CMS has updated its guidance on Medicare enrollment for telehealth and teleradiology providers, clarifying how providers should report practice locations when services are delivered remotely.
For telehealth, providers who work from home but maintain a physical practice location generally do not need to report their home address on their Medicare enrollment. However, providers who operate entirely through virtual care and have no other physical practice location must report their home address, using the appropriate practice location designation to help keep it from being publicly displayed on Care Compare.
The guidance also explains enrollment requirements for providers who reassign benefits to medical groups, including situations where the provider and group are located in different states. Providers should continue to follow applicable state licensing requirements, and CMS notes that providers do not need to enroll in every state where their patients live.
CMS distinguishes teleradiology from telehealth because remote interpretation of diagnostic images is considered a service that is not ordinarily furnished in person. As a result, teleradiologists must report their actual location where the interpretation is performed, including a home address when applicable. Different enrollment and reassignment requirements apply depending on whether the radiologist bills independently or through a group.
Resource: Understanding Telehealth & Teleradiology Enrollment (PDF)