Tag: Coding

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Direct Billing by an NPP (Billing Option #1)

Incident to Billing Criteria (Billing Option #2)

Providers can now perform 89 telehealth services with a telephone call, CMS says

A phone call with a patient — plus complete documentation — will be all it takes to report 89 services on Medicare’s telehealth list. Practices will also be able to receive full reimbursement for 39 new services performed via telehealth according to the updated telehealth list posted today. The changes are retroactive to March 1. For the full article and list, visit the POET Ink File, CoVID-19.

Providers are able to receive customized news updates from Superior relevant to their specialty, region or Superior products. Follow the link to find out how.

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To help you manage the claim submission and reimbursement process with UnitedHealthcare, as well as access the CARES ACT funding available to health care professionals, here’s a summary of resources to address your most common questions and concerns. Use this link to view the list.

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Effective April 1, 2020, Cigna Medicare is accepting the Arcadia 360s via telehealth until further notice.

Attached is the latest announcement regarding this change. Also attached is the Arcadia 360 User Guide for performing the 360s via telehealth.

Key items to note are:

•  Telehealth 360s must be both visual and audio.
• In the Location field of the 360, the provider will need to select “Other”. In “Other Location” they should type “telehealth”.
• Vitals and physical exam are not required to pass the audit check for a telehealth visit.
• Telehealth 360s are reimbursing at the same rate – $150 plus FFS reimbursement on the corresponding claim.
•  CMS has not yet approved telehealth for risk adjustment. CareAllies and Cigna have been working with CMS to see if there may be some opportunity for clemency during this pandemic.

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