Outpatient Facility Coding Alert - 2020 Issue 7
COVID-19 PHE: Master Billing Alternatives for Non-Video Patient Contact
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Article Overview
This article summarizes CMS guidance issued during the COVID-19 public health emergency for billing patient contacts that do not involve standard two-way video visits. It is aimed at coders, billing staff, and clinicians who need to understand the major categories of communication-based services, which providers may report them, and how the pandemic affected coverage for these services.
Why This Topic Matters
During the COVID-19 public health emergency, CMS temporarily expanded coverage for several non-face-to-face services. Understanding the broad billing categories and the relevant code sets helps practices document and bill patient communications appropriately while limiting exposure risks.
Article Sections
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Look to Telephone Codes
Introduces CMS pandemic coverage for audio-only patient communication and discusses the general billing context for telephone-based services. The section distinguishes these services from other virtual visit types.
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Understand Virtual Check-In
Covers brief communication-based services that occur outside a standard office visit. It also explains the broad Medicare coverage context for these interactions during the public health emergency.
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Code E-Visits for Patient Portal Communication
Describes digital communication through a secure online portal and explains the general category of e-visit services covered during the public health emergency. The section also notes the relationship between e-visits and other virtual service types.
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Capture Remote Monitoring
Summarizes remote physiologic monitoring and related data collection and management services. It discusses the broader CMS pandemic-era coverage changes affecting these services.
What You Will Learn
- The main categories of non-video patient communication covered during the COVID-19 public health emergency
- How CMS grouped audio-only, portal-based, brief check-in, and remote monitoring services
- Which types of providers and patients were addressed in the temporary coverage guidance
- How the article frames pandemic-era billing considerations for communication-based care
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physicians
- Advanced practice providers
Codes Discussed
Code Ranges Discussed
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