The rules for billing digital and telehealth services vary from payer to payer. Contact us to enhance billing for e-visits/digital visits.

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The Centers for Medicare & Medicaid Services (CMS) issued the 2023
Physician Fee Schedule (PFS) Final Rule on November 1, 2022. This
Final Rule for telehealth and digital service providers includes significant
changes, stating new codes that will anticipate and facilitate future
growth in these areas. However, medical billers and coders require
immediate answers to their digital and telehealth billing services
questions. Which codes are to be used, and for what services? How do
digital and telehealth services get reimbursed? And many more!!

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CPT Codes:
• Online Digital E/M Services
99421: 5 – 10 minutes
99422: 11 – 20 minutes
99423: 21 or more minutes
• Telehealth Visits
99201-99205: New patient office/outpatient E/M visit
99210-99215: Established patient office/outpatient E/M visit
G0425-G0427: Initial inpatient telehealth consultations for emergency
department (Medicare only)
G0406-G0408: Follow-up inpatient consultations for patients in
hospitals or SNFs (Medicare only)
Modifier 95: Use on an interim basis for Medicare telehealth billing
company by most commercial payers

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Telephone E/M Services
Telephone or audio-only evaluation and management (E/M) services for
established and new patients may neither be led to an E/M service or
procedure within the next 24 hours nor derived from a related E/M
service provided within the previous 7 days or the next available
appointment. Medicare and some Medicaid programs cover these
services on an interim basis for medical discussions for a duration of:
99441: 5-10 minutes
99442: 11-20 minutes
99443: 21-30 minutes

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Undoubtedly, the provisions of the Final Rule will significantly impact the
prospects of telehealth billing services in the context of the Medicare
Program and beyond beginning in January 2023. However, the billing
guidelines for digital and telehealth services are still being developed. In
fact, the rules for billing digital and telehealth services vary from payer to
payer (Medicaid, Medicare, private payers, etc.).
To know more, you can contact the 24/7 Medical Billing Services team to
enhance your reimbursements ultimately.

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We are a medical billing company that offers ‘24/7 Medical Billing
Services’ and support physicians, hospitals, medical institutions and
group practices with our end to end medical billing solutions. We help
you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow
physicians to attract additional revenue and reduce administrative
burden or losses.

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Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA 30068
Ohio
28405 Osborn Road, Cleveland, OH 44140
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax : +1 888-502-0537
Email us: info@247medicalbillingservices.com