A/B MAC (A) - Telehealth Originating Site Facility Fee -

100.16.1 - A/B MAC (A) - Telehealth Originating Site Facility Fee - Medicare Part B - Payment Policy (Rev. 1776, Issued: 07-24-09, Effective: 01-01-09, Implementation: 01-04-10) Effective January 1, 2009, IHS providers, including CAHs are paid separately from the AIR for the Telehealth Originating Site Facility Fee. HCPCS code Q3014 (“telehealth originating site facility fee”) is a Part B benefit. The fee is updated each calendar year by the Medicare Economic Index announced in the annual Physician Fee Schedule Final Regulation. IHS providers are paid for HCPCS code Q3014 at the fee schedule payment, not the provider’s usual all-inclusive payment methodology (e.g., inpatient DRG or AIR or CAH per diem). For CAHs, the payment amount is 80 percent of the fee, not 101 percent of cost. The Medicare Part B deductible and coinsurance apply to the Telehealth Originating Site Facility Fee, but are waived by the IHS.