If you are a Blue Cross Blue Shield (BCBS) provider in the state of Michigan and provide outpatient therapy services, you will want to read this article. eviCore Healthcare has made changes to the corePath therapy authorization model for initial authorization requests for new episodes of treatment. This change applies to: Physical therapy providers in categories B and C Occupational therapists in category B What Has Changed? To access a nice 6-page document that contains frequently asked questions (FAQs) regarding practitioner performance summary and provider category FAQs, click I hope you found this article helpful and informative. Thank you for being

With the Centers for Medicare and Medicaid Services (CMS) expansion of telehealth services as well as their Hospital Without Walls initiative, many hospitals are confused on the differences between providing outpatient physical, occupational and speech therapy services remotely versus via telehealth and how to complete the UB-04 claim form. I published an article on June 18, 2020 explaining the differences between the two and how to do the billing for each type of service. Now, CMS has provided additional clarification on providing outpatient physical, occupational and speech therapy services remotely versus via telehealth and explains how to do the billing

With the Secretary of the Department of Health and Human Services extending the Public Health Emergency (PHE) due to the COVID-19 pandemic, many private practices as well as facilities and organizations want to know what does this mean for the extension of providing outpatient therapy services via telehealth. In this article, I will provide updates on outpatient therapy services delivered via telehealth for the traditional Medicare Part B program and some of the larger national insurance carriers. Medicare (Traditional) Aetna Anthem BCBS of Colorado Anthem BCBS of Connecticut Anthem BCBS of Georgia Anthem BCBS of Indiana Anthem BCBS of Kentucky

Cigna has extended the expiration date for outpatient therapy services delivered via telehealth. The new expiration date is I hope you found this information informative and valuable to your practice or organization. Thank you for being a Gold Member!

UnitedHealthcare has provided updates on outpatient physical, occupational and speech therapy services delivered via telehealth. Telehealth for Medicare Advantage Telehealth for Individual and Fully Insured Group Market Virtual Check-Ins and E-Visits for Medicare Advantage Virtual Check-Ins for Individual and Fully Insured Group Market E-Visits for Individual and Fully Insured Group Market In addition to all of the above important information, click and read all about outpatient physical, occupational and speech therapy services delivered via telehealth. I hope you found this article informative. Thank you for being a Gold Member!