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12/08/20

E-Visit HCPCS Level II Codes to be Deleted

The following Healthcare Common Procedure Coding System (HCPCS) Level II codes describing E-visits are being deleted at the end of calendar year 2020: G2061 – Qualified non-physician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5–10 minutes G2062 – Qualified non-physician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes G2063 – Qualified non-physician healthcare professional assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes In calendar year 2021, will physical therapists

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07/17/20

July 2020 Update of the Hospital Outpatient Prospective Payment System

The Centers for Medicare and Medicaid Services (CMS) has published a revised edition of MLN Matters Number: MM11814 on July 16, 2020 that provides an update of the Hospital Outpatient Prospective Payment System (OPPS). This update contains information on the Telephone Services CPT codes (98966 – 98968) as well as the virtual check-in and E-Visit Level II HCPCS Codes (G2010, G2012, and G2061-G2063). Click HERE to access MM11814.

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05/18/20

CMS Clarifies Billing of E-Visits and Telephone Services

This article was updated on May 29, 2020. See below for answers that have been updated. The Centers for Medicare and Medicaid Services (CMS) has issued guidance regarding the billing of E-Visits and Telephone Services provided by physical therapists, occupational therapists and speech-language pathologists. In this article, I will provide you the information via a question and answer format. QuestionWhat is the update that CMS released and how does it pertain to the E-Visits and Telephone Services? Answer (Updated on May 26, 2020) QuestionWhat codes were added to the list of “sometimes therapy” services? Answer QuestionSince the above codes have

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04/14/20

E-Visits and Billing Medicare: UPDATE

During a Centers for Medicare and Medicaid Services (CMS) “Office Hours” call on April 14, 2020, a participant asked if E-Visits (G2061, G2062 and G2063) and Virtual Check-Ins (G2010 and G2012) could be billed on a UB-04 claim form? In addition, a question was asked if you can bill HCPCS Level II codes for more than 1 7-day period? In this article, I will answer both questions. The answer from the CMS representative was I hope you found this article helpful. Thank you for being a Gold Member!

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04/13/20

Telehealth and E-Visits: What’s the Difference?

QuestionWhat is the difference between an E-Visit and a Telehealth Visit? Answer I hope you found this article helpful. Click HERE to read the difference between an E-Visit and a Telephone Service. Thank you for being a Gold Member!

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04/09/20

Can an Assistant Provide an E-Visit or Telephone Service

Due to the Public Health Emergency (PHE) as a result of the COVID-19 Pandemic, the Centers for Medicare and Medicaid Services (CMS) have designated the following CPT codes and HCPCS Level II codes as “sometimes therapy” CPT codes: G2010: Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment G2012: Brief communication technology-based

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04/08/20

Difference Between E-Visits and Telephone Services

As you can imagine, providers of outpatient therapy services are confused regarding E-Visits and Telephone Services and what is the difference between them and when do I use each one. In this article, I will answer some of the more frequent questions I am receiving regarding the differences between E-Visits and Telephone Services. If you have not read my article on Telephone Services I published on April 2, 2020, click HERE. In addition, check out my FAQs on E-Visits for Therapy Services. QuestionWhat are the E-Visit codes I should use for traditional Medicare? Answer QuestionWhat are the E-Visit codes I

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03/19/20

Does UnitedHealthcare Pay for Telehealth for Outpatient Therapy?

QuestionDoes UnitedHealthcare (UHC) pay for telehealth for outpatient physical, occupational and/or speech therapy services? Answer QuestionDoes UnitedHealthcare (UHC) pay for E-Visits under outpatient physical, occupational and/or speech therapy services? Answer QuestionCan I charge UnitedHealthcare (UHC) patients cash for telehealth services if not covered by their plan? Answer I hope you found this article helpful! Thank you for being a Gold Member!

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