How To Bill Telehealth Visits

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Billing for telebehavioral health Telehealth.HHS.gov

Details: Billing for telebehavioral health. If you decide to provide telebehavioral health services, you will have to learn about rules and regulations for billing and reimbursement. The federal government, state Medicaid programs and private insurers have all expanded coverage for telehealth during the COVID-19 public health emergency. billing for telehealth visits

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› Url: https://telehealth.hhs.gov/providers/telehealth-for-behavioral-health/billing-for-telebehavioral-health/ Go Now

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How to Bill for Telemedicine Visit

Details: With the 1135 Waiver, CMS allows a Medicare beneficiary to get a wide range of services through telehealth covered, decreasing the need for a patient to make an office visit. This interaction must use a real-time, audio and video telecommunications service to make a virtual visit , like Beam Health… documentation for telehealth visit

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› Url: https://beam.health/how-to-bill-for-telemedicine-visit/ Go Now

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Telemedicine Billing Tips

Details: When billing telehealth services, healthcare providers must bill the E&M code with place of service code 02 along with a GT or 95 modifier. Telehealth services not billed with 02 will be denied by the payer. This is true for Medicare or other insurance carriers. Know how to bill a facility fee how to bill telehealth 2020

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› Url: https://capturebilling.com/telemedicine-billing-tips/ Go Now

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Telehealth Services

Details: Telehealth services billing and payment Telehealth originating sites billing and payment Resources Helpful websites and Regional Office Rural Health Coordinators Medicare pays for specific (Part B) physician or practitioner services furnished through a . telecommunications system. how to bill telehealth 2021

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› Url: https://go.cms.gov/mln-telehealth-services-icn901705 Go Now

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Telehealth Coding and Billing Compliance Journal Of AHIMA

Details: 95: For telehealth visits conducted in lieu of an intended in person visit due to the COVID-19 pandemic, use modifier 95 to identify telehealth services on professional claims. GQ: For Alaska and Hawaii, the GQ modifier is required on medical telehealth claims that are furnished asynchronously as part of a federal telemedicine demonstration billing telehealth visits 2020

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› Url: https://journal.ahima.org/telehealth-coding-and-billing-compliance/ Go Now

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MEDICARE TELEMEDICINE HEALTH CARE PROVIDER FACT SHEET …

Details: Effective for services starting March 6, 2020 and for the duration of the COVID-19 Public Health Emergency, Medicare will make payment for Medicare telehealth services furnished to patients in broader circumstances. These visits are considered the same as in-person visits and are paid at the same rate as regular, in-person visits. documentation required for telehealth visit

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› Url: https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet Go Now

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CMS Releases Guidance on Telehealth Billing for RHCs

Details: All RHCs will bill for telehealth visits the same as you would bill for an in-person visit and use the 95 modifier on the claim line to signify that the visit was via telehealth rather than in-person. In order to expedite adoption of this policy, CMS will INITIALLY pay the RHC’s all-inclusive rate for this visit. place of service telehealth

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› Url: https://www.narhc.org/News/28316/CMS-Releases-Guidance-on-Telehealth-Billing-for-RHCs Go Now

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MO HealthNet TELEMEDICINE BILLING

Details: Rural Health Clinics RHCs, both provider-based and independent, must continue to bill Telemedicine services using their non-RHC provider number when operating as an originating site. RHCs may use either their RHC provider number or their non-RHC provider number when operating as a distant site.

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› Url: https://dss.mo.gov/mhd/providers/education/files/telehealth-billing-webinar-powerPoint.pdf Go Now

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Telehealth Medical Billing and Coding Forum

Details: I am researching Telehealth Visits as well. It looks like you can bill 99201-99215 for Established Patients for a Video Visit with a place of service of 02 but I thought I saw that they said the modifier was not needed because it was redundant to the place of service.

