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Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Services (CMS) kindly dropped another bomb on us: more temporary policy changes during the public health emergency for COVID-19. We may have this all sorted out just […]
The post Medicare Telehealth Coding as of April 30 appeared first on AAPC Knowledge Center.
Capture full payment for remote visits during the PHE for COVID-19. An interim final rule published in the April 6, 2020, Federal Register explains how to bill telehealth services during the COVID-19 public health emergency (PHE). The final rule goes into great detail, explaining why the place of service (POS) code 02 is not being […]
The post Using Modifier 95 for Telehealth Makes Cents appeared first on AAPC Knowledge Center.
HHAs, hospices need direct telehealth reimbursement, industry reps maintain. Medicare is giving home health agencies and hospices freer rein with telehealth visits, but providers must make sure the plan of care reflects that new usage. Telehealth for Home Health The Centers for Medicare & Medicaid Services’ Home Health Prospective Payment System final rule for calendar […]
The post Telehealth Coverage Expanded for Home Health, Hospice appeared first on AAPC Knowledge Center.
Certain telemedicine services are already covered under the Physician Fee Schedule (PFS) when provided to Medicare patients in accordance with regulations. In response to the public health emergency (PHE) for the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has temporarily expanded telehealth coverage. Effective March 6, CMS expanded the telehealth benefit under […]
The post Telehealth FAQ: You Asked, We Answered appeared first on AAPC Knowledge Center.
Physicians now may use telehealth to conduct face-to-Face encounters for home health patients. Home care providers may not be getting all the support they want from regulators in the face of the COVID-19 crisis, but the feds are helping home health agencies on one critical point: reimbursement for face-to-face physician encounter visits. What Does the […]
The post COVID-19 Prompts Telehealth Expansion to Home-bound Patients appeared first on AAPC Knowledge Center.
Your frequently asked questions, answered. In a previous post in the AAPC Knowledge Center, we noted that, on March 17, 2020, Medicare relaxed its telehealth regulations to facilitate healthcare for the elderly and others affected by the COVID-19 pandemic for the duration of the national public health emergency. Specifically, the purpose of the decision was […]
The post Coronavirus Medicare Telehealth Waiver FAQ appeared first on AAPC Knowledge Center.
The government is relaxing guidelines to ensure seniors get the healthcare they need during this national emergency. A sweeping expansion of telehealth coverage for Medicare beneficiaries is being implemented to aid in the healthcare needs of those with the coronavirus, or COVID-19. The Centers for Medicare & Medicaid Services (CMS) announced in a March 17, 2020, […]
The post Telehealth Coverage Expanded for Medicare Patients appeared first on AAPC Knowledge Center.
Thanks in advance for any advice or guidance on this matter.
This is my first time posting, so I hope I’m in the right forum and also not repeating someone else’s question.
This question is specifically for Aetna in Texas but any feedback is appreciated.
I am getting no where fast when trying to get reimbursement from Aetna for Televisits. I’ve coded it all kinds of ways: POS 2 no modifiers, POS 2 modifier GT, and POS 2 modifier 95.
Every claim is being denied for various reasons: (1) Missing/incomplete/invalid/inappropriate place of service, (2) Procedure code incidental to primary procedure, and/or (3) Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. (and a few other denials… basically all meaning the same thing)
What makes it worse is that every Aetna provider rep I get on the phone tells me something different. A lot of overseas reps will just default to "appeal and send records," but I cannot do that for EVERY Aetna televisit! Does anyone know what Aetna’s deal is? What is the best way to bill televisits for Aetna members?
Thank you in advance for your input!
-Brennen
Telehealth adoption by physicians is way way up, a recent survey indicates. A review of 800 physicians in December 2018 indicates adoption is up 340% since 2015. The subjects, two-thirds of whom practice primary care, shows that experience with video visits with patients has risen from 5% in 2015 to 22% in 2019. This is […]
The post Docs Embracing Telehealth appeared first on AAPC Knowledge Center.