We have had multiple requests for a “Quick & Easy” Telemedicine services billing and modifier guide. Remember that all services require the patient’s verbal consent (noted in patent chart). 

Telemedicine Modifier Guide: Telehealth Visit – Audio Video

POS 02 99201-99299

 PayableModifier
AETNA BETTER HEALTHYESGT/95
AETNA HEALTHCAREYESGT/95
AVMED99201-1595
Avmed Medicare AdvantageYES95
CareplusYES95
DOCTORS HEALTHYESGT
FLORIDA BLUE99201-1595/GT
HEALTHSUNYES
HUMANA99201-1595
MEDICAIDYESGT
Medicare and Much MoreYES95
MOLINA MDC HMO99201-15NO
NCH-CarePlus (do POS you normally use)99211-9921295
NCH-Devoted Health (do POS you normally use)99211-9921295
NCH-Simply (Cardiology) (do POS you normally use)99211-9921295
NCH-Vista (do POS you normally use)99211-9921295
Positive HealthCare99201-15
SIMPLY MCRYES95
SIMPLY MCDYESGT
Sunshine AllwellYESGT
SUNSHINE ambetterYESGT
Sunshine MedicaidYESGT
Solis HealthPlanYES
Tricare EastYES
UHC AARPYES95
UHC MedicaYES95/GT
UHC Preferred by AMWELL (app)YES95/GT
WELLCARE99201-1595
WELLMED only by AMWELL (app)99201-99292

Telehealth Visit – Audio Video

POS 11 / 99201-99299

 PayableModifier
BCBS MCR Advantage (POS you normally use)99201-1595/GT
CIGNA (POS you normally use)YES95/GT
MEDICARE (POS you normally use)YES95
UHC Medicaid (POS you normally use)YES95/GT/GQ/G0
UHC MCR advantage plan (POS you normally use)YES95
UHC (POS you normally use)YES95

Telemedicine Modifier Guide: Telehealth Visit – Telephony Only

POS 02 / 99441-99443

 PayableModifier
AETNA BETTER HEALTHYESCR
AETNA HEALTHCAREYESNO
AVMEDNO
Avmed Medicare AdvantageNO
CareplusYESNO
DOCTORS HEALTHNO
FLORIDA BLUEYES
HEALTHSUNNO
HUMANAYESNO
MEDICAIDYESCR
Medicare and Much MoreYESNO
MOLINA MDC HMOYESNO
NCH-CarePlus (do POS you normally use)YES
NCH-Devoted Health (do POS you normally use)YES
NCH-Simply (Cardiology) (do POS you normally use)YES
NCH-Vista (do POS you normally use)YES
Positive HealthCareNO
SIMPLY MCRYESNO
SIMPLY MCDNONO
Sunshine AllwellYES95
SUNSHINE ambetterYESNO
Sunshine MedicaidYESGT
Solis HealthPlanNONO
Tricare EastNO
UHC AARPNO
UHC MedicaYES
UHC Preferred by AMWELL (app)YES
WELLCARENO
WELLMED only by AMWELL (app)YES

Telehealth Visit – Telephony Only

POS 11 / 99441-9943

 PayableModifier
BCBS MCR Advantage (POS you normally use)YES
CIGNA (POS you normally use)YES
MEDICARE (POS you normally use)YESNO
UHC Medicaid (POS you normally use)NO
UHC MCR advantage plan (POS you normally use)NO
UHC (POS you normally use)NO

Medical billing services that maximize profit and cash flow

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Finally, when you know the right people are handling your revenue cycle, you can relax and focus on what you do best- delivering excellent medical care.

PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us

Lanny Menendez
Professional Reimbursement Managers
Professional Reimbursement Managers
www.prmbilling.com