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› Url: https://www.aapc.com/discuss/threads/telehealth.172238/ Go Now

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Coding for Telemedicine Services

Details: 02 Telehealth*: The location where health services and health related services are provided or received, Check with your payers if you plan to bill as the hosting facility. (limit 1 telemedicine visit every 30 days) 99307–99310

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› Url: https://www.aap.org/en-us/Documents/coding_factsheet_telemedicine.pdf Go Now

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Provider: Telehealth and Telemedicine Billing

Details: ANSWER: Yes, CPT code 90853 is temporarily billable as a telehealth service during the COVID-19 public health emergency. Modifier 95 should be used to indicate the service was provided virtually according to Humana Policy. Please refer to applicable CMS guidance

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› Url: https://www.humana.com/provider/telehealth-billing Go Now

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Documentation and Billing for Telemedicine Visits during

Details: There are only two categories of staff that can bill for Telemedicine services. For Telemedicine and Virtual Check-in visits respectively, the provider must be able to bill for an E/M visit. A Nurse, MA or Technician performing these services would not be able to bill.

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› Url: https://www.triumphealth.com/how-to-document-and-bill-for-telemedicine-visits-during-covid-19-emergency/ Go Now

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Telemedicine bill to improve access to health care

Details: 1 day ago · ouse Bill 4, authored by Rep. Four Price, R-Amarillo – whose leadership team on the legislation included Rio Grande Valley state lawmakers – will improve access to health care for Texans, especially those in rural and medically underserved areas, by allowing multiple services to be provided through telemedicine, telehealth, telecommunications, or other information technology.

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› Url: https://edinburgpolitics.com/2021/07/23/telemedicine-bill-signed-into-law-gov-abbott/ Go Now

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New Medicare Law Requires In Person Visit for Telehealth

Details: New Medicare Law Requires In-Person Visit for Telehealth Coverage. In December 2020, the Consolidated Appropriations Act of 2020, section 123 includes language that requires behavioral health providers to have seen their client in person during the prior six months before a telehealth visit will be covered by Medicare.Further, providers must have in-person visits on a …

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› Url: https://telehealth.org/new-medicare-law-requires-in-person-visit-for-telehealth-coverage/ Go Now

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Telehealth Billing for Therapists: The Definitive Guide [2021]

Details: Telehealth billing for therapists is complex, requiring the correct medical claims coding cpt codes, modifiers, and place of service code. Our exhaustive guide to telehealth billing for therapists will teach you how to code your mental health insurance claims for telehealth billing as the process to ensure you get paid every time.

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› Url: https://therathink.com/bill-telehealth-for-therapy/ Go Now

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Billing Telehealth Services Provider Premera Blue Cross

Details: A reminder that for telehealth visits, providers need to bill POS 02 for all services delivered after September 1, 2020, along with an appropriate modifier (95 or GT) appended to the procedure code. Telehealth claims not using POS 02 will be denied and returned. Refer to your Premera contract for allowable information for virtual care codes.

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› Url: https://www.premera.com/wa/provider/news/reminders-updates/billing-telehealth/ Go Now

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COVID-19 and Telehealth Billing Guide for Medi-Cal Managed

Details: Please follow the DHCS guidelines for billing virtual and telephonic visits includingspecific documentationin the medical records that satisfies the requirements of the CPT or HCPCS code utilized. The provider needs to make a clinical decision if treatment via telehealth is/will be effective for the Applied Behavior Analysis visits.

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› Url: https://providers.anthem.com/docs/gpp/california-provider/CA_CAID_COVID19_Telehealth_BillingGuide_MediCalManagedCare.pdf Go Now

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UnitedHealthcare Telehealth Services: Care Provider

Details: Title: UnitedHealthcare Telehealth Services: Care Provider Billing Guidance Subject: The following scenarios are intended as a guide to help you understand how UnitedHealthcare will reimburse telehealth services during the COVID-19 national emergency period.

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› Url: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/Telehealth-Patient-Scenarios.pdf Go Now

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Telehealth UHCprovider.com

Details: From Feb. 4, 2020 through March 31, 2021, UnitedHealthcare is waiving cost sharing for in-network and out-of-network telehealth COVID-19 treatment visits. Non-COVID-19 Visits. In 2021, cost sharing for telehealth services will be determined according to the member’s benefit plan. Most of our Medicare Advantage plans have $0 copayments for

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› Url: https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-services-telehealth.html Go Now

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2020-2021 Telehealth Tip Sheet

Details: • Telehealth is not limited to COVID-19-related visits. • Document the telehealth modality utilized with every visit, include assessments using peripherals (i.e. BP and oxygen saturation), and bill using the corresponding codes for the level of care provided.

