Medicare Compliance & Reimbursement

Reader Questions:

The Hard Truth about Phone Call Pay

Question: Another physician told my doctor that he's receiving payment from his contractor for telephone calling codes. My doctor would like to start using these codes as well. Does Medicare pay for telephone calls? Answer: Medicare considers telephone call codes (99441-99443) to be non-covered services. You can find a code's status in column D of the 2010 Medicare Physician Fee Schedule. Silver lining: Your physician technically is getting paid for telephone calls made in relation to performed office visits. "The physician work resulting from telephone calls is considered to be an integral part of the pre-work and post-work of other physician services, and the fee schedule amount for the latter services already includes payment for the telephone calls, according to the Medicare Benefit Policy Manual, Chapter 15, Section 30 (Physician Services), Subsection B, Telephone Services (www.cms.gov/manuals/Downloads/bp102c15.pdf). The relative value units for office visits include typical times, such as 5"15 [...]
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