Current News



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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Cigna to Cover Virtual Care for PT, OT and SLP

Effective April 9, 2020, this article is no longer current. Click HERE to read the latest about Cigna and their coverage of outpatient physical, occupational and speech therapy delivered via telehealth. This article was updated on March 28, 2020 by adding a link to American Specialty Health and updating the place of service code to use on the 1500-claim form. In addition, it’s my interpretation that Cigna is only paying for telehealth services for physical, occupational and speech therapy submitted on a 1500-claim form by a private practice. Institutional providers (i.e. rehab agencies and hospital outpatient departments) should contact Cigna

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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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North Carolina Physical Therapy Reimbursement Updates

The North Carolina Physical Therapy Association has provided updated Reimbursement and Practice Updates Related to the Covid-19 Pandemic. To access the update, click HERE.

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