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04/02/2020

Changes to Billing of Telehealth Services

MSHO Telehealth Coverage Updates

Keeping MSHO Members Informed

On 3/17/20 Medicare announced changes to their policies related to billing of Telehealth services, relaxing rules and allowing coverage for telehealth services for patients while they are at home.  We are not sure whether the private payers are going to adopt the same guidelines but as we are inquiring and as we find out, we will update this article and make announcements to our members.   

Payer Policies & Coding Information Related to Telemedicine 

Not sure how to bill for the services?  Do you use a different place of service or modifier?  To make it a bit easier for our members, MSHO is providing coding guidance and tracking telehealth information by payer.  The list of payers below will be updated as more information becomes available.

Medicare Telehealth 040120

Michigan Medicaid Telehealth 032520

Aetna Telehealth 032620

Blue Cross PPO (commercial) Medicare Plus Blue PPO, BCN HMO (commercial) and BCN Advantage Telehealth 032020

Priority Health Telehealth 032620

UnitedHealthcare Telehealth Services 032720

Health Alliance Plan Telehealth 032520

Humana Telehealth 032320

 

MSHO Telehealth FAQs

To assist our members, MSHO will also be continuously updating "frequently asked questions” on telehealth below.  

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MSHO Telehealth Office Visit Spreadsheet

To help our members stay current on all of the information regarding telehealth requirements, MSHO has created a Telehealth Office Visit Spreadsheet.

MSHO Telehealth Office Visit Spreadsheet 032720

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