HCPro, JustCoding Outpatient - 2020 Issue 26 (July)
Navigate modifier reporting for COVID-19 visits
July 14th, 2020
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Article Overview
This article covers modifier reporting guidance tied to COVID-19-era billing, with emphasis on telehealth and emergency waiver scenarios. It is aimed at coders, billing staff, compliance teams, and revenue cycle professionals who need to understand which modifiers are discussed, the general situations they relate to, and the organizations and policy sources referenced in the guidance. The article also points readers to related CMS and professional association resources for additional reporting context.
Why This Topic Matters
Correct modifier reporting during the COVID-19 public health emergency affected claim processing, payment, and compliance for a range of telehealth and waiver-based services. Understanding the scope of the article helps readers locate the relevant guidance without exposing the premium article’s detailed instructions.
Article Sections
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Overview
Introduces the article’s focus on modifier reporting during the COVID-19 public health emergency and the broad service categories addressed.
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Modifier -95: Synchronous telehealth services
Discusses telehealth reporting considerations for real-time services and related payer and place-of-service context.
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Modifier GQ: Asynchronous telehealth services
Covers reporting for asynchronous telehealth services and the limited settings where this guidance applies.
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Modifier -G0: Telehealth services for an acute stroke
Summarizes the section devoted to acute stroke telehealth reporting and the associated federal coverage context.
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Modifier -CR: Modified services covered under a waiver
Explains the article’s discussion of emergency waiver-related reporting, including the policy framework and affected service categories.
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Modifier -CS: Cost-sharing waiver
Covers reporting related to waived patient cost-sharing for COVID-19 testing-related visits and the linked billing scenarios.
What You Will Learn
- What topic areas are covered in the article’s modifier reporting guidance
- Which telehealth and emergency waiver modifiers are discussed
- Which organizations and policy sources are referenced for additional guidance
- What general types of COVID-19-era services are included in the discussion
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Revenue cycle teams
- Health information management professionals
Codes Discussed
Modifiers Discussed
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