CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency … [Read more...]
Behavioral health and telemedicine
Updated May 15, 2020 Behavioral health services have long been on Medicare’s list of services that could be provided via telemedicine. However, … [Read more...]
Is it or isn’t it a telehealth service?
Many payers and practices use the broad term telehealth to describe services that are not done face-to-face with a patient CMs describes telehealth … [Read more...]
Telemedicine in RHCs and FQHCs
New! April 17, 2020 Finally! CMS has released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified … [Read more...]
Telecoding for telemedicine
Some coders were already working from home either full time or a few days a week. Many practices and health care facilities implemented remote coding … [Read more...]
Why and when to use Modifier CS
Question: Why and when should we use modifier CS? Answer: Use modifier CS on visits related to testing for COVID-19. When you do, Medicare … [Read more...]
Modifier CS: cost sharing for COVID-19 testing and visits related to testing
Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]
Payment for telephone calls: CMS update
CMS will pay for phone calls using codes 99441—99443. These services previously had a status indicator of non-covered. 99441--99443 have been … [Read more...]
Telemedicine and COVID-19 FAQ
Resources to download regarding telehealth CMS Interim Rule - March 30, 2020 CMS Interim Rule - April 30, 2020 "Coding and Reimbursement … [Read more...]
CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services
New for 2020! Be sure to read the telemedicine COVID-19 article for the latest information. CPT® developed three new CPT® codes for use by … [Read more...]
Overview of Medicare telehealth services
Please see the Telemedicine article for the rules and guidelines for use during the COVID-19 public health emergency. Medicare covers some … [Read more...]
Virtual communication: HCPCS codes G2010 and G2012
Not considered telehealth These two HCPCS codes were developed by CMS for virtual communication Do not use POS 02 or modifier 95 on these … [Read more...]
Interprofessional Internet Consultations
CMS recognizes and pays for six codes for interprofessional consults codes 99446–99449, 99451, 99452 These are not considered telehealth services. … [Read more...]
Modifier 95: telemedicine
During the public health emergency (PHE), CMS and private payers relaxed the restrictions on telehealth. These changes are intended to be temporary. … [Read more...]
Can I get paid for…nurse visits
Nurse visits - when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Download … [Read more...]