The Situation Report | November 14, 2022
The U.S. Centers for Medicare and Medicaid Services (CMS) has recently issued Change Request 12805 that creates new G-codes for reporting home health services furnished by telehealth and to revise Original Medicare systems to process them without affecting payment to the certified home health agencies (CHHAs).
In the Calendar Year (CY) 2023 Home Health Proposed Payment System final rule, CMS finalized the requirement for HHAs to begin reporting telecommunication visits on home health claims. Collecting data on telecommunications technology use on claims will allow CMS to:
- Analyze the characteristics of patients using services provided remotely.
- Have a broader understanding of the social determinants that affect who benefits most from these services, including what barriers may potentially exist for certain subsets of patients.
Reporting from January 1, 2023 to June 30, 2023 will be voluntary. However, beginning July 1, 2023, HHAs will be required to report visits conducted through two-way audio visual, audio only, and remote monitoring technologies using the following newly established G-codes.
- G0320: home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system. Short Descriptor: G0320: two-way audio and video HHS.
- G0321: home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system. Short Descriptor: G0321: audio-only HHS
- G0322: the collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring). Short Descriptor: G0322: Home Health physio data collection.
The use of remote patient monitoring that spans a number of days shall be reported as a single line item reporting the beginning date of monitoring and the number of days of monitoring in the unit’s field. HHAs shall submit services furnished via telecommunications technology in line item detail and each service must be reported as a separate line under the appropriate revenue code for each discipline furnishing the service.