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› Url: https://www.caresource.com/documents/medicaid-ga-telehealth-tip-sheet/ Go Now

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Billing codes for telephone and telehealth video visits

Details: Telehealth E&M services (video and audio) Add the modifier -95 to the E&M code and use place of service (location code) 02 99201 – 99215 Office or other outpatient visits 99241 – 99245 Consultations

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› Url: https://www.pinnacol.com/knowledge-center/billing-codes-for-telephone-and-telehealth-visits Go Now

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Telemedicine Billing

Details: How do physicians bill for audio-only visits? Current coding manuals include CPT codes 99441–43, 98966–68 and HCPCS code G2012 as audio-only telehealth. CMS 1500 professional claims should have the place of service “02” or one of the telemedicine modifiers GT, GQ or 95, with appropriate CPT or HCPCS codes.

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› Url: https://www.tricare-west.com/content/hnfs/home/tw/prov/claims/billing_tips/telemedicine.html Go Now

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UPDATED: Superior HealthPlan Telemedicine and Telehealth

Details: When submitting an encounter for a RHC service delivered through telehealth or telemedicine, the existing RHC procedure code T1015 should be used, with the modifier 95 added to indicate use of the telehealth or telemedicine modality.

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› Url: https://www.superiorhealthplan.com/newsroom/updated-superior-telemedicine-telehealth-service-updates-04242020.html Go Now

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Optum Behavioral Health: COVID-19 updates to telehealth

Details: Billing guidelines: Optum Behavioral Health will reimburse telehealth services which use standard CPT codes and a GT modifier or a Place of Service of 02 for both video-enabled virtual visits and telephonic sessions to indicate the visit was

› Verified 7 days ago

› Url: https://www.optum.com/content/dam/optum3/optum/en/resources/PDFs/OBH_COVID-19_Telehealth%20Update_03192020_FINAL_WithMemberDisclaimer.pdf Go Now

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Managing Patients Remotely: Billing for Digital and

Details: Managing Patients Remotely: Billing for Digital and Telehealth Services. Updated October 19, 2020. Download PDF. Both public and private health insurers have taken steps to increase access to telehealth services due to concern over the spread of COVID-19.Below you will find a summary of the major telehealth policy changes, as well as information on how to code and bill for the remote

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› Url: https://www.acog.org/practice-management/coding/coding-library/managing-patients-remotely-billing-for-digital-and-telehealth-services Go Now

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Telehealth, Virtual Visits, e-Visits, and Remote Care for

Details: You can find a list of the telehealth codes reimbursable by Medicare HERE. Currently, practitioners providing services to nursing homes via telehealth can bill CPT codes 99307-99310* for nursing facility subsequent visits, and CPT codes 99497-99498 for advanced care planning services.

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› Url: https://nixongwiltlaw.com/nlg-blog/2020/4/23/telehealth-virtual-visits-e-visits-and-remote-care-for-nursing-homes-during-the-covid-19-public-health-emergency-phe Go Now

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Temporary COVID-19 Telehealth Payment Policy

Details: Providers should submit claims for telehealth visits, as outlined below: Commercial and Tufts Health Direct • Submit claims with place of service (POS) 02 or the appropriate telehealth modifiers (see table below) to differentiate a telehealth visit from an in-person visit.

