Knoxville Area Psychological Association
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- Tip of the Month - April 2020
Members Tips of the Month - APril 2020
Submitted by Dr. Keith Hulse and Behavioral Medicine Institute: "This is the best info we have but so far..." But it's changing weekly!
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Aetna Efft. 03/17/2020 – 06/04/2020 |
● Commerical and Medicare plans covered for Telehealth and Telephone sessions ● Bill w/ modifier GT or 95 ● Covered CPT codes (EAP covered): 90791, 90792, 90832- 90840, 90845, 90846, 90847, 90853, 90863, 99441-99443 (no modifiers required) |
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Amerigroup Efft. 03/17/2020 – No end date |
● Originating site waived ● Telephone sessions is permitted ● Bill with POS 02; does not mention any modifier requirements |
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Beacon Health Options Efft. 03/25/2020 – No end date |
● Must be clinically appropriate and medically necessary ● Services covered via telephone or telehealth ● Telehealth Attestation Waived ● Alternative approved platform(s): FaceTime and Skype ● Prohibited platform(s): Facebook Live and Tik Tok ● Clinical Documentation are the same as face to face documentation for services |
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Behavioral Health Systems Efft. 03/18/2020 – 05/31/2020 |
● Telehealth and Telephone sessions are permitted ● Psychotherapy and Med Mgt are covered ● Bill with POS 02 ● No modifiers required |
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Blue Cross Blue Shield Efft. 03/19/2020 – 04/30/2020 |
● Bill w/ POS 02 |
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Cigna Efft. 03/17/2020 – 05/31/2020 |
● Telehealth Attestation Waived ● Telehealth and Telephone sessions are permitted ● FaceTime and Skype are permitted ● Bill w/ Modifier 95 and POS 02 |
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Magellan Efft. 03/18/2020 – No end date |
● Telehealth Attestation waived ● Telehealth and Telephone sessions are permitted |
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Medicare Efft. 03/05/2020 – No end date |
● Originating site restriction is waived ● POS stays the same (11) for office ● Utilize modifier 95 |
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Tricare Efft. 03/17/2020 – No end date |
● Providers must be licensed in the state of telehealth service ● Video platform must be HIPAA compliant ● Bill w/ GT modifier and POS 02 for distant site; Q3014 modifier for originating site |
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UHC – Medicare Advantage, Medicaid, Efft. 03/25/2020 – 06/18/2020 *Optum Commercial - Efft. 03/26/2020 - 04/30/2020 |
● Originating site restriction is waived for all policies ● Commerical and Medicare – HIPAA restrictions are lifted for usage of FaceTime, Skype, or by telephone ● Commerical – CPT & GT Modifier w/ POS 02 for both telephonic and telehealth ● Medicare Advantage – All CPT codes are payable when billed with POS 02 and the GQ/GT modifiers. ● TNCare – Bill with POS 2, no modifiers required |