Some Medicare telehealth claims not being paid correctly

February 05, 2024

Noridian—California’s Medicare Administrative Contractor—recently issued an alert about a Medicare system issue that has resulted in Place of Service 10 telehealth claims being priced at the facility rate regardless of the provider specialty. The Centers for Medicare and Medicaid Services (CMS) has indicated it is aware of the issue and is looking into the matter. As of now, there is no action needed. CMA will provide an update when additional information is available.


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