Sign In

HFS logo

Provider Notice Issued 03/02/2021

Date:    March 2, 2021

 

To:       Enrolled Hospitals:  Chief Executive Officers; Chief Financial Officers; and Patient Accounts Managers

 

Re:      Hospitals Billing as the Telehealth Originating Site with Revenue Code 0780 and HCPCS Code Q3014

 

 

This notice provides additional guidance to hospitals billing as the originating site for outpatient telehealth services. The billing requirements apply to claims billed under Medicaid fee-for-service as well as HealthChoice Illinois managed care plans.

 

As outlined in provider notices dated June 2, 2020 and June 24, 2020, effective with service From Dates beginning July 1, 2020, hospitals must bill all services previously billed as professional (non-hospital) services as outpatient institutional services.

 

The June 24, 2020, provider notice stated that hospitals must bill Revenue Code 0780 – Telehealth, General Classification, on the institutional claim format to designate the telehealth originating site. Additionally, effective with claims received on and after March 1, 2021, the Department is revising editing to require HCPCS code Q3014 – Telehealth Originating Site Facility Fee, to be billed in conjunction with Revenue Code 0780. HCPCS code Q3014 must be identified on the same revenue line with Revenue Code 0780. If any other procedure code is billed with Revenue Code 0780, the claim will be rejected with error code T55 – Missing/Invalid HCPCS for Revenue Code 0780.

 

Other services may be billed as necessary on the same outpatient claim with a telehealth facility fee, but the telehealth service must be identified as described above. No modifier is required for the telehealth service.

 

Questions regarding this notice may be directed to a hospital billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable HealthChoice Illinois managed care plan.

 

 

Kelly Cunningham, Administrator

Division of Medical Programs

 

 ​


Notices

 Need Assistance?



Illinois Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director