Not every code you submit to Medicare requires a modifier, which is why it can sometimes be easy to forget them. Unfortunately, leaving telehealth modifiers off of some claims can cause instant denials, which is why it’s essential to iron out the rules of when you need them and when you don’t. Check out three […]
Before you turn in your next telehealth claim, it’s important to go over your documentation checklist. If payers find that you don’t have one of the essential seven elements in your notes, they’ll ask for payments back and leave you unpaid for these telemedicine visit claims. Keep this checklist nearby and double-check your notes for […]
Many providers were preparing for the end of Medicare telehealth flexibilities as March 31 approached, but Congress came through last week to offer a telehealth extension. Discover what the telehealth extension may mean for your practice, when it will end, and several other important details. Telehealth Extension Now Lasts Through Sept. 30 Congress extended the […]
Telehealth consent can be a confusing area. While Medicare doesn’t come out and require it, the Department of Health and Human Services says that “specific informed consent laws vary by state,” but that it’s a good idea to take common sense actions to ensure you have the patient’s express approval before conducting a telehealth appointment. […]
Ever since G2211 went into effect last year, practices have been using it to collect more from Medicare when seeing patients for longitudinal care. You can bring in an extra $15 or more from MACs for this service, and it may even be applicable for telehealth visits. To straighten out when you can use G2211 […]
Telehealth billing and coding requirements are changing in 2025, with many of the pandemic-era flexibilities that Medicare offered lifting as of January 1. If you want to continue collecting for the services that are still billable, you must ensure that your telehealth documentation is pristine. Check these five essential features you must include in your […]
About 700% more telehealth providers joined the U.S. healthcare industry between 2002 and 2016, with growth continuing to rise since then. But some telehealth organizations are finding that in-person visits will be necessary in many cases, no matter what. That’s the word from a new 164-page report published by Trilliant Health, which focuses on trends […]
When your provider talks to patient on the phone, you may worry that your payer won’t reimburse you appropriately for the visit, even though it takes just as much medical decision-making as an in-person visit. The good news is that Medicare pays over $128 for non-facility telephone visits if you report and document 99443 correctly. […]
It’s become more common than ever to see mental health patients via telehealth, providing convenience and time savings to those who prefer it. In most cases, you’re probably able to collect for telehealth therapy encounters without an issue, but that’s not the end of your responsibility. You should also document appropriately so you can support […]
Medicare billing data indicates that most practices are still reporting a healthy number of services via telehealth. If you occasionally see denials for those visits, the problem may involve the modifiers you do and don’t use. Consider these three modifiers when you’re submitting telehealth claims to Medicare so you can collect accurate pay more quickly […]
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