APR 13, 2020
Medicare Guidelines with Commercial Payers
Medicare Guidelines with Commercial Payers
Question: Do all payers follow the Centers for Medicare & Medicaid Services (CMS) coding options for telemedicine?
Answer: No. Each payer can and does have their own coverage and coding options. Best practices search the websites of their commercial plans and create a spreadsheet for requirements. Variations include coverage, or lack thereof of specific code families, modifier application and place of service. Even in —telemedicine, the number one rule of coding is – identifying the payer.
Visit Coding for telehealth for more information.