Many providers have received a letter from Anthem indicating that the ratio and use of CMT codes 98941, 98942, and 98943 are above the average for the industry. If you received such it is an indication that your ratio is too high. Typically about 50-55% of patient visits are 98941 Read more…
The delayed update to the Advance Beneficiary Notice (ABN) has finally arrived. The revised form will be mandatory on August 31, 2020, with the older version acceptable until that date. The updated form and instructions can be found in the document library of Digital Coding under the Medicare tab. Network Read more…
Digital Coding subscribers there are now multiple COVID related forms available in the document library. This includes a comprehensive informed consent for patients to sign as well as detailed office safety procedures and protocols. Stay informed and assure you are following the best practice protocols for your office. Network members Read more…
CMS will be making payments to Part B Medicare providers that do not require repayment. These payments appear to automatically appear in your account where Medicare makes your payments. These funds, unlike accelerated payments, will not need to be refunded. We have had a handful of offices that received these Read more…
Telemedicine Update for California Workersâ Compensation California workersâ compensation will pay for telemedicine visits. Providers should bill with an office visit code 99211 to 99215 with modifier 95. However, the place of service for California workersâ compensation claims would remain 11. Also, they have added the following codes for reimbursement Read more…
CIGNA Virtual Care Guidelines In an effort to remove barriers for our customers to access timely and safe care, while ensuring that providers can continue to deliver necessary services in necessary settings, Cigna will allow providers to bill a standard face-to-face visit for all virtual care services, including those not Read more…
There is confusion relating to the ability to use and be reimbursed for telemedicine as some have interpreted improperly the payment policy for Anthem related to chiropractic and other licensed providers. For telephonic only there is exclusion of payment to these provider types but not for âtelemedicine -video+audioâ This information Read more…
Providers who have patients that cannot make appointments due to need for isolation, quarantine, or social distancing may still need your management and when done as an online evaluation or phone call there are three code sets that may fit this scenario. Special Note: Non-secure platforms may be used Read more…
Definition of Health care Operations that can stay open: Health care operations include hospitals, clinics, dentists, pharmacies, pharmaceutical and biotechnology companies; other health care facilities, health care suppliers, home health care services providers, mental health providers, public health, or any related and/or ancillary health care services. Health Care Operations also Read more…
Take temperatures of all incoming patients [ and staff if possible ] each day; Anyone who has a high temperature and or shows signs of the potential virus are recommended to self-quarantine and get tested; Federal and state authorities are ramping up extensive drive-by testing. When it is available, everyone Read more…