Is your practice looking for ways to increase revenue while protecting vulnerable patients?
If so, mHealth Games can help!
We build custom e-visits, virtual check-ins, online assessments and patient education that can be launched from your patient portal.
In need of a patient portal?
We can help with that too! Our patient portals start at $2,500 and can be completed in 7-10 days.
Recent projects include:
- COVID-19 – Real-time monitoring of symptoms with personalized instructions
- Heart Failure – Monitor daily weight and BP to prevent exacerbations
- Diabetes – Patient management and education
- COPD – Patient management and education
- Major Depression – Online assessment and daily check-in
- Substance Use Disorder – Patient management and education
- Dermatology – Assessment of patient submitted images of skin rashes and other lesions
E-Visits
In all types of locations including the patient’s home, and
in all areas (not just rural), established Medicare patients may have
non-face-to-face patient-initiated communications with their doctors without
going to the doctor’s office by using online patient portals. These services
can only be reported when the billing practice has an established relationship
with the patient.
For these E-Visits, the patient must generate the initial
inquiry and communications can occur over a 7-day period. The services may be
billed using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable.
The patient must verbally consent to receive virtual check-in services. The
Medicare coinsurance and deductible would apply to these services.
Medicare Part B also pays for E-visits or patient-initiated
online evaluation and management conducted via a patient portal. Practitioners
who may independently bill Medicare for evaluation and management visits (for
instance, physicians and nurse practitioners) can bill the following codes:
99421: Online digital evaluation and management service, for
an established patient, for up to 7 days, cumulative time during the 7 days;
5–10 minutes
99422: Online digital evaluation and management service, for
an established patient, for up to 7 days cumulative time during the 7 days; 11–
20 minutes
99423: Online digital evaluation and management service, for
an established patient, for up to 7 days, cumulative time during the 7 days; 21
or more minutes.
Clinicians who may not independently bill for evaluation and
management visits (for example – physical therapists, occupational therapists,
speech language pathologists, clinical psychologists) can also provide these
e-visits and bill the following codes:
G2061: Qualified non-physician healthcare professional
online assessment and management, for an established patient, for up to seven
days, cumulative time during the 7 days; 5–10 minutes
G2062: Qualified
non-physician healthcare professional online assessment and management service,
for an established patient, for up to seven days, cumulative time during the 7
days; 11–20 minutes
G2063: Qualified non-physician qualified healthcare
professional assessment and management service, for an established patient, for
up to seven days, cumulative time during the 7 days; 21 or more minutes.
VIRTUAL CHECK-INS
Medicare pays for these “virtual check-ins” (or Brief
communication technology-based service) for patients to communicate with their
doctors and avoid unnecessary trips to the doctor’s office. These virtual
check-ins are for patients with an established (or existing) relationship with
a physician or certain practitioners where the communication is not related to
a medical visit within the previous 7 days and does not lead to a medical visit
within the next 24 hours (or soonest appointment available). The patient must
verbally consent to receive virtual check-in services. The Medicare coinsurance
and deductible would generally apply to these services.
Doctors and certain practitioners may bill for these virtual
check in services furnished through several communication technology
modalities, such as telephone (HCPCS code G2012). The practitioner may respond
to the patient’s concern by telephone, audio/video, secure text messaging,
email, or use of a patient portal.
Standard Part B cost sharing applies to both. In addition, separate from
these virtual check-in services, captured video or images can be sent to a
physician (HCPCS code G2010).
HCPCS code G2012: Brief communication technology-based
service, e.g. virtual check-in, by a physician or other qualified health care
professional who can report evaluation and management services, provided to an
established patient, not originating from a related e/m service provided within
the previous 7 days nor leading to an e/m service or procedure within the next
24 hours or soonest available appointment; 5-10 minutes of medical discussion.
HCPCS code G2010: Remote evaluation of recorded video
and/or images submitted by an established patient (e.g., store and forward),
including interpretation with follow-up with the patient within 24 business
hours, not originating from a related e/m service provided within the previous
7 days nor leading to an e/m service or procedure within the next 24 hours or
soonest available appointment.
RHCs and FQHCs
RHCs and FQHCs may bill G0071, payment for communication
technology-based services for 5 minutes or more of a virtual (non-face-to-face)
communication between an RHC or FQHC practitioner and RHC or FQHC patient, or 5
minutes or more of remote evaluation of recorded video and/or image by an RHC
or FQHC practitioner, occurring in lieu of an office visit; (RHC or FQHC only).
G0071 will be paid at $24.76 beginning March 1, an increase from the prior rate
of $13.53.
RHCs and FQHCs may also bill the “messaging” codes
99421–99423, on-line digital services.
MACs will automatically reprocess claims with G0071 for claims
processed after March 1. The new rate is a blended rate, based on the payment
rates of 99421—99423, and the two HCPCS codes for virtual communication, G2012
and G2010.
Visit mHealth Games today or contact Kameron Gifford to learn more.
