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...]
Care Management Services
Technology advances and policy changes mean medical practices can now get paid for certain non-face-to-face services. But, you need to know how to code for them, consent rules, and documentation requirements, and what you’ll be reimbursed for these complex, new services.
Specimen Collection For COVID-19
CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [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
In April, 2020Â CMS released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified Health Centers … [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 During the PHE: CMS Rules for Phone Calls
CMS rules for phone calls has changed during the course of the pandemic. Prior to the public health emergency these had a status indicator of … [Read more...]
Blood Pressure Self-Measurement 99473, 99474 | Reference Sheet
CPT ® codes 99473 and 99474 are used to report specific clinical staff and/or physician, NP or PA work related to blood pressure self-measurement by … [Read more...]
On-line Digital Services and Remote Monitoring | Webinar
Recorded February 27, 2020 The new CPT ® codes for non-face-to-face services include both on-line digital evaluations and remote physiological … [Read more...]
Consent for Communication Technology-Based Services (CTBS)
Both CPT and CMS have developed codes for non-face-to-face communication-based technology services in recent years. In addition to care management … [Read more...]
Blood Pressure Self-Measurement: Education, Training and Analysis | CPT Codes 99473, 99474
There are two CPT codes specifically for blood pressure self-measurement and management. The first is for patient education and calibration of a home … [Read more...]
Anticoagulation Management
Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading. The … [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...]
Remote Physiologic Monitoring Treatment Management Services
This is an overview of coding for Digitally Stored Data Services/Remote Physiologic Monitoring in the E/M section of the CPT book. There are more … [Read more...]
Virtual Communication: HCPCS Codes G2010, G2012, G2250, G2251, G2252
Virtual communications are not considered telehealth These HCPCS codes were developed by CMS for virtual communication They are not on CMS's … [Read more...]
Checklist for CPT® code 99483 | cognitive assessment code for dementia
Is your practice performing cognitive assessments for patients with dementia, using CPT® code 99483? Primary care and neurology practices are likely … [Read more...]
Advance Care Planning | CPT® 99497, 99498
Advance Care Planning (ACP) 99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with … [Read more...]
Don’t forget Care Plan Oversight
There are two sets of codes for care plan oversight, CPT® (99374–99380) and HCPCS codes (G0181, G0182) The requirements for each are different, … [Read more...]
Care Plan Oversight | Coding reference sheet
This reference chart for Care plan oversight (CPO) includes CPT® and HCPCS codes, with wRVUs, time and patient status. RVUs are updated for … [Read more...]
Coding Guide – Care Management Services
CMS has a stated goal of recognizing management services provided outside of an office visit. In particular, valuing and paying for care management … [Read more...]
CPT® Code 99483: Cognitive Assessment and Care Plan Services
Developed in 2018, this service describes an in-depth assessment and development of care plan services for new or established patients who have signs … [Read more...]
Modifier 95, 93: Telemedicine
CPT has two modifiers for telemedicine. Modifier 95 was an existing modifier from before the public health emergency. They added modifier 93 for … [Read more...]