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SNF Telehealth Origination Site Fee Billing Guidance

Shasta McClary

August 26, 2020

**SNF Telehealth Site Origination Fee

SNFs bill their Part A MAC for the originating site facility fee on TOB 22X or 23X. For SNF inpatients in a covered Part A stay, the originating site facility fee must be submitted on a 22X TOB. All SNFs must use revenue code 078X when billing for the originating site facility fee.

The SNF serving as an originating site must bill for HCPCS code Q3014, telehealth originating site facility fee, on a separate revenue line from any other services provided to the beneficiary.

CMS is now excluding it from consolidated billing: “When the originating site is a SNF, the originating site facility fee is outside the SNF prospective payment system bundle and, as such, is not subject to SNF consolidated billing. The originating site facility fee is a separately billable Part B payment.”

***Reimbursement is around $26.00. To be sure we are billing above allowable with no issues, we will bill each instance at $75.00

Click here for an example roster bill.

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