With the recent events affecting us all and sudden urgency for information, we wanted to use our forum as a space for the community to be able to ask questions regarding Telehealth that other users may be able to answer in a quick manner.
Please feel free to use this space to ask your questions and also answer the questions with your knowledge of Telehealth.
As always, thank you for your info and help in any way. We appreciate all of you!
Your Procentive Staff
From the Center for Connected Health Policy, CMS just released new guidelines for telehealth, including some changes for what I prefer to call telehavioral services.
The guidelines include,
"Beginning July 1, 2019, the SUPPORT Act will add the enrollee’s home as an eligible originating site and remove the originating site geographic limitation on existing eligible telehealth originating sites (including the home) when treating for a substance use disorder or co-occurring mental health disorder through telehealth."
So, at least for SUD/co-occurring treatment, things are continuing to evolve.
Does anyone store psycotherapy notes (therapist's personal notes) anywhere on Procentive? Looking for a work around for our therapists that take brief notes to reference in future sessions, but need to keep them secure while working remotely--and separate from the official medical file.
I am wondering what video system everyone is using to see your clients for tele-health? Are there agencies using theralink through Procentive? We had already been using the state Vidyo system already, but want to know what else is out there that everyone has had luck with. Thank you!
I originally billing our telemed visits to Medicare with POS 02 and the GT modifier; they paid, but at a reduced rate. I contacted Medicare and was told that the claims need to be filed with POS 11 and a 95 modifier, so I did re-openings on all of them. When they reprocess the payment is the same as it was.
Is anyone else having this issue or know of a different way to submit to the payment equals in-office reimbursement rates?
Has anyone been able to bill the codes 99441, 99442 or 99443 as suggested by DHS? If so, what rates are you billing out at? I am unable to locate this information anywhere. The 99441 is for 5 - 10 minutes of Telephone evaluation, so is this to be considered your DA and can you charge more for that? The 99442 is for 11 - 20 minutes of medical discussion and 99443 is 21 - 30 minutes of medical discussion. Nothing for over 30 minutes.
Is it safe to assume this is for therapists and care for their clients via telephone? Or are these codes only for medical doctors? Not finding clear identification for use of these.
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