Master 2019 Telemedicine Distant and Originating Site Rule Changes


Billing and getting paid for telemedicine services is complex and confusing. And 2019’s CMS Related Change Notice made it worse by implementing further regulations related to Medicare’s telemedicine distant and originating site designations.

One of the key reasons telehealth claims get rejected and payments denied is a lack of compliance with the telemedicine distant and originating site designations rules. But with a little help, you can improve your telemedicine reimbursement, and make billing for these services quicker and easier than you thought possible.

This is where coding and billing expert, Stephanie Thomas, CPC, CANPC, can help. In only 45 minutes, during her upcoming live online rebroadcast, you’ll receive a plain-English breakdown of both distant and originating site telemedicine regulations. And, you’ll learn exactly how to apply these rules in real-world situations to improve your compliance and pay up.

Here are just a few of the questions you’ll get answered by attending this 45-minute telemedicine distant and originating site online webinar:

  • Can the patient video conference from their home and have that be considered the originating site?
  • Must there always be a distant and originating site on each claim?
  • Can an originating and distant site be billed under the same tax ID number?
  • If a physician works from home is this an acceptable distant site if the originating site meets all requirements?
  • If a primary care provider is present at the originating site and will be following up on a care plan, and a (sub)specialty physician is providing a consultation at a distant site, can both providers bill for the visit?
  • Must we bill HCPCS code Q3014 at the originating site for a G0425 to be reimbursed?
  • Are there geographic restrictions to bill for the originating site fee?
  • Are there requirements for what staff must be present at the originating site with the patient?
  • How should we bill medication management and e-scribing via telehealth?
  • What are the requirements for a location to qualify as a distant site?
  • What POS code should we use for an originating site?

IMPORTANT: This training will be direct and to the point. It has been designed to not waste a second of your time. In only 45 minutes, you’ll get the information you need within the time constraints of your busy schedule. This training will NOT discuss other aspects of telemedicine coding and billing. It will concentrate exclusively on how outpatient services can comply with current CMS’ distant and originating site regulations.

Mastering both distant and originating site regulations is essential to your ability to ethically and optimally get paid for these reimbursable services. This online training is a must-see for both, providers who currently provide telehealth services and for those trying to decide whether to offer them.

To secure your registration to this must-see online training, sign up today.

Meet Your Expert

Stephanie Thomas

Stephanie has 17 years of experience doing medical billing and coding in a variety of specialties. She has earned her credentials as both a Certified Professional Coder® (CPC®) AND a Certified Pain and Anesthesia Coder (CANPC®).

Billing is Stephanie’s passion. She has made it her mission to work with practices across the country to help them ethically and more efficiently maximize their reimbursements. She does this by simplifying complex coding and billing rules and educating providers and staff on proper utilization techniques.

 She is a proven coding and billing educator, and regularly speaks at both local and national events


I felt prepared because the handouts were provided prior to the webinar.
Lindsey Griffin
Administrator, Doctorss Lake Family Dental/Doctors Lake Sleep & Wellness
Good coverage! The Webinar provided everything one needs to know on how to bill a telemed visit.
Rhonda Knisley
Director, Psychiatry Northwest
Overall, it was informative!
Malissa Webber
, Neurocore LLC