ED Coding & Reimbursement Alert - 2005 Issue 21
Part B Coding Coach: Catch The E-Wave- Is Your Practice Wiping Out On Reimbursable Visits?
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Article Overview
This article covers two broad categories of remote patient services: e-visits and telemedicine. It describes how these services are discussed in relation to Medicare, Medicaid, and some private payer coverage, along with general billing and documentation considerations, HIPAA-related communication issues, and state-specific policy variation. The piece is aimed at coding and billing professionals who need to understand how remote encounters are distinguished and reported at a high level.
Why This Topic Matters
Remote services can create reimbursement opportunities, but coverage, reporting, and privacy expectations differ across payers and states. Understanding the general scope of the article helps readers determine whether it is relevant to their billing workflow and compliance responsibilities.
Article Sections
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Understand E-Visits
Introduces electronic patient communications and distinguishes the article’s discussion of online services from telemedicine. Covers general payer and documentation considerations for remote encounters.
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Examine These E-Visit Examples
Provides illustrative scenarios involving established-patient electronic communication and general guidance about documentation and privacy considerations for those encounters.
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Use Telemedicine to Diagnose at a Distance
Discusses telemedicine as a separate remote service category and outlines payer and state-policy differences, along with general compliance considerations.
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Use Modifiers According to Medicaid Policy
Summarizes that Medicaid telemedicine reporting may involve modifiers and that requirements can vary by state and policy.
What You Will Learn
- How the article distinguishes e-visits from telemedicine
- Which payers are discussed in connection with remote services
- What general compliance issues are raised for electronic communications
- How the article frames state variation in telemedicine policy
- What broad types of examples are used to illustrate remote encounter billing
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Physician office staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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