The health and safety of patients with COVID-19—as well as the providers treating them—have rightfully earned much of our focus recently. At the same time, however, social distancing measures meant to protect patients and providers alike are challenging the way all patients receive ongoing care.
The pandemic highlights how important it is, in certain cases, to allow hospitals and health systems to treat patients without being in the same physical location—such as through virtual visits. Recognizing this fact, the Centers for Medicare & Medicaid Services (CMS) and other payers have increased access to virtual visits. As of March 6, CMS temporarily is paying for virtual services to any healthcare facility for patients in any area of the country, including their homes. Specific evaluation and management (E/M) visits, mental health counseling services and preventive health screenings qualify under the new rules.
With proper documentation, coding, and billing, hospitals and health systems can benefit from Medicare reimbursement for three main types of virtual services during the COVID-19 public health emergency:
For hospitals and health systems that aren’t used to coding for virtual visits, ensuring code integrity can be tricky due to time components, as well as additional requirements for appropriate modifiers and place of service (POS) codes. However, some E/M coding solutions such as abeo’s TRUSTEDi10 can ease the burden, especially if your EHR does not automatically capture a time component that is needed for the virtual visit documentation for E/M coding. TRUSTEDi10’s EHR integration and artificial intelligence capabilities enable it to automatically capture compliant “time spent” language in the documentation and present the proper code for provider acceptance. In essence, it “reads” charts like a human but generates E/M code recommendations faster, more compliantly and more consistently—thus helping healthcare organizations derive more benefit from the current reimbursement opportunities.
We know that navigating unfamiliar virtual visit codes can be challenging. We’re here to support you. Learn more about TRUSTEDi10.
abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.