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
Updated 3-19-2020 On-Line Digital Evaluation & Management Services (New 2020) 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 two code sets that may fit Read more
The Medicare ABN will have a revision and update this month as the prior expires at the end of March this year. The new form will have some revisions to make it âeasierâ to use and explain and once it is published will be required to replace the older version. Read more
The standard Medicare Advance Beneficiary Notice (ABN) will have some modifications in March 2020. The new forms will be required once published. There are some minor changes to the form with special instructions and needs for an ABN for a non-par provider not accepting an assignment. The new forms once Read more
UHC has announced they will no longer offer any benefits for out of network providers  for chiropractic, acupuncture, and physical medicine. To maintain payment providers must now enroll with UHC to maintain payments for any of the above services. For chiropractic providers typical enrollment is through Optum Health.