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| 5/27/2020 @ 8:43:00 AM
Post 11 of 21
Contributor: Amy Gore, Chiefland Medical Center LLC
Has anyone gotten payment on telehealth visits for commercial payers?
5/27/2020 @ 8:50:00 AM
Post 12 of 21
Contributor: Suzanne Wright, Lake Village Clinic PA
Yes, we have been paid from several commercial carriers.
Suzanne Wright Office Manager Lake Village Clinic 870-265-5343 5/27/2020 @ 8:56:00 AM
Post 13 of 21
Contributor: Amy Gore, Chiefland Medical Center LLC
Are you using the codes 99441,99442,99443 with a 95 modifier?
5/27/2020 @ 12:27:00 PM
Post 14 of 21
Contributor: Razee Ahmad, East Mississippi Medical Clinic RHC
When we bill G2025 what should be the POS ( place of service) in that claim
Razee East MS Med Clinic 5/27/2020 @ 12:30:00 PM
Post 15 of 21
Contributor: Charles James, North American Healthcare Management Services
There is no place of service on the UB04 form. The Revenue Code designates place of service. Telehealth services should be billed using the location that the provider would have normally seen the patient: 521 for Office, 522 for Home, etc.
The valid POS should one be used is 72 - Rural Health Clinic. Charles A. James, Jr. President and CEO 888.968.0076 Office 314.560.0098 Cell www.northamericanhms.com This transmission contains privileged, confidential, and proprietary information and is only for the use of the individuals listed above, and may not be copied, distributed, or disseminated without express written consent. If you receive this transmission in error, please immediately destroy it. 6/1/2020 @ 1:08:00 PM
Post 16 of 21
Contributor: Jennifer Rowell, Adventist Health
We are putting the actual CPT code in our system for our Cerner based clinics and using a claim rule to populate G2025 on the claim itself. However, we have a number of clinics on Epic; has anyone been successful in creating something similar in their Epic system?
6/25/2020 @ 12:02:00 PM
Post 17 of 21
Contributor: Jan Oberlin, Dickinson County Healthcare System RHCs
Just following up on this topic. Have there been any updates from CMS regarding how to communicate the relevant CPT information on telehealth claims for preventive services, such as G0438 and G0439 so they can be properly paid and adjudicated?
Thanks much, Jan ---------- Original Comments ---------- Last Post By: Bill Finerfrock, National Association of Rural Health Clinics NARHC shares the concern regarding the limitation on telehealth claims to the G2025 code. We believe that for certain telehealth claims, the inclusion of the relevant HCPCS code is important to proper adjudication of the claim, particularly in instances where the co-insurance is waived or the code conveys important information about the service rendered during the telehealth visit. 8/5/2020 @ 1:30:00 PM
Post 18 of 21
Contributor: Josh Wood, Confluence Health RHCs
I'm also looking for clarity on this. Everything we've read seems quite clear that CMS expects only the G2025 on the claim, and Noridian confirmed that via email on our inquiry; yet leaving off other CPT codes clarifying the actual services performed is proving problematic in several instances (including the already-mentioned AWV codes). Has CMS provided any more clarity surrounding this or any modifications? I have not seen anything. - Josh ---------- Original Comments ---------- Last Post By: Jan Oberin, Dickinson County Healthcare System RHCs Just following up on this topic. Have there been any updates from CMS regarding how to communicate the relevant CPT information on telehealth claims for preventive services, such as G0438 and G0439 so they can be properly paid and adjudicated?
Thanks much, Jan ---------- Original Comments ---------- Last Post By: Bill Finerfrock, National Association of Rural Health Clinics NARHC shares the concern regarding the limitation on telehealth claims to the G2025 code. We believe that for certain telehealth claims, the inclusion of the relevant HCPCS code is important to proper adjudication of the claim, particularly in instances where the co-insurance is waived or the code conveys important information about the service rendered during the telehealth visit. 8/5/2020 @ 1:57:00 PM
Post 19 of 21
Contributor: Jackie King, ArchProCoding
They have not sadly. It is a known issue that several state and national rural organizations have made comments to CMS on and at this time, the only recourse they are giving us is to allow the CS modifier for any covered preventive services that are subject to waiving cost sharing, such as the AWV, via telehealth.
Thanks, Jackie [cid:image001.png@01D579EB.4BFCECC0] Jackie King, MSHI, CPC, COC, RH-CBS Director of Clinical Informatics, HIM Consultant Illinois Critical Access Hospital Network (ICAHN) | 1945 Van's Way, Princeton, IL 61356 P 815.875.2999 | F 815.875.2990 | jking@icahn.org 8/5/2020 @ 2:34:00 PM
Post 20 of 21
Contributor: Jennifer Boyd, Umatilla Family Practice
Telehealth claims
In regards to MSP claims... I have to bill the actual E/M code to say Blue Cross primary, but when it goes to RHC Medicare secondary, what do I do? I am only using the G2025 code on Medicare primary claims as I do not know how to include the E/M. Also, we have so many secondaries rejecting or denying the G2025 code. We also have some Medicaid replacement plans paying when they have never paid secondary before; not sure if they are supposed to pay or not. This is such a nightmare and mess. Also, MLN Matters SE 20016 says: RHC Claims for Telehealth Services from January 27, 2020 through June 30, 2020 Rev code 052X, HCPCS code G2025, Modifier CG (required) 95 (optional) and RHC Claims for Telehealth Services starting July 1, 2020 Rev code 052X, HCPCS code G2025, Modifier 95 (optional)while the RHC community says: says claims for Telehealth Services SENT before 7/1/2020 use CG mod and after don't use CG mod. And I am not complaining about any help from the RHC community. It is absolutely fantastic the support we have; I appreciate it all. I appreciate CMS working with us and trying to make sure we can get paid for our services. It's just a mess. Jennifer BoydLouis J. Radnothy, D.O., P.A. -----Original Message----- |
