It’s now official: your telehealth services are on CMS’ radar. The Office of Inspector General (OIG) just announced that it will start reviewing claims for specific violations. The last thing you want to do is pay back money for incorrect telehealth reporting. But that’s exactly what could happen if you don’t tighten up your telehealth […]
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 […]
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+ […]
QUESTION: Our doctor performed a telehealth exam that resulted in the patient coming into the office later that day for an in-person COVID-19 test. Can we bill CPT code 99211 for the specimen collection AND 99203 for the telehealth encounter when they occur on the same day? If so, should modifier 25 be added to […]
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 […]
QUESTION: Our patients have really responded to the telehealth services that we introduced to help extend care during the height of COVID-19. We still provide more than 50% of our services via telehealth. Are payers going to extend the telehealth waivers, or will it become more difficult to provide these virtual services? Milwaukee, WI Subscriber […]
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, […]
New CMS rules have expanded your reimbursement opportunities for new patient and telehealth services your registered nurses and medical assistants previously provided for free. The catch is, that if you want to be paid you must know exactly when and how to accurately apply CPT code 99211. Follow these updated Medicare eligibility and incident to […]
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 […]
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 […]
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