medicalauditor
Networker
Hi fellow auditors,
Does anyone know of any exemptions for physical exam in a telehealth visit? What I mean is, you clearly can't examine most organ systems virtually, so this means that for all new patient visits, its going to be 99202 (I am talking about office visits prior to 2021) no matter how detailed the history or how complex the MDM, because New patient visits require all three elements (HEM) to be met or exceeded - so if the exam is focused or expanded problem focused, the E/M will be 99201/99202. Does anyone know of any CMS waivers where the provider can get credit for a comprehensive or extended exam even if it is not done, in view of the fact that it is a telehealth visit? If there is such an allowance, can someone please provide a link to the source?
Thank you
Does anyone know of any exemptions for physical exam in a telehealth visit? What I mean is, you clearly can't examine most organ systems virtually, so this means that for all new patient visits, its going to be 99202 (I am talking about office visits prior to 2021) no matter how detailed the history or how complex the MDM, because New patient visits require all three elements (HEM) to be met or exceeded - so if the exam is focused or expanded problem focused, the E/M will be 99201/99202. Does anyone know of any CMS waivers where the provider can get credit for a comprehensive or extended exam even if it is not done, in view of the fact that it is a telehealth visit? If there is such an allowance, can someone please provide a link to the source?
Thank you