Nov 8, 2024 · Medicare reinstates certain pre-pandemic telehealth policies. COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule …

Jan 15, 2025 · Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now. Now that the dust has settled on the American Relief Act, 2025, Medicare policy for …

Dec 18, 2024 · Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits …

May 1, 2023 · Facts About Coverage Post PHE Here are some highlights of what is changing on May 11, 2023, (or later) for telehealth services billed under Medicare Part B: Virtual check-in …

May 24, 2019 · Our office started to get denials for E&M stating this was partially or fully furnished by another provider. This is for a NEW PATIENT! 99204 Their new policy states FOR ALL …

Feb 6, 2024 · CMS made several changes to its payment policy for telehealth services furnished to Medicare beneficiaries on or after Jan. 1, 2024.

Feb 11, 2025 · Aetna has a downgrading policy that they base the level of service on what's provided on the claim - if there's something in documentation that substantiates the level of …

Nov 11, 2017 · Hi all, Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E&M service (99201-99395). Initially I tried with modifier “25” to E&M, after that I …

Oct 25, 2010 · Aetna considers these, when done together " a standard of care" without each having a different diagnosis showing medical necessity for each done at same session.

Jul 13, 2017 · Aetna 77387 reimbursement rate We had the same issues with Aetna not accepting 77014. After appeals and disputes with provider representatives and medical directors, Aetna …