CMS has noted a processing error that is causing some claims with telehealth services to be returned by mistake.
From January 1 – February 6, 2023, CMS incorrectly returned claims with telehealth services if they didn’t include an in-person visit with the same revenue code (reason code 31869). If CMS returned a claim incorrectly for this reason, agencies are encouraged to resubmit the claim to their MAC.
Beginning January 1, 2023, agencies could voluntarily log telehealth services on their claims. Agencies are not reimbursed for telehealth visits, but CMS is collecting the information for future use.
Mandatory reporting will be required on claims beginning in July.