Message from Health Prime
As companies rise to meet the challenges placed in front of them during this crisis, they all must continue to ensure the primary priority is the health and well being of their team. At Health Prime, we follow this practice so we can continue providing for our clients who are working on the front line. We are all in this fight together.
COVID-19 Novel Coronavirus Facts
As our country is actively trying to mitigate the spread of COVID-19, we want to be able to help you with your billing questions on how your services related to COVID19 will be reimbursed during this time. Given that President Trump declared a national emergency in response to COVID19, there are some waivers to services provided to Medicare beneficiaries. Please look at your state’s regulations to see if there is any flexibility to services provided to patients during this time. This information is available via the CMS.GOV website.
Emergency Declaration Health Care Providers Fact Sheet provided by Medicare will help answer frequently asked questions during this time.
The health of our providers and medical staff is important to all of us at Health Prime. Telehealth allows for you to safely consult with your patients during this time. As your partner, we want to be able to assist you with your reimbursements for these services. Here are some useful links to review on Telemedicine and Payer guidelines.
Medicare Telemedicine Provider Fact Sheet
Medicare Fee Schedule for Telehealth
Enroll for temporary Medicare privileges for non-certified part B providers
Laboratory billing for COVID19
Medicaid Disaster response tool – kit.
CMS: MLN booklet from Medicare regarding routine telemedicine services
CMS Advance Payment Information
Press Release: https://www.cms.gov/newsroom/press-releases/trump-administration-provides-financial-relief-medicare-providers
CMS Informational Fact Sheet: www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf.
Links to Commercial Payers
We also are providing you with useful links for commercial payers to review for Telemedicine and Payer guidelines.
Aetna
Coding (CPT/HCPC/ICD10), reimbursement, guidelines for Telehealth visit, patient responsibility waived,
https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html
Blue Cross Blue Shield
Blue Cross Blue Shield has provided an interactive map for providers to choose the state their practice located. Please ensure you navigate to the for-provider link for COVID-19 guidelines
https://www.bcbs.com/coronavirus-updates
Blue Cross Blue Shield (Federal Employee)
For details on guidelines Blue Cross Blue Shield Federal:
https://www.fepblue.org/coronavirus
Cigna
Complete Guide for COVID-19/Telehealth includes billing and payer guidelines
https://codingintel.com/wp-content/uploads/2020/03/Cignaupdate031720.pdf
Humana
Information on diagnosis codes, telehealth guidelines, COVID-19 benefits for patients
https://www.humana.com/provider/coronavirus
Tricare
Frequently asked questions regarding COVID-19 and Telemedicine guidelines
https://www.humanamilitary.com/coronavirus/provider
United Healthcare
Launches a special enrollment period, reduces prior authorization requirements and expands telehealth coverage
We will continue to update information regarding billing for COVID19 services and any other impacted services as the information is made available to us. We are here to assist in any way that we can, so please feel free to reach out to us.