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When the pandemic came to the U.S., a Medicare scamster tried to add COVID-19 tests to her fraud portfolio, a U.S. Attorney charges.
 
Providers gained a substantial pay boost for audio-only E/M encounters (99441-99443) under recent CMS rulemaking -- and the path to those payments for claims you already submitted just got easier.
 
 
 
The big pay boost for telephone E/M codes performed by physicians and qualified health care professionals (99441-99443) is good news for practices that have performed audio-only telephone encounters during the COVID-19 emergency.
 
In addition, the update should remind practices to make sure they know when they can report an office E/M telehealth visit and determine if their state’s Medicaid program will reimburse the practice for audio-only encounters.
 
 
Providers will soon have a way to capture reimbursement for the treatment of uninsured patients during the COVID-19 emergency. But bear in mind that funds are limited, and you'll have to wade through various registration steps to get set up.
 
 
A phone call with a patient — plus complete documentation — will be all it takes to report 89 services on Medicare's telehealth list. Practices will also be able to receive full reimbursement for 39 new services performed via telehealth, according to the updated telehealth list posted today. The changes are retroactive to March 1.
 

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