As with most other industries, the Covid-19 pandemic changed the face of medicine. While telemedicine was already on the rise pre-pandemic, the effects of coronavirus have only accelerated the trend towards digital care alternatives.
Increasingly, it’s vital for private practitioners to understand how to provide and bill for telemedical services.
Luckily, Mediclaim’s staff makes a point of staying up to date on the latest developments in telemedicine billing. We can help you navigate the developments of billing in an increasingly virtual world.
Ultimately, telemedical services are here to stay. You can trust Mediclaim to provide the same expert service for telemedicine that you’ve come to expect with more traditional billing services.
The specific codes appropriate for each telemedical situation depend on the scenario and the insurance company. That’s why it’s important to find a billing company like Mediclaim to help you get the most out of your telemedical services.
Medicaid and Medicare guidelines for telemedical billing codes are a good place to start.
For example, some of the most common codes used to report telehealth visits for Medicare patients are 99201-99215 for office or other outpatient visits.
Meanwhile, G0435-G0427 cover telehealth consultations, emergency department or initial inpatient services.
Furthermore, since March of 2020 CMS has paid for phone calls. At that time, they added codes 99441-99443 to the list of telehealth services. Previously, these services had a status of non-covered.
Providers should use these phone call codes in place of the codes for the in-person services they would have otherwise rendered.
Here are a few of the most common codes for audio-only telehealth services:
Don’t use the above codes to report telephone E/M services if the time spent on the phone is captured by other reported codes. Some example scenarios include:
Telemedical codes can get increasingly complicated when you’re billing for a mix of in-person and virtual services.
Ultimately, the best solution is to find a medical billing company like Mediclaim to help you navigate the intricacies of both telemedical and in-person billing.
At Mediclaim, we’ve taken great care to adapt to the rise of telemedicine. Our staff understands the latest codes, modifiers, and best practices necessary to ensure that you receive payment for your telemedical services.
If you’re interested in learning more about our medical billing services, including our telemedical billing, give us a call at 215-564-6620 or visit Mediclaim today.