQHC – Federally Qualified Health Center visit within the next 24 hours or at the soonest available appointment.

To receive payment for Virtual Communication services, FQHCs must submit an FQHC claim with HCPCS code G0071 (Virtual Communication Services) either alone or with other payable services.

Payment for G0071 is set at the average of the national non-facility PFS payment rates for HCPCS code G2012 (communication technology-based services) and HCPCS code G2010 (remote evaluation services) and is updated annually based on the PFS national non-facility payment rate for these codes.

RHC – Rural Health Clinic face-to-face requirements are waived when these services are furnished to an FQHC patient, and coinsurance applies.

Your place of service here is not POS 11 ; but rather POS 72 Rural Health Clinic A certified facility which is located in a rural medically underserved area that provides ambulatory primary medical care under the general direction of a physician.

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Answered on 2:39 am