• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki audit tool for telehealth E/M visits

jmcalister

Networker
Messages
25
Location
Tecumseh, OK
Best answers
0
Does anyone know if there is tool like we have with the 95 and 97 guidelines to audit E/M visits but done through telehealth. LIke for a new patient and no exam was done but you have to have 3 components is there guidance saying what to do ?
thanks
Jenn
 
Right, for telemedicine 99201-99215, you do not need to have the 3 components. You may code either on MDM only or on time. Until 2021, this is ONLY for telemedicine.
 
I'm starting to audit telemedicine/telehealth services.. I was advised the same, coding either on MDM or on time.
Little confused, I've researched and I want to confirm. HELP :eek:

During the PHE 😷
Video and Audio codes 99421-99423, these services we are able to code 99201-99215 by either MDM or total time. (cumulative time documented) - with modifier 95 and place of service 11

Audio codes (telephone only) 99441-99443 by total time (cumulative time documented). Medicaid and Medicaid MCO's they want E/M services to be billed 99201-99215
file:///C:/Users/lje777/Downloads/03-20-20%20Claims%20for%20Telephone%20Audio%20Medicaid%20(3).pdf
 
Top