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June 2018

Clarification: How to report telemedicine services in an outpatient psychiatric care facility

In the June 2017 edition of The Record, we provided instructions on how to submit claims for telemedicine services using your individual national provider identification number. The intent of the article was to instruct providers to bill with their individual NPI number, only if they have one. We didn’t intend for outpatient psychiatric care providers to start billing for telemedicine services using their facility NPI.

Although an OPC provider submits claims using a professional claim form, he or she is still considered a facility provider. Telemedicine is a professional benefit and isn’t payable to a facility. Services rendered via telemedicine will only be considered for payment when billed with an individual or professional NPI — not a facility NPI.

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