Aetna Telehealth Billing Modifier

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Update to the telehealth Place of Service (POS) code - Aetna

(3 days ago) WEBCPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures …

https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-june-2022/medicare-updates-june-2022/update-to-the-telehealth-place-of-service-code.html

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Telemedicine tips for providers - 2023 - Aetna Better Health

(6 days ago) WEBOnline assessment CPT: 98969-98972, 99421-99423, 99444, 99457 Used by those who can bill E&M services Online assessment HCPCS: G0071, G2061-G2063 Used by …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/illinois/providers/pdf/ABHIL_Telemedicine_Tips_Providers_2023.pdf

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Telehealth Services for Aetna Members

(9 days ago) WEBCPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by …

https://www.aetna.com/individuals-families/health-insurance-through-work/health-insurance-information/telemedicine.html

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Aetna Telehealth Billing for Therapy and Mental Health …

(8 days ago) WEBLike with all major insurance companies, Aetna requires mental health providers to utilize their normal range of CPT codes. Common CPT …

https://therathink.com/aetna-telehealth-billing/

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Eligible Service Description Eligible CPT/HCPCS Code - Aetna …

(3 days ago) WEBTelehealth pharmacologic management ; G0459 Comprehensive assessment of and care planning for patients requiring chronic care management services G0506 ; Prolonged …

https://www.aetnamedicare.com/content/dam/aetna/pdfs/wwwaetnamedicarecomSSL/individual/2022/member/Telehealth_Services_Codes_2022.pdf

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Behavioral Health Telemedicine Services - Aetna

(8 days ago) WEBApproved Behavioral Health Telemedicine Services. Update: Effective date 3/6/2020 –1/31/2021. Cost share waived for below telemedicine services when billed as …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/bh-televideo-service-codes-covid-19.pdf

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Your guide to telehealth Aetna

(6 days ago) WEBCall the 24/7 nurse line at 1-800-556-1555 (TTY: 711) to speak with a registered nurse. If you need urgent or emergency care, call 911 and/or your doctor immediately or go to your closest emergency …

https://education.aetnamedicare.com/article/benefit-spotlight/your-guide-to-telehealth

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Telehealth Benefits Aetna Medicare

(Just Now) WEBWith telehealth – or telemedicine – you can get virtual care by phone, video or mobile app, anywhere you are, including after hours or on the weekend. Covered services include: Routine care. Sick visits. …

https://www.aetnamedicare.com/en/for-members/telehealth.html

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CODING for TELEHEALTH AUDIO/VIDEO TELEPHONE ONLY …

(6 days ago) WEBCODING for TELEHEALTH QUICK REFERENCE GUIDE AUDIO/VIDEO All Payers E/M codes 99201 - 99215 TELEPHONE ONLY E/M codes 99201 –99215 or …

https://www.ismanet.org/pdf/CODINGforTelehealthSummary8-1-2022.pdf

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AMA telehealth policy, coding & payment - American …

(9 days ago) WEBThe in-person requirement on Medicare telemental health services is delayed until on or after January 1, 2025. Medicare coverage and payment of audio only services will continue through December 31, …

https://www.ama-assn.org/practice-management/digital/ama-telehealth-policy-coding-payment

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Telemedicine and Direct Patient Contact Payment Policy As of …

(Just Now) WEBService for diagnosis, evaluation, or treatment of a mental health or substance use disorder, provided remotely by hospital staff who are licensed to provide mental health services …

https://apps.availity.com/web/core/vault/vault/v1/files/337062/Kad1BQ9kR/a23c8957-d697-4f11-9b0a-d6ed42847a58?spaceId=73162546201441548441629200000321

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How to Code for Telehealth, Audio-Only, and Virtual-Digital Visits

(9 days ago) WEBEligible services may be found on the Medicare Telehealth Services list. Medicare allows audio-only telehealth services for office visit E/M services (CPT codes 99202-99215) for …

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/coding-telehealth-audio-virtual-digital-visits.html

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Approved Behavioral Health Telemedicine Services - Aetna

(9 days ago) WEB97151. Service Description. Behavior identification assessment, administered by a QHP, face-to-face with patient and/or guardians administering assessments and discussing …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/bh-televideo-service-codes-covid-19.pdf

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CODING for TELEHEALTH AUDIO/VIDEO TELEPHONE ONLY …

(9 days ago) WEBTELEPHONE ONLY TELEHEALTH COVERAGE DATES Aetna Aetna Medicare POS 02 or 11 / mod 95 99441-99443 w/ POS 11 and no modifier Until …

https://www.ismanet.org/pdf/education/CODINGforTelehealthSummary1-1-2022rev.pdf

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News Aetna Update: Telehealth Payment Change Doesn't Apply …

(7 days ago) WEBThe changes to employer-based plans took effect on Dec. 1, 2023. Employer-based plans continue to include payment to PTs for some services when …

https://www.apta.org/news/2024/01/23/aetna-telehealth-clarification

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MLN901705 - Telehealth Services - HHS.gov

(9 days ago) WEBThe payment amount for HCPCS code Q3014 (Telehealth originating site facility fee) is 80% of the lesser of the actual charge ($28.64 for CY 2023 services). We base this on …

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/MLN901705-508.pdf

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Coronavirus (COVID-19) Resources for Aetna Members

(9 days ago) WEBTo meet the Department of Labor’s recent COVID-19 extension requirements, we’ll disregard the period that started on March 1, 2020 until July 10, 2023 (or one year, …

https://www.aetna.com/individuals-families/member-rights-resources/covid19.html

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MLN901705 - Telehealth Services - Centers for Medicare

(8 days ago) WEBPage 1 of 6. MLN901705 February 2024. We pay for specific Medicare Part B services that a physician or practitioner provides via 2-way, interactive technology (or telehealth). …

https://www.cms.gov/files/document/mln901705-telehealth-services.pdf

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AETNA BETTER ® HEALTH OF VIRGINIA

(5 days ago) WEBmodifiers (GT or GQ) or telehealth place of service (POS) 02, Telehealth when billing for services delivered via telehealth. • Providers using telehealth POS 02 …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/virginia/provider/pdf/covid-19_billing_reference_guide_updated_5.27.21.pdf

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Using Modifier 95 for Telehealth Makes Cents - AAPC

(7 days ago) WEBCapture full payment for remote visits during the PHE for COVID-19. An interim final rule published in the April 6, 2020, Federal Register explains how to bill …

https://www.aapc.com/blog/50505-using-modifier-95-for-telehealth-makes-cents/

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Telehealth Services & Benefits for Employers Aetna

(6 days ago) WEBHealth benefits and health insurance plans contain exclusions and limitations. With Aetna's telehealth services, members get convenient access to care that fits their lives - from …

https://www.aetna.com/services/telehealth.html

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Billing Medicare for Telehealth Services in 2024 - AAPC

(1 days ago) WEBFor 2024, use modifier 95 when the clinician is in the hospital and the patient is in the home, and for outpatient therapy services provided via telehealth by qualified PTs, OTs, or …

https://www.aapc.com/blog/89970-billing-medicare-for-telehealth-services-in-2024/

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Telehealth FAQ: You Asked, We Answered - AAPC Knowledge …

(9 days ago) WEBAshley: We don’t have official language to guide you on your specific question. Here’s what CMS says in the interim final rule: “We are finalizing, on an interim bases for the duration of the PHE for the COVID-19 pandemic, separate payment for CPT codes 98966-98968 and CPT codes 99441-99443.”

https://www.aapc.com/blog/50156-telehealth-faq-you-asked-we-answered/

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