Watch for Payer Telehealth Coverage Changes

by  Wyn Staheli, Director of Content
June 3rd, 2020

It has certainly been a roller-coaster ride as everyone has attempted to keep up with all the rapidly changing rules. As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage.

For example, on May 31, 2020, United Healthcare updated their COVID information page to reflect some policy changes. They will reimburse doctors of chiropractic for the following services when rendered using live video-conferencing while a patient is at home:

The dates for these services vary depending on the plan:

In comparison, coverage by Excellus BlueCross BlueShield is different. You can bill E/M codes (99201-99205) for a new patient, but they won’t cover E/M for an established patient. For established patients, there are some other services (e.g., assessment for lower back pain) which may be reimbursed. For these telehealth services, coverage extends “from March 13, 2020 until the State of Emergency has been lifted.” 

Since each state will determine their own ending of the “State of Emergency” and each payer — even different plans offered by that payer — can have different timelines, providers will need to pay close attention. Signing up for newsletters from the payers most commonly billed by your organization can help. At the very least, carefully watch their websites for changes in policies.

Watch for Payer Telehealth Coverage Changes. (2020, June 3). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.