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05/15/20

Cigna Updates Telehealth Guidance

On May 13, 2020, American Specialty Health Group, Inc. (ASH Group) released updated guidance on the billing of telehealth services to current Cigna Customers. ASH Group states to use this revised Notice as a guide on how to bill for telehealth services during via this interim process. This interim process will be effective for dates of services retroactive to March 2, 2020 going forward through at least May 31, 2020. To access this revised guide, click In addition, check out my FAQs on Cigna and telehealth that I published on April 23, 2020. I hope you find this updated guidance

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04/13/20

Texas Division of Workers’ Compensation Expands Telehealth Services

Effective with dates of service beginning on April 13, 2020, the Texas Division of Workers’ Compensation as issued an emergency rule regarding rehabilitation services and telehealth services. This emergencyrule allows health care providers licensed to perform physical medicine and rehabilitation services, including physical therapists, occupational therapists, and speech pathologists to bill and be reimbursed for services currently allowed under CMS telemedicine and telehealth billing codes. Health care providers must bill for telemedicine or telehealth services using the same billing, coding, reporting, and documentation requirements used for in-person services and include a place of service code “02 – telehealth” on the

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04/13/20

Arkansas BCBS Expands Telehealth Services

On April 13, 2020, Arkansas Blue Cross Blue Shield (BCBS) announced they have expanded telehealth services to include outpatient physical, occupational and speech therapy services. The temporary changes are retroactive to April 1 and will be in effect through at least May 15, 2020, and could beextended after that, if circumstances warrant. There will be no waiver of cost share (e.g. copays, deductibles, and coinsurance) for these services and all contractual limitations, conditions, policies, and procedures will apply. Codes must be submitted with place of service 02 and modifier 95 or GT to indicate billing of a telehealth service. Appropriate

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04/01/20

Updates from Indiana, Maryland and Oklahoma

Please click on the applicable links below regarding updates on telehealth coverage for outpatient therapy services in the states of Indiana, Maryland and Oklahoma. Executive Order from Governor of Indiana Executive Order from Governor of Maryland Oklahoma Board of Medical Licensure and Supervision

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03/27/20

Ohio Bureau of Workers’ Compensation Therapy Update

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 98972. The virtual check-incontact is usually made electronically through a patient portal. For purposes of this temporary policy update, the contact can also be made by email. These code sets are currently billed by providers who can render Evaluation and Management Services. Under Policy Alert

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03/27/20

One Call Expands Telehealth Coverage for Workers Compensation

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 code. You will bill for telerehabilitation the same as you for outpatient therapy utilizing standard CPT coding and state guidelines. Click HERE to access the 2-page One Call document.

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