DIGITAL
TELEHEALTH SERVICES The Centers for Medicare & Medicaid Services (CMS) issued the 2023 Physician Fee Schedule (PFS) Final Rule on November 1, 2022. This Final Rule for telehealth and digital service providers includes significant changes, stating new codes that will anticipate and facilitate future growth in these areas. However, medical billers and coders require immediate answers to their digital and telehealth billing services questions. Which codes are to be used, and for what services? How do digital and telehealth services get reimbursed? And many more!! https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com
BILLING FOR
AND
BEGIN THE JOURNEY BY KNOWING ABOUT THE CPT CODES TO BE USED FOR DIGITAL AND TELEHEALTH SERVICES:
Codes: • Online Digital E/M Services :
codes
clinicians
online digital evaluation
services
services
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
LET’S
CPT
These are the
used by
who may independently bill
and management (E/M)
in their scope of practice. They are “messaging” codes, not video, telephone, or in-person
meant for E/M services of a type to be done face-toface through a HIPAA-compliant secure platform. • Telehealth Visits All traditional Medicare beneficiaries, regardless of originating site or geographic location, will be covered for telehealth visits. However, a pre-existing relationship with a patient is not required to provide a telehealth visit. Instead, telehealth/e-visits can be provided using Skype, FaceTime, and other common communication technologies.
99201-99205: New patient office/outpatient E/M visit G0425-G0427: Initial inpatient telehealth consultations for emergency department (Medicare only) G0406-G0408: Follow-up inpatient consultations for patients in hospitals or SNFs (Medicare only) Modifier 95: Use on an interim basis for Medicare telehealth billing company by most commercial payers • Telephone E/M Services : Telephone or audio-only evaluation and management (E/M) services for established and new patients may neither be led to an E/M service or procedure within the next 24 hours nor derived from a related E/M service provided within the previous 7 days or the next available appointment. https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com
Undoubtedly, the provisions of the Final Rule will significantly impact the prospects of telehealth and digital services in the context of the Medicare Program and beyond beginning in January 2023. However, the billing guidelines for digital and telehealth services are still being developed. In fact, the rules for billing digital and telehealth services vary from payer to payer (Medicaid, Medicare, private payers, etc.). To know more, you can contact the 24/7 Medical Billing Services team to enhance your reimbursements ultimately. To get in details visit : https://bit.ly/3GAlTQD https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com Enhance your Reimbursements
24/7 Medical Billing Services is the nation’s leading medical billing service provider catering services to more than 43 specialties across the entire 50 states. You can rely on us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with cost reduction of your practice for up to 50%. https://www.247medicalbillingservices.com info@247medicalbillingservices.com About 24/7 Medical Billing Services
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