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› Url: https://tuftshealthplan.com/documents/providers/payment-policies/covid19-telehealth Go Now

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Telehealth Services Billing Guidelines

Details: Telehealth Billing – FFS Providers Coding Providers should follow national coding standards when using HCPCS, CPT and UB-04 Revenue Codes. For a complete code set of services, along with their eligible place of service and modifiers, that can be billed as telehealth please visit the AHCCCS Medical Coding Resources web page at:

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› Url: https://www.azahcccs.gov/Resources/Downloads/DFMSTraining/2019/TelehealthServicesBillingGuidelinesFFSPresentation.pdf Go Now

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Virtual Care Billing Information Manual

Details: unique provider billing conditions apply to this scenario. Please see Section 4.4 Requirements Specific to Direct-to-Patient Video Visits. Even though video visits are not insured services, the Virtual Care Program physician service video visit rates are set at the …

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› Url: https://support.otn.ca/sites/default/files/ohip_telemedicine_billing_information_manual.pdf Go Now

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Telehealth frequently asked questions for providers

Details: This document contains frequently asked questions about telehealth visits. For broader information about telehealth, see the following documents: • Telehealth for medical providers • Telehealth for behavioral health providers • Telemedicine Services Medical Policy. You can access these documents in the telehealth sections of our coronavirus

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› Url: https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/alerts/covid-19-telehealth-provider-faq1.pdf Go Now

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What Rural Health Clinics Need to Know About Telehealth

Details: The CARES Act authorized rural health clinics (RHCs) to furnish telehealth services and bill as the distant site provider during the COVID-19 Public Health Emergency.Providers can perform these services from any location, including their home, during times when they would have otherwise been regularly scheduled to see patients in the RHC.

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› Url: https://www.eidebailly.com/insights/articles/2020/4/what-rural-health-clinics-need-to-know-about-telehealth-billing Go Now

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TELEMEDICINE AND COVID-19 FAQ

Details: compliant telemedicine visits during the COVID-19 Public Health Emergency. We recommend ensuring HIPAA compliance to avoid penalties after the Public Health Emergency has ended. Is the Vidyo system able to connect to other EHR systems, or just EPIC? We recommend contacting your EHR vendor to discuss video integration capabilities.

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› Url: https://www.aan.com/siteassets/home-page/tools-and-resources/practicing-neurologist--administrators/telemedicine-and-remote-care/20-telemedicine-and-covid19-webinar-faq-v204.pdf Go Now

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TELEMEDICINE AND VIRTUAL VISITS

Details: Highmark has discontinued the use of the expanded list of reimbursable telemedicine codes, effective July 1, 2021. However, that does not mean that providers will no longer be reimbursed for telemedicine and telehealth visits. Highmark had previously allowed the delivery of virtual visits by practitioners years before the public health emergency.

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› Url: https://hbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits Go Now

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Operationalizing Virtual Visits During a Public Health

Details: Under the Medicare telehealth expansion for public health emergencies: Bill professional claims with modifier 95 for Medicare telehealth visits. Telehealth visits …

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› Url: https://www.aafp.org/fpm/2020/0500/p5.html Go Now

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Telehealth Guidelines

Details: When billing professional claims for telehealth services with dates of services on or after March 1, 2020, and for the duration of the COVID-19 pandemic, bill with the Place of Service normally billed (e.g., outpatient office visit POS 11) along with a modifier 95, indicating that the service rendered was actually performed via telehealth.

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› Url: https://triwest.com/en/provider/news--updates/telehealth/ Go Now

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Hospital Billing of Telehealth Visits During COVID-19

Details: In an Interim Final Rule published on March 31, CMS authorized physicians to bill for telehealth visits as if they were office visits in response to the COVID-19 public health emergency (“PHE”). Since then, many hospitals have pointed out that there was no mechanism for a hospital to bill an originating facility fee for a telehealth service

› Verified 9 days ago

› Url: https://www.powerslaw.com/hospital-billing-of-telehealth-visits-during-covid-19-pandemic/ Go Now

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mTelehealth Presents the Telehealth Home Health and Remote

Details: Rep. Thompson on July 16 sponsored the Helping Ensure Access to Local TeleHealth (HEALTH) Act of 2021, H.R. 4437, with original cosponsor U.S. Rep. G. K. Butterfield (D-NC) to codify Medicare reimbursement for telehealth services provided by community health centers and rural health clinics, according to the text of the bill.

