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Medical Coding
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  May 8, 2020

Steps you must take to get max Medicare reimbursement for phone visits

Make sure to code appropriately to get your full reimbursement.
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As reported last week, retroactive to March 1, CMS will pay for phone visits the same as in-person appointments. Note that CMS won’t automatically reimburse claims submitted April 30 and later at the in-person rate unless you code as follows:

  • 1) Report 99441-99443 with modifier 95.
  • 2) Report the place of service (POS) the visit would have taken place in person (e.g., 11-Office, 22-Hospital Outpatient, 23-ASC).
  • 3) Do not use POS 02.

There is no word yet on when Medicare Administrative Contractors (MACs) will automatically reprocess claims submitted between March 1 to April 30 at the new rates. More information on telephone and telehealth coding is available in the [updated May 8] tri-society coding guide.

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