CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency … [Read more...]
Coding Telehealth Visits
Coding telehealth visits changes faster than the weather here in New England. We've assembled these resources to answer your questions about what … [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?
The answer to this question was a lot clearer on March 1st. The list of telehealth services was found in two places: CMS’s list of 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
Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes 99441—99443. The 4/30/20 rule adds these to … [Read more...]
Telemedicine and COVID-19 FAQ
Updated: May 15, 2020 Read the article about modifier CS and cost sharing here Telehealth Q&A CMS Interim Rule - March 30, 2020 CMS … [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: two new 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 is recognizing six codes for interprofessional consults in 2019. Four of these were existing codes that did have a status indicator of bundled … [Read more...]
New modifier for telemedicine in 2017: modifier 95
An Overview of Telemedicine Modifier -95: Read the telemedicine article for the most up-to-date information during the public health emergency! … [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...]