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› Url: https://mtelehealth.com/bipartisan-thompson-bill-would-ensure-access-to-local-telehealth-services/ Go Now

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Overcoming the top billing and coding challenges for

Details: The Medical Group Management Association’s most recent MGMA Stat poll asked medical practice leaders, "What is your biggest coding/billing challenge for telehealth and telephone visits amid COVID-19?" Top responses included: Inconsistent payer rules: Respondents reported the variance among payers on which codes will be paid results in administrative burden in trying to …

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› Url: https://www.mgma.com/data/data-stories/overcoming-the-top-billing-and-coding-challenges-f Go Now

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Telehealth: Delivering Care Safely During COVID-19 HHS.gov

Details: Cost-sharing for patients in federal health care programs. The HHS Office of Inspector General (OIG) is providing flexibility for health care providers to reduce or waive cost-sharing for telehealth visits and other virtual care paid for by Federal health care programs, such as Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), during the public health emergency.

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› Url: https://www.hhs.gov/coronavirus/telehealth/index.html Go Now

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Telemedicine and Virtual Care

Details: Telemedicine appointments (also called telehealth or video visit appointments) allow you to connect with your doctor from anywhere. Whether you live far away or if your busy schedule makes it difficult to fit in appointments with your doctor, telemedicine video visits can help make staying on top of your health …

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› Url: https://www.geisinger.org/patient-care/telemedicine Go Now

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Behavioral Health Policy and Billing COVID-19

Details: Apple Health (Medicaid) behavioral health policy and billing during the COVID -19 pandemic (FAQ) In this time of the COVID-19 pandemic, HCA is aware that usual and customary ways of providing and billing/reporting Apple Health (Medicaid) services may not be feasible. It is also understood that different providers will have different capabilities.

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› Url: https://www.hca.wa.gov/assets/billers-and-providers/behavioral-health-policy-and-billing-COVID-19.pdf Go Now

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Congress to Debate Medicare Coverage for Audio-Only

Details: “During the COVID-19 pandemic, audio-only visits have provided a lifeline to patients who are unable to attend visits in person or participate in telehealth visits due to lack of broadband access or necessary equipment to facilitate the visits,” Andres Gilberg, senior vice president of government affairs for the MGMA, said in the press release.

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› Url: https://mhealthintelligence.com/news/congress-to-debate-medicare-coverage-for-audio-only-telehealth-services Go Now

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Telehealth in Nursing Home

Details: the visit. Supervisor Nurse or floor nurse On-site clinical staff member conducting the visits with the resident • Collects all requested information for the clinical champion. • Provides care services on site for residents, as instructed and facilitated by provider • Institutes infection control procedures for telehealth equipment.

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› Url: https://qioprogram.org/sites/default/files/CMS-CDC%20Fundamentals%20of%20COVID-19%20Prevention_09-03-2020_508.pdf Go Now

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New Bill Aims to Reduce the Financial Burden of a

Details: New Bill Aims to Reduce the Financial Burden of a Telehealth Visit The Telehealth Expansion Act of 2021 would exempt telehealth visits from meeting deductible requirements in high-deductible health plans, allowing patients more freedom to use virtual care.

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› Url: https://mhealthintelligence.com/news/new-bill-aims-to-reduce-the-financial-burden-of-a-telehealth-visit Go Now

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Medicare Telehealth Services and Registered Dietitians

Details: Visit the Academy's page on licensure and telehealth for more information. . Originating Site and Distant Site Criteria CMS has indicated that Medicare beneficiaries may only receive the MNT or DSMT service(s) from an "originating site" located in a rural Health Professional Shortage Area (HPSA) or in a county outside of a Metropolitan

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› Url: https://www.eatrightpro.org/practice/practice-resources/telehealth/medicare-telehealth-services-and-registered-dietitians Go Now

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TRICARE Revises Telehealth Policy to Respond to COVID-19

Details: Here’s what you need to know about each of these temporary changes to telehealth visits: 1. Addition of audio-only health care visits. Covered telehealth visits required both live video and audio. TRICARE will now also cover audio-only telehealth services. This allows you to continue care with providers who may not usually use telemedicine.

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› Url: https://www.tricare.mil/CoveredServices/BenefitUpdates/Archives/05_18_2020_TRICARE_Revises_Telehealth_Policy_to_Respond_to_COVID_19 Go Now

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