Medical Reimbursement Consultants since 1988, serving tens of thousands of physicians
By clicking on the link, you will be taken to Sharefile where you can log in and download this MP4 file of the one hour 45 minutes live webinar we recorded. This webinar goes into great detail of the difference between TELEHEALTH, TELEMEDICINE & TELEMONITORING as well as how to bill for it and when to bill for each.
During this crisis, telehealth and telemonitoring can make a HUGE difference in whether you have to lay off employees, keep the doors open, pay your bills, etc. This down-to-earth webinar with details shows you exactly what you can and should be doing. Note - the federal and state governments are making changes almost daily - so getting onto Don's listserv or subscribing to our monthly newsletter may help you stay on top of the changes. This webinar does NOT have CEUs assigned to it as we did not want to wait to get them assigned. The live performance did have CEUs from AMBA and PMRNC.
UPDATE - CLARIFICATION
OFFICE VISIT CODES FOR TELEHEALTH
Let's clarify some more…. If you want to bill a telehealth visit with MEDICARE for the office visit codes with the Place of Service 02 because you are using real-time - live - interactive - AUDIO-VIDEO means of communication, you do not need a modifier. You do NOT need GT or 95 for Medicare. Again - Medicare does not require you use a modifier on those! You DO need the audio-video platform. You CANNOT bill Medicare (as of today - but this may change in the future) for the office visit codes for a telehealth visit if all you are using is the telephone without the video side. If you do, in my opinion, you are committing fraud and I believe you will get caught.
Also - you WILL use history, exam and medical decision making to select which level of E&M code on these UNLESS more than half of the visit was spent counseling and/or coordination of care and you document that and the total time in the progress note. I apologize that I did not clarify that in the webinar.
Now - can you use a telephone to call NON-Medicare patients and use the office visit codes? I DON'T KNOW. I seriously doubt it, but I do not know what every one of the 35 commercial health insurance companies or the 50 Medicaids in the country want. You have to ask the insurance company that is paying for it and I would DEFINITELY get the answer in writing if you plan on doing so. Not everyone follows Medicare's rules (as everyone in this business for longer than a week should already know). Each commercial payer can determine whether they follow CMS' rules in requiring audio-video or whether they want the 95 modifier or the GT modifier and if you want their money - follow their rules.
Don't believe anyone that says that audits will not occur after the emergency is over for what you're doing today. As Terry Fletcher CPC said "Where do you think Medicare is getting the money to pay for all of these new things? They will be assigning penalties!" As usual, she is right.
Also - there is no separate fee schedule for place of service 02. Your allowed will be the same as if you did it with your usual place of service code (11, 22, etc).
I'm not yet - but assume I am on Medicare and I call my cardiologist on my flip phone and ask them to have my doctor call me or Dr. Rachel jumps on the call (either one). I ask her about the lightheaded feeling I get each time I take my nitro pill. She asks me some questions and gives me some advice and tells me they are not candy and stop using the pills unless I really need it. She hangs up and bills me for code G2012 and she makes about $15.Now, my 38 year old son does the same thing. He is not on Medicare. That doctor bills him for codes 99441-99443 depending on how long they spent. Those are different codes than I would be billed because Medicare does not pay for these codes.These are done by telephone.
When you click on this BUTTON ON THE RIGHT, you will be taken to Sharefile. We placed this on that platform because this MP4 file is 702mb (that is large) and will take a few minutes to download.
There is also a pdf file you can download in the same platform of the slides.
My doctor uses a program called MYCHART which is the same system the hospital that took care of my heart attack uses. It allows me to log in to see my medications, my appointments, notes from my doctor, send a note to my doctor, request refills, etc… It is a portal and I have to use a log in and password to get into it.
Medicare has different CPT/HCPC codes for my doctor spending time on the portal taking care of me than the codes Medicare wants my physical therapist to use. The codes are different because my doctor or my NP or my PA can bill for office visits, so they use codes 99421-99423 for taking care of me on the portal. My physical therapist or psychologist or speech language psychologist are not allowed by Medicare to bill for E&M visits, so they use codes G2061-G2063.
