2021 Medicare Physician Fee Schedule Telehealth

2021 CMS Fee Schedule Proposes 5 Telehealth Changes

Your telephone, telehealth exam, and virtual check-in pay could come to a grinding halt unless you’re up to date on the latest potentially upcoming changes to the 2021 Medicare Physician Fee Schedule. Auditors will be checking to see if you tightened your regulations for coding, compliance and more. Prep your practice now on the top […]
CPT code 99441 telehealth

Collect $46 for Telehealth CPT Code 99441 vs 99213

QUESTION: Our patients really love the convenience and safety of telehealth, and we are planning to continue offering the services long-term. Can you provide us with some clarification on how to use CPT code 99441-99443 vs 99201-99215 when the video exam is not straightforward? Some example include:  What if there are technical issues and the […]
Liability waiver covid-19

Liability Waivers for COVID-19: Put Stronger Safeguards in Place Now

QUESTION: Can we be sued if a patient thinks they got infected at our practice? Will a COVID-19 liability waiver protect us from patient lawsuits claiming they contracted the virus at our office? Question from Austin, Texas subscriber   ANSWER: You are right to be anxious about the reality of being sued. More than 800+ […]
virtual check-in CPT code G2012

Boost Virtual Care Payup by $15 for Emails, Appointment Checks

Getting your practice back on firm financial footing post-lockdown will take more than just calling patients to reschedule canceled appointments. Although the U.S. is reopening, many patients still don’t feel comfortable visiting your practice, unless they absolutely have to. What’s the long-term solution? More virtual services and non-face-to-face care into your practice workflows may be […]
CPT Code 99433 Telephone

CPT Code 99443: Get $110 Per 30-Minute Telephone Call

You can add thousands of dollars in revenue for your telephone calls (99441-99443) thanks to new CMS rules. Pre-coronavirus, these codes netted a big fat $0. But now Medicare is paying up to $110 for a 30-minute call if you get your billing right. To capture this added payment fast without facing improper claims penalties, […]
restarting elective surgery after covid-19

2 Policies Restart Your Elective Surgeries Post Coronavirus

Your practice’s financial stability means you have to quickly scale your elective surgeries back to pre-coronavirus days while complying with new safety guidelines. Two of the top policies you need to iron out and then communicate are your pre-surgical COVID-19 screening processes and surgery visitation allowances. As you create and implement your new COVID-19 surgical […]
CPT code telephone 99443

30-Min Call Now Pays $110

QUESTION: Medicare already covers a physician telephone call with G2012. With the recent virtual care coding changes, should I now use 994xx instead? Subscription question from Bangor, Maine ANSWER: CMS made CPT telephone call codes (99441-99443) payable as of March 1, 2020, and increased their reimbursement to make them equivalent to mid-level established patient office […]
HIPAA Violations Zoom

Use Zoom Judiciously or Face Lawsuit

QUESTION: We heard that HIPAA allowed any technology for telehealth exams during the pandemic.  While researching the options, Zoom was a low barrier entry due to low monthly cost and single sign on function. We have read reports of some companies banning the technology because of security issues. However, we’ve also read that during this […]
Cost Sharing Waivers

Avoid COVID-19 Fraud: Comply with Cost Sharing Waivers

CMS and private payers have recently implemented a variety of prior-authorization, copay and cost-sharing billing waivers for the COVID-19-related services you supply to your patients. Many of the services included in these waivers are being made available to patients at no cost. This helps prevent the inability to pay for services as a barrier to […]
telehealth incidentto hospital

Get Paid for Remote Services for Your Hospitalized Patients

QUESTION: We are really confused on the constant telehealth regulatory changes. Our providers understand that new codes qualify with less supervision – and even without audio. We have several elderly patients who require ongoing care. Can you provide us with some recent options for CMS paid telehealth so we can continue to care for our […]