![]() Coding & Reimbursement: (Updated May 1 to include coverage for both testing and treatment, timely filing deadlines, and policy delays).Medicare Advantage: All CPT/HCPCS codes, payable as telehealth when billed with POS 02 and the GQ or GT modifiers, as appropriate, under Medicare, will be covered on our MA plans for members at home during this time.Medicaid: Recognized by CMS and appended with modifiers GT or GQ and, recognized by the AMA, included in Appendix P of CPT and appended with modifier 95.Commercial: Recognized by CMS and appended with modifiers GT or GQ and, recognized by the AMA included in Appendix P of CPT and appended with modifier 95.Member cost sharing will be waived for COVID-19 testing-related visits during this national emergency. Telehealth (No Changes for EM) : waiving CMS originating site restriction for Medicare Advantage, Medicaid and commercial members, so that care providers can bill for telehealth services until. ![]() This resource will be updated as things change.Ĭommercial (and Managed Care where applicable): ![]() ACEP Reimbursement Manager Adam Krushinskie put together a quick synopsis of what he has gathered from researching all of the major insurer bulletins and policy change notices regarding COVID-19, plus the MAC TPE updates he's been able to find so far. ![]()
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