decisionhealth Newsletters, Part B News - 2018 Issue 11 (November)
Communications-based services will require planning, good timing
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Article Overview
This article covers Medicare’s new communication technology-based services, including interprofessional consults and remote patient evaluation services, and explains the planning issues practices should consider before offering them. It is aimed at physicians, non-physician practitioners, coding professionals, and practice managers who need to understand timing, consent, documentation, and billing workflow considerations for these services. The discussion also places the services in the broader context of E/M-related billing and CMS implementation guidance.
Why This Topic Matters
These services affect how practices document and bill non-face-to-face communication work that may otherwise be bundled into office E/M services. Understanding the policy framework helps practices prepare for payer adoption, avoid billing conflicts, and set up consent and collection workflows.
Article Sections
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Communication technology-based services in Medicare
Introduces the Medicare coverage changes and the general relationship of these services to office-based evaluation and management work. It also notes how the services differ from Medicare telehealth rules.
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Interprofessional consult codes
Summarizes the newly discussed CPT interprofessional consult and referral services and the broad circumstances in which they are relevant. The section frames the services as time-based communication services without detailing code-specific rules.
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Remote patient evaluation services
Describes the HCPCS services used for certain non-face-to-face patient evaluations and their general purpose. The section focuses on the service category and patient context rather than code-level decision criteria.
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Think globally for E/M services
Explains that timing relationships with other evaluation and management services can affect whether a communication-based service is reportable. The section also discusses the need to consider related encounters across a broader time span.
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Consider the hurdles
Reviews operational challenges practices may face when implementing these services, including consent, billing workflow, and collections. It highlights practical preparation needs for offices considering adoption.
What You Will Learn
- How Medicare’s communication technology-based services fit into broader E/M billing
- What types of interprofessional consults and remote evaluation services are being discussed
- Why timing and patient consent are central operational issues
- What workflow challenges practices should anticipate when these services are offered
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical coders
- Billing staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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