As the popularity of telehealth continues, it’s important for medical clinics to be properly reimbursed for these services—especially if they are a newer edition to their typical offerings. For your convenience, we’ve put together some ways to help avoid denied claims:
Take note of time and all up-to-date telehealth codes.
Especially as we head into 2022, look out for changes in CPT codes pertaining to telehealth. Medicare has a list of payable services for the Medicare Physician Fee Schedule, which can be easily accessed for reference. However, that list does not include all payers, so it’s essential to also to check in with the insurance to ensure they use those codes for proper reimbursement.
Stay on top of denied claims. 
Billing isn’t just about using the right codes and standards—it also requires a lot of vigilance when it comes to checking that claims were approved. Patients can change insurances unexpectedly or insurances may have decided to change their telehealth policies. With all the different claims going through the different payers, it’s important to monitor them because of that. Practices are not always informed of a change in modifiers or codes, so this is your best way to be aware of it.
Make sure the service you’re providing can be covered.
Since the state of telehealth has drastically changed since 2020, providers need to be sure that they’re offering an appointment that can be properly reimbursed by insurance or Medicare. Even in a few short years, telehealth codes have increased or been better outlined, so it just takes some research to know the right one is being used.
Outsource Receivables Inc. serves specialty clinics nationwide by helping them improve their revenue cycle and overall office workflow. If you’ve been struggling with transitioning telehealth into your services, give our experts a call.