Update on Provider Zoom: Telehealth Services

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 Update on Provider Zoom: Telehealth Services

The Telehealth services have been extended for 90 days, approximately from the end of the Public Health Emergency (PHE).  The end of the PHE was scheduled for April 16, 2022, and now has a new date of July 15, 2022. 

Under the PHE, you are to file the telehealth claims with POS 11 and append modifier 95 to indicate a telehealth service.

When the PHE is finally over, a new ruling was published on January 1, 2022, instructs that telehealth services provided when the patient is in their home, should be reported with new POS code 10. The billing system should be updated to report the appropriate POS code for telemedicine visits.


We want to remind everyone that documentation must include the reason the service was provided via telemedicine, that there was audio and video access, and that the patient provided consent and initiated the call. 

Our team values you more than jelly beans and chocolate! 
Happy Easter and Passover for those who are celebrating.

The ACE Team

Are you getting paid for the services you performed? The ACE Revenue Integrity Analytics (RIA) Audit can look at a year’s worth of data!  This automated service reviews EVERY record in a specific time period. 
  • Innovative machine learning distills large datasets into a single, easy to understand Excel format
  • Provides meaningful insights into the group’s monthly billing data
Please watch the video below that walks you through how the ACE RIA audit can help you and your group ensure that revenue is captured for services performed. 

Contact kaylal@aceauditors.com to inquire about booking. 

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We realize there are lots of questions swirling about the latest out of network rules. We presented on this is our most recent Code & Chat, but if you missed it you can now purchase the recording and the slides with our insights. Click here to purchase for $25.

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