FQHC Cost Reporting: Originating Site
The telemedicine charges and costs, including the depreciation cost for equipment, are not allowed on the FQHC cost report.
FQHC providers must remove charges and payments for telemedicine services from their year-end cost reports.
SOURCE: MO HealthNet Telemedicine Billing PPT, Education and Training Unit, Revised July 2022, (Accessed Jan. 2024).
RHCs and FQHCs are eligible to receive reimbursement for a facility fee for Telehealth services when operating as the originating site. Claims must be submitted with HCPCS code Q3014 (Telehealth originating site facility fee). Reimbursement will be made at the lesser of the actual charge or $14.75. FQHCs will be reimbursed at 92% of their billed charges up to a maximum payment of $14.75.
Effective for dates of service on or after January 1, 2016, FQHC providers must bill no more than $16.03 to receive the $14.75 reimbursement. Claims will be subject to post payment review and those reimbursed more than $14.75 will be adjusted to recoup the difference.
FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge.
FQHCs must remove charges and payments for Telehealth services from their year-end cost reports.
SOURCE: Provider Bulletin Volume 38, No. 46, June 1, 2016, (Accessed Jan. 2024).
As stated in the Telehealth bulletin, Volume 38 Number 46, dated June 1, 2016, RHCs and FQHCs are eligible to receive reimbursement for a facility fee for Telehealth services when operating as the originating site. Claims must be submitted with HCPCS code Q3014 (Telehealth originating site facility fee). For dates of service on or after July 1, 2016, the originating site reimbursement is increased by 1% and will be the lesser of the usual and customary charge or $15.61.
Effective for dates of service on or after July 1, 2016, FQHC providers must bill no more than $16.97 in order to receive the $15.61 maximum reimbursement. Claims will be subject to post payment review and those reimbursed more than $15.61will be adjusted to recoup the difference.
FQHC providers must leave the Rendering Provider ID field (24j on CMS-1500) blank on their claims when billing the Q3014 originating site facility charge. FQHC providers must also remove charges and payments for Telehealth services from their year-end cost reports.
SOURCE: Provider Bulletin Volume 39, No. 28, Nov. 9, 2016, (Accessed Jan. 2024).
See: MO Medicaid Live Video Eligible Sites.
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