Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach. Here’s the definition from the AMA, … [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...]
Medicare changes telehealth rules, again
Medicare changes telehealth rules, again: April 30, 2020 interim final rule with comment period … [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...]
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 | Webinar
Telemedicine in the time of COVID-19 Re-recorded July 15th, 2020 The coding and reimbursement rules for telehealth changed fast in March. Congress … [Read more...]
Telemedicine and COVID-19 FAQ
It is a full time job in medical practices to keep current on each payer's telehealth rules, which change frequently. CMS continues to pay for … [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...]