This article was updated on March 28, 2020 by adding a link to American Specialty Health and updating the place of service code to use on the 1500-claim form. In addition, it’s my interpretation that Cigna is only paying for telehealth services for physical, occupational and speech therapy submitted on a 1500-claim form by a […]
This afternoon, March 27, 2020, President Trump signed the Coronavirus Aid, Relief and Economic Security (CARES) Act into law. The CARES Act has several important provisions related to therapy services. A few of them are as follows: Sec. 3703. Expanding Medicare Telehealth Flexibilities This section will broaden the authority of the Secretary of Health and […]
Due to the COVID-19 pandemic, many providers of outpatient therapy services are implementing telehealth services to meet the needs of their patients. Since many have never provided telehealth services previously, they are uncertain how to do the billing. In addition, insurance carriers who are expanding telehealth coverage, either voluntarily or state mandated, may not have […]
With many states mandating insurance plans in their state expand telehealth services and reimbursement to include physical therapy (PT), occupational therapy (OT) and speech therapy (ST) as well as several insurances expanding telehealth services and reimbursement on their own, I am being asked what CPT code(s) do I use to bill for telehealth services for […]
On March 26, 2020, at 11:00pm CDT, Unitedhealthcare (UHC) posted the following announcement on their website:
On March 26, 2020, the Ohio Bureau of Workers’ Compensation announced they will temporarily expand the providers permitted to bill for virtual check in services and telephone services to check in with established patients. Telephone services include CPT codes 99371, 99372 or 99373. The virtual check in service codes include CPT codes 98970, 98971, and […]
One Call sent providers a 2-page “Network Frequently Asked Questions” document via fax. In this fax, One Call states they will now cover telerehabilitation for their injured clients. One Call provides answers to 10 frequently asked questions. If submitting claims on a 1500-claim form, One Call states to use 02 as the place of service […]
On March 26, 2020, MedRisk emailed providers notifying them that they are putting provisions in place to consider providers who have telerehabilitation programs to utilize these services for MedRisk/SPNet referrals during this time of social distancing and isolation. MedRisk states to continue to bill MedRisk/SPNet directly for your services using standard billing codes and ensure […]
Mr. Gawenda has presented nationally since 2004 and currently presents approximately 100 dates per year around the United States.