Medical Billing and Coding Resources
Basics of Modifier GQ: Centers for Medicare & Medicaid Services (CMS) rules stipulate that as a condition of payment for telehealth services, providers must use interactive audio and video telecommunications system that permits real-time communication between (the provider), at the distant site, and the beneficiary, at the originating site. Asynchronous ‘store and forward’ technology is […]
Basics of Modifier 95 Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system. The modifier 95 was introduced in 2017 and is different from CPT or procedure codes, and describes the claim. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified healthcare professional […]
Effective from March 17, 2020, the Office for Civil Rights (OCR), the department responsible for enforcing the Health Insurance Portability and Accountable Act of 1996 (HIPAA) regulations, announced they will exercise enforcement discretion for telehealth remote communications during the COVID-19 nationwide public health emergency. During the COVID-19 emergency, physicians subject to HIPAA Rules may communicate […]
