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 is the final word for telehealth services effective Jan. 1, 2025, unless Congress acts.

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 telehealth services is extended through March 31, but then what?

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 as well?

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 codes (G2012, G2010, G2252) and remote patient monitoring codes will only be allowed for established patients after the PHE ends. Medicare will continue to pay for audio-only …

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 PLANS "We allow 1 of this group of codes per patient per day across all providers based on CMS guidelines." CPT codes...

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 service, appeal.

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 even tried with an appeal, but no use, it denied as inclusive again. In this case I need clarification that, is there any...

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 refused to accept 77014. The reimbursement for 77387 is significantly less than 77014, therefore, we came to an agreement to bill 77387, and Aetna agreed to reimburse 77387 with a rate …