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Changes were made for RHCs and FQHCs Friday April 17th 2020.

  • A new code that will be added 7/1/2020 is G2025 and it will pay $92.00 as a distant site provider for RHCs and FQHCs. 

 

  • In the meantime RHCs/FQHCs that use interactive real time audio/video platforms can bill for telehealth services now through 6/30/20 with a 95 modifier (E/Ms, etc.). 
    • Any claims with 95 modifier will signify that you are requesting reimbursement for G2025.

 

  • CMS will take back or pay the difference between the $92 and the AIR Rate after July 1st. 

 

  • Audio only will still be billed as G0071 through and after 7/1/20 (Virtual check-ins, etc.).

 

  • Interactive asynchronous, real-time audio and video will be billed as regular telehealth service with 95 modifier through 06/30/20 and G2025 after 7/1/20.

 

  • CMS will automatically recoup or pay additional funds with no action required on the part of providers. 
    • Providers will need to be aware of that to ensure the takeback doesn’t cause financial problems when it occurs.

 

Below is the link for the MLN:

https://www.cms.gov/files/document/2020-04-17-mlnc-se.pdf

Topics: COVID-19

Betsy Rios, CPC

Written by Betsy Rios, CPC

Healthcare Coding & Consulting Services

(a.k.a. HCCS)

This blog is an extension of our uncompromising values and dedication to our clients, staff, and the HIM industry as a whole.

 

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Contact HCCS for additional information about coding at info@hccscoding.com.