So, I log into Mychart and I send a note to Dr. Rachel and I explain that I need another prescription for my Effient as we're going to go hide in the mountains away from any humans for 6 months until this COVID thing is over and I want plenty of blood thinner. I explain that I'll also need additional Metoprolol for that period. She logs in from home tonight and sees I'm getting ready to leave and she sends me a note asking me what my BP has been . For the sake of this discussion, I'm on Medicare. I reply and she asks me what my diet has been lately. I reply via the portal and she says "ok - I'll contact the pharmacy". She calculates the minutes and figures she spent about 28 minutes total because she also pulled my last progress note to see if I'm still eating fried taters or not". She bills code 99443. I do not know if each and every commercial payer pays like Medicare so you have to check with them to see if they like those codes.
No - the doctor's nurse (RN, or LVN or LPN or MA) cannot count their time on this code. This is for the doctor or nurse practitioner or physician assistant or CMN. The PT and other Qualified non physician and non NP and non PA must use other codes as I mentioned before. They will use G2061-G0263. You want to find out if the commercial payers pay on those too. By the way - if someone tells you that commercial payers do not pay on HCPC codes, please slap the snot out of them. Of course they do.
A FULL DAY SEMINAR WITH NATIONALLY KNOWN SPEAKERS -
SCHEDULE (All times Central)
9am: 1 CEU - NCCI EDITS, MUEs - Too many certified coders and billers misunderstand the NCCI and MUE and far too many get confused on the global fee periods and how they differ from Medicare to commercial insurance carriers. In fact, many are not aware of those differences and that costs physicians and clinics tens of thousand of dollars each year! Don Self, CPC, CMCS
10am: 1 CEU - PROFESSIONAL DEVELOPMENT - BEYOND THE BASICS - Research,
Planning, Goals, Presentation & Career Improvement. This webinar taught by two nationally known speakers helps you see why it is so important to stand out - to become the best at presenting yourself. Leslie Johnson CMCS, CPC & Pam Kulczar CPC, CMCS, CCP
11am 1 CEU - BASIC COMMUNICATION WITH HEARING IMPAIRED PATIENTS &
FAMILY MEMBERS - An exciting one hour live webinar where the attendee not only learns the laws regarding requirements of medical offices with hearing impaired and the ADA, but also they learn key phrases and tips on communicating with hearing impaired patients. Marie Popkin, BS, CPC
12pm 1 CEU - PRACTICE ANALYTICS & HOW IT AFFECTS EVERY PRACTICE - An
engaging one hour live webinar showing attendees how to use public data and reports from practice management systems to identify audit potential and lost income. We will show you actual Medicare data on doctors from across the country (maybe one of yours!) identifying where the clinic is either flagging audits or missing tens or hundreds of thousands of dollars. We will show you how Don analyzes & consults with clinics.
Don Self, CPC, CMCS
1pm 1.5 CEU MODIFIERS ARE KEY TO DESCRIBING SERVICES RENDERED. This
90 minute invigorating live webinar with Barbara covers every CPT/HCPC modifier that the majority of billers, coders and clinics will use. She not only describes the modifiers, but gives you live examples of how they can make a huge difference in getting paid and avoiding audit problems. Barbara Cobuzzi, MBA, CPC, COC, CPC-P, CPC-I, CENTC, CPCO
2:30pm 1 CEU UNDERSTANDING THE DISEASE PROCESS IN CODING: A one hour
dynamic webinar covering definitions, terminology, signs & symptoms, when to use differential diagnosis and more. Alicia is one of the most entertaining and inspiring seminar leaders who brings years of experience to life in this webinar to help you see exactly how important it is to understand the disease process to code correctly. Alicia Scott, CPC, CPC-I, CRC
3:30pm 1 CEU ERISA & HOW IT AFFECTS YOUR CLAIMS, APPEALS & DENIALS.
