![]() ![]() To reduce the potential for confusion, we are maintaining the current definition of MDM. It remains our expectation that practitioners will document E/M visits as necessary to ensure quality and continuity of care. Insurers were also required to reimburse a service provided telephonically at the same rate as services provided via video. These requirements are in effect throughout the declared COVID-19 state of emergency.įor more information see: UnitedHealthcare Telehealth Services: Care Provider Coding Guidance. If your practice has its own telemedicine capability (audio/video), proceed with visits and bill CareFirst as normal with a place of service 02 and refer to. office/outpatient E/Ms beginning in 2021 under policies finalized in the CY 2020 PFS final rule. On March 30, 2020, the California Department of Insurance (CDI) issued guidance requiring CDI-regulated insurance companies to reimburse providers at the same rate for telehealth services as they would for services provided in person. The following outlines key policies or actions taken during the COVID-19 pandemic that have been extended past the end of the COVID-19 Public Health Emergency (PHE) either by CMS or through the Consolidated Appropriations Act (CAA) of 2023: Category 3 telehealth services will be covered through 2023. Click Billing and Claims on the menu bar and choose Telehealth. Click Secure Provider Resources (Blue Cross and BCN). This APL clarified that the prior APLs ( 20-009 and 20-013) remain in effect for the duration of California’s declared state of emergency or until further notice from DMHC, whichever is earlier. The APL also clarified that these requirements apply to delegated entities to the extent the health plan delegated the services impacted by these APLs. Patients Perceptions of Telemedicine Visits Before and After the Coronavirus Disease 2019 Pandemic. Click Payer Spaces on the menu bar and then clck the BCBSM and BCN logo. The change implemented by UHC aligns with the California Department of Managed Health Care (DMHC) all plan letter (APL) issued on September 4, 2020, which reminded DMHC-regulated health plans of the continued requirement to reimburse providers at the same rate for telehealth services, including telephonic visits, as they would for services provided in person. While the policy – announced in United’s October 2020 Reimbursement Policy Update Bulletin – became effective January 1, 2021, UHC advises that an unofficial transition period for payment of claims not billed with POS 02 was in place through mid-March. Effective March 13, 2021, telehealth claims not billed with POS 02 will not be paid and providers will be required to resubmit a corrected claim. Telehealth claims with any other POS will not be considered eligible for reimbursement. The consulting practitioner should bill the CPT code for the professional service appended with the telehealth modifier GQ. UnitedHealthcare (UHC) is now requiring physicians to bill eligible telehealth services with place of service (POS) 02 for commercial products. ![]()
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