99213-214 via telehealth only allowable to designated remote shortage/rural sites without access to docs. This restriction has not been waived for the rest of us yet. So i wouldn't try that. Even if it goes through it's likely audit material.
from
https://www.pyapc.com/insights/despite-waiver-of-telehealth-restrictions-coverage-appears-unchanged/-------------->
In the March 5 fact sheet, CMS also notes that such services furnished to rural Medicare beneficiaries may be eligible for reimbursement as telehealth services in specific circumstances. As such, these services are reimbursed at the same rate as the comparable face-to-face service:
In addition, Medicare beneficiaries living in rural areas may use communication technology to have full visits with their physicians. The law requires that these visits take place at specified sites of service, known as telehealth originating sites, and receive services using a real-time audio and video communication system at the site to communicate with a remotely located doctor or certain other types of practitioners. Medicare pays for many medical visits through this telehealth benefit.
Following the March 13 declaration of a national emergency, CMS has temporarily waived requirements that out-of-state providers be licensed in the state where they are providing services when they are licensed in another state.[5] Thus, a provider now may provide telehealth services, as well as virtual check-ins and eVisits, to an individual residing in a state in which that provider is not licensed to practice. Still, all other restrictions on Medicare reimbursement for telehealth services remain in place.
Despite having clear congressional authority to extend telehealth coverage to patients in non-rural areas and to services furnished to patients in their homes, CMS apparently believes significantly lower reimbursement for virtual check-ins and eVisits for Medicare beneficiaries is adequate now. With circumstances changing daily with respect to the virus’ continued spread, CMS’ current perspective on all reimbursement matters pertaining to beneficiary coverage is likely to evolve. Stay tuned…
.png "ACUF Donor I")