ERISA is a federal law that governs more than 80% of all commercial insurance claims, yet less than 5% of billers, coders & managers understand it. Knowing this law will help the attendee stop insurance recoupments, make carriers pay when they should, stop or reduce down-coding and reduce medically unnecessary denials. Knowing how & when to use ERISA helps increase clinic income by tens of thousands per clinic.
Don Self, CMCS, CPC
CLICK BELOW TO GO TO ZOOM WEBINARS TO REGISTER FOR THIS FULL DAY WEBINAR. LIMITED TO FIRST 1000 PEOPLE. THIS IS BROUGHT TO YOU BY JFAMC, AMBA & DSA!
This 20 minute video shows the benefits to the Family Practice, Internal Medicine Clinic, Cardiologist, Endocrinologist. Rural Health Clinic, and others. RPM typically increases a clinic's income by $80,000 to $300,000 per year while helping patients. Medicare loves RPM as it saves them a huge amount due to reduced unnecessary admits and unnecessary Emergency Room Visits.
This one hour free webinar was recorded live in November 2019 to 131 office managers, billers and coders. We received permission from the AAPC, AMBA and PMRNC to grant one CEU for those that watch and then pass the quiz.
Too many certified coders and billers misunderstand the NCCI and MUE and far too many get confused on the global fee periods and how they differ from Medicare to commercial insurance carriers. In fact, many are not aware of those differences and that costs physicians and clinics tens of thousand of dollars each year!
Watch the webinar and then take the quiz. DON'T BE FOOLISH and take the quiz without watching it. 5% of people fail this and every single one that has failed it made the mistake of not watching the video first. You only get the CEU if you pass the quiz.
Click on the link below and enter your email and download the 3 files. One file is the pdf of the images and the third file is a pdf with instructions and link for the quiz.
A 10 minute mini webinar how most physicians can increase their practice income by $240 to $355 per Medicare patient they suspect of having cognitive issues, by doing what Medicare wants them to do.
This 10 minute FREE mini webinar will explain when you can and when you cannot bill using incident-to with Medicare and other carriers. This will also help you understand when you can bill for new patient visits by the PA or NP or when you need to document incident to services provided by an NP, PA or physician.
This 10 minute FREE mini webinar helps you understand when a physician or medical provider HAS to document time and how documenting that time can make a difference on the reimbursement. This one covers the Counseling &/or Coordination of Care, Prolonged Service Codes, Hospital Discharge and Critical Care coding
This FREE 10 minute webinar helps physicians identify which level of office visit, hospital visit, SNF visit or consult code to use, while staying compliant. This mini session also helps the provider see how easy it is to document the level 3, 4 or 5 visit and how you can bill a level 5 visit - even if the patient only has one or two serious diagnosis! Too often, coders have providers under-code, based on incorrect information.
A FREE (10 minute) mini webinar on How to count the Medical Decision Making components of the diagnosis, medical management, clinical and diagnostic lab, prescriptions, etc.
This 10 minute FREE mini webinar teaches you how to use the 1974 Federal Law (ERISA) to stop carriers from recouping, make carriers pay when they don't want to, stop carriers from bundling services or down-coding services.
Free One hour webinar on medical billing collections taught by Steve Verno
Free 12 minute mini webinar on Don's Coding Advisor. This program allows you to search CPT/HCPC codes by name, number, description or any of Don's notes. You can also look up ICD-10 codes, LCDs on any code, NCDs, NCCI edits, Medicare Fees, Global Fee Periods and more.
This 10 minute free mini webinar helps clinics to see how practice analytics increases income, helps practices keep from flagging audits and improve patient care.
This free 90 minute webinar helps medical billing agencies increase medical practice income as well as teaches them helpful tips on how to market their billing service business.
This 10 minute mini webinar helps practices understand how important it is to monthly screen all personnel to staytcompliant with the OIG requirements
This 90 minute free webinar helps practices and clinics identify ways to increase the practice income by tens of thousands by using the historical billing data available to all practices. Medical reimbursement issues, medical billing and coding and more are in our free webinars.
This FREE webinar discusses the correct billing for Neuromed Matrix physical medicine services.