I thought we are able to bill as if the visit was face to face with the 99212-99215 and add the modifier 95. I know at first CMS instructed to change POS to 02 and then they later came back and said to leave POS 11. Due to payment for POS 02 is less than payment for POS 11. I spoke with someone the first time I got the denials for all telehealth claims and they said to change POS and resubmit. So that is what I did and then they denied all of them again. And when I talked to a representative they just repeat what is on the remit and say all I know is what it says on the remit. It is very frustrating.
On the website, I did locate a document titled "Temporary Guidance on Telehealth" and inside the document, there is a section called "How does the provider bill the payer?" and it states:
"The providers may bill using the standard appropriate billing forms in accordance with CMS guidance. The applicable codes for CPT recognized procedures are available at
https://www.ama-assn.org/system/files/2020-03/cpt-reporting-covid-19-testing.pdf. Further information specifically for physicians may be found at
https://www.ama-assn.org/system/files/2020-03/covid-19-coding-advice.pdf. A Modifier should be added to the appropriate CPT code and a location code. Since these have not been standardized by different insurers, check the CMS website for guidance for each particular type of communication."
Sorry, so long I am not able to scan in documents.