Select CoVid-19 Temporary Cost Share Wavers are Extended. UHC Feb. 26, 2021

To continue to meet your needs through the evolving COVID-19 health emergency, UnitedHealthcare is extending select COVID-19 treatment cost share waivers, which are summarized below. We also continue to make ongoing updates to our COVID-19 billing and reimbursement guidance with the latest information, including giving providers a way to look up member Medicare ID numbers when submitting COVID-19 vaccine administration claims to the Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC).

To view the full article, follow this link.

Cost Share Wavers Extended

Link Recommended by MGMA Regarding Telehealth

2021_03_09 CCHP_Website

CCHP helps you stay informed about telehealth-related laws, regulations and Medicaid programs. The map and search options below cover current laws and regulations for all fifty states and the District of Columbia. The information provided is only for research and informational purposes and should not be construed as legal counsel. Please consult with an attorney if you are seeking a legal opinion. To view the full report, visit the 50 State Report PDF

 

*Please note that for the most part, states continue to keep their temporary telehealth COVID-19 emergency policies siloed from their permanent telehealth policies. These temporary policies are not included in the Fall 2020 report. In instances where the state has made policies permanent, CCHP has incorporated those policies into this interactive map tool. 

Introducing Cigna’s new Virtual Care Reimbursement Policy

View the full policy at CignaforHCP.com/virtualcare, or view our quick reference guide for a brief overview.

United Healthcare Provider News June 2020

Attached is the link to the UHC Provider News for June 2020. Topics for this Month include:

*Extending Temporary Telehealth Expansion and Reimbursement Through 9/30/20 *Extending Telehealth Cost Share Waivers *Updated COVID-19 Testing Guidance * Updated Program Dates

United Healthcare Provider News June 2020

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MGMA Speaks on Telephone Visits 05132020

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89 Telehealth Services with a Telephone Call

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 can now perform 89 telehealth services with a telephone call 05012020

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CMS increases audio only…

From MGMA April 30, 2020 – Changes to telehealth policy:

  • Following MGMA advocacy, CMS is increasing payment for audio-only telephone E/M services (CPT codes 99441-99443) such that they are paid at the same rate as similar office and outpatient E/M visits, resulting in increased payments from $14-$41 to $46-$110. CMS believes that the resources required to furnish these services during the PHE are better captured by RVUs associated with level 2-4 established office/outpatient E/M visits. CMS is not increasing payment for CPT codes 98966-98968, which are intended for practitioners that cannot separately bill for E/M. This policy is retroactive to March 1, 2020.
  • For telehealth services other than CPT codes 99441-99443 and 98966-98968 (now added to the list of covered telehealth services), Medicare continues to require modalities that have both audio and video capabilities.
  • CMS is forgoing its typical rulemaking process to add new services to the list of Medicare services that may be furnished via telehealth. Instead, CMS will add new telehealth services on a sub-regulatory basis to speed up the process of adding codes to the list.

UnitedHealthCare Resourses to Aid Claim Submissions and Processing 04272020

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