On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) announced they were adding physical therapists, occupational therapists and speech-language pathologists as temporary providers of telehealth services during the Public Health Emergency due to the COVID-19 pandemic. Here is what we know so far. QuestionCan a physical therapist, occupational therapist or speech-language pathologist in private practice provide a telehealth visit and have it paid by the Medicare program? Answer Question – New Question May 6, 2020Can a physical therapist or occupational therapist employed by a physician-owned practice provide a telehealth visit to a Medicare Part B beneficiary and

With many commercial insurance carriers and state Medicaid programs expanding telehealth services to include outpatient physical, occupational and speech therapy services during the COVID-19 pandemic, a frequent question I am being asked is can a physical therapist assistant (PTA) or occupational therapy assistant (OTA) provide a telehealth visit? To determine the answer, you must first look at your respective state practice act as well as any other state administrative rules. Is there any language found that either allows a PTA or OTA to provide telehealth services or specifically precludes a PTA or OTA from providing telehealth services? You then must

Due to the COVID-19 Pandemic, UnitedHealthcare (UHC) has expanded telehealth services to include outpatient physical, occupational and speech therapy services. In this article, I will answer some of the more common questions I have received regarding UnitedHealthcare’s expansion of telehealth services to include physical, occupational and speech therapy services. QuestionWhen did UHC expand telehealth services to outpatient physical, occupational and speech therapy services? Answer QuestionWhat is the end date of the expansion of telehealth services to outpatient physical, occupational and speech therapy services? Answer QuestionWhat plans does the telehealth expansion apply to? Answer QuestionWhat CPT codes will UHC pay for

Due to the COVID-19 Pandemic, Cigna has expanded telehealth services to include outpatient physical, occupational and speech therapy services. In this article, I will answer some of the more common questions I have received regarding Cigna’s expansion of telehealth services to include physical, occupational and speech therapy services. QuestionWhen did Cigna expand telehealth services to outpatient physical, occupational and speech therapy services? Answer QuestionWhat is the end date of the expansion of telehealth services to outpatient physical, occupational and speech therapy services? Answer (Updated May 24, 2020) QuestionWhat plans does the telehealth expansion apply to? Answer QuestionWhat CPT codes will

Due to the COVID-19 Pandemic, Aetna has expanded telehealth services to include outpatient physical, occupational and speech therapy services. In this article, I will answer some of the more common questions I have received regarding Aetna’s expansion of telehealth services to include physical, occupational and speech therapy services. QuestionWhen did Aetna expand telehealth services to outpatient physical, occupational and speech therapy services? Answer QuestionWhat is the end date of the expansion of telehealth services to outpatient physical, occupational and speech therapy services? Answer (Updated June 1, 2020) QuestionWhat plans does the telehealth expansion apply to? Answer QuestionWhat CPT codes will

Today, I am receiving emails and phone calls from providers around the country that believe the Medicare program covers telehealth services provided by a physical therapist, occupational therapist or a speech-language pathologist. I have even received emails from several providers stating they provided telehealth visits to Medicare beneficiaries, submitted the claim to their Medicare Administrative Contractor using place of service code 02 on the 1500-claim form and appended modifier 95 or modifier 95 and the GP modifier to the CPT code(s) on the claim form and were paid. I hate to tell you, but you were paid in error. As

During a Centers for Medicare and Medicaid Services (CMS) “Office Hours” call on April 14, 2020, I had the opportunity to ask CMS if a physical therapist or occupational therapist employed by a physician practice can provide a telehealth visit and have that telehealth visit billed incident-to the physician (under the physicians NPI in Box 24J on the 1500-claim form)? The answer from the CMS representative was I hope you found this article and the answer to the question helpful. Thank you for being a Gold Member!

The Michigan Physical Therapy Association (MPTA) has a dedicated webpage to COVID-19 on the MPTA News page. Once on the page, you will see + MPTA Covid-19 Consolidated Resources and Updates. Click the + sign. Scroll down and you will see the latest information on telehealth coverage by some of the major insurance carriers in the State of Michigan.