Cigna has announced their Virtual Care Reimbursement Policy for calendar year 2021. This announcement only applies to services provided to commercial medical customers, including those with Individual & Family Plans (IFP). Cigna Behavioral Health and Cigna Medicare Advantage customers continue to have covered virtual care services through their own separate benefit plans. In this article, I will answer the following questions: What practice setting(s) does this policy apply to? What Place of Service (POS) code do I use on the claim form? What CPT codes can be reimbursed if provided via telehealth (virtual care)? What modifier(s) must be appended to

UnitedHealthcare (UHC) has announced that effective January 1, 2021, certain UnitedHealthcare Medicare Advantage and commercial plans will allow certain Centers for Medicare & Medicaid (CMS)-eligible telehealth services when billed with the member’s home as an originating site. For important information on changes to UnitedHealthcare’s commercial Telehealth and Telemedicine Reimbursement Policy as they pertain to outpatient physical, occupational and speech therapy services, click I hope you found this article informative to your practice. Thank you for being a Gold Member!

Unitedhealthcare (UHC) has announced they will extend telehealth access for in-network telehealth visits for outpatient physical, occupational and speech therapy services through I hope you found this article helpful. Thank you for being a Gold Member!

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!

The Public Health Emergency due to the COVID-19 pandemic has been extended by Secretary Azar. The new expiration date is I hope you found this information helpful. Thank you for being a Gold Member!