Medicare Compliance & Reimbursement - 2019 Issue 11
Telemedicine: Comprehend the Virtual Check-In Codes With This FAQ
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Article Overview
This article explains common billing and documentation questions surrounding virtual check-ins and related telephone or technology-based E/M services. It is aimed at coding professionals, billers, and clinicians who need a neutral overview of how these services are discussed in Medicare and CPT/HCPCS contexts, including general topics such as service origin, modality, modifiers, incident-to concerns, and payer dependence.
Why This Topic Matters
Virtual check-in and telephone service rules are frequently misunderstood and can affect whether a service is separately reportable. Understanding the scope of the discussion helps coders and practices determine whether the article is relevant before reviewing the full guidance.
Article Sections
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Introduction
Sets up the article’s focus on virtual check-ins and the practical questions that arise when billing these services.
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What Is the Difference Between 99441-99443 and G2012?
Compares the two service families at a broad level and discusses general distinctions between CPT and HCPCS code categories.
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What Limitations Are There on the Codes?
Summarizes general restrictions discussed for these services, including their relationship to other encounters and related communication formats.
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Do I Use Modifiers for the Service?
Addresses modifier considerations in a broad payer and edit-management context.
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Can You Bill These Services Incident-to?
Reviews incident-to billing considerations and mentions related alternatives for nonphysician professionals.
What You Will Learn
- How virtual check-in services are discussed in relation to telephone and technology-based communication
- Which broad coding families are compared in the article
- What general billing limitations are highlighted for these services
- How modifier use is framed in a payer-dependent context
- What the article says about incident-to billing considerations and related nonphysician service categories
Who Should Read This
- Medical coders
- Medical billers
- Physician practices
- Revenue cycle staff
- Clinicians involved in telehealth billing
Codes Discussed
Code Ranges Discussed
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