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HCCIntelligence™ Webinar Recording: COVID-19 Updat ...
Webinar Q and A
Webinar Q and A
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Pdf Summary
The document touches on various aspects of telehealth practice, billing, and patient care amid the COVID-19 pandemic, focusing on Medicare patients. Key highlights include:<br /><br />1. **Billing for Telehealth Services**: <br /> - G2012 (Virtual Check-in) can be billed along with Advance Care Planning (ACP) if ACP involves real-time two-way audio and video communication.<br /> - Phone interactions can use codes like G2012, CPT 99441-99443, and Care Management services such as Chronic Care Management (CCM).<br /><br />2. **Telehealth Modifiers**:<br /> - The "95" modifier should be used for Medicare telehealth services to be reimbursed at the non-facility rate for services delivered via two-way audio and video.<br /> - The "GT" modifier is appropriate only for services under Critical Access Hospital (CAH) Method II.<br /><br />3. **Patient Care in Assisted Living/Memory Care**:<br /> - Addressing the anxiety and confusion among residents in lockdown by using creative delivery of virtual care.<br /> - Providers can support patients through virtual visits enabled by facility contacts who facilitate rounds.<br /><br />4. **Virtual Check-ins and E-Visits**:<br /> - E-visits involve communications over a patient portal within a 7-day timeframe.<br /> - Documentation for virtual check-ins should include date, time, patient's concern, clinical judgment, recommendations, treatment plan, and consent.<br /><br />5. **Consent for Telehealth**:<br /> - Verbal consent is common, though formal written consent is ideal. Electronic forms from technology vendors can also be utilized.<br /><br />6. **Cost-Sharing Modifications**:<br /> - The CS modifier applies when ordering/administering a COVID-19 test, waiving cost-sharing as per the CARES Act.<br /> - Practices may choose but are not required to waive cost-sharing for telehealth services during the Public Health Emergency.<br /><br />7. **Billing Complexities**: <br /> - CCM is preferable for extensive phone calls as reimbursement rates are higher.<br /> - Prolonged services billing (99358) should relate to a face-to-face or telehealth visit.<br /><br />The document emphasizes adaptable telehealth practices, precise billing, and thorough documentation to ensure proper care and reimbursement during the pandemic.
Keywords
Telehealth
Billing
Medicare
COVID-19
Virtual Check-in
Telehealth Modifiers
Consent
Cost-Sharing
Patient Care
Chronic Care Management
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