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South Central Billing / Reimbursement Updates

The following is a list of billing and reimbursement updates for telehealth and telemedicine within the South Central region (Arkansas, Mississippi, and Tennessee). Source: RuralMED

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September 2024 Updates

The South Central Region Virtual Visit Billing Guides have been updated with the most recent payor changes. Below is this quarter's most recent updates, or click on any state to go directly to that state's guide.

The quarterly updates for the Arkansas, Tennessee, and Mississippi Virtual Visit Billing Guides are now available!  Payors were relatively quiet this quarter, with only two updates.  Aetna added G9037 to their allowable code list, and Cigna updated their RPM and RTM medical policy with a statement for pregnancy related conditions.  However, some significant changes will occur with the 2025 Medicare Physician Fee Schedule Final Rule, which is set to be released in November. Since most payors utilize CMS guidelines, we will see many other payors make changes based upon the final rule. Stay tuned!

Aetna

Added Interprofessional code section, and added G9037 code as allowable

  • G9037, Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e., not for professional education or scheduling) and may include subsequent follow up on the specialist’s recommendations; 30 minutes

CIGNA

Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) Medical Policy added a statement for gestational diabetes and hypertensive disorders of pregnancy

Archive Billing Updates

About SCTRC

Since 2010, the South Central Telehealth Resource Center (SCTRC) has been providing telehealth training and technical assistance. We offer a wide variety of services and resources to help develop, maintain, and expand telehealth services. While we strive to help anyone reaching out to us for assistance, we prioritize the needs of those who work with rural and other underserved communities and populations in our region — Arkansas, Mississippi, and Tennessee. The SCTRC offers in-person and virtual assistance including on-site demos at our regional telehealth training centers, and popular online resources here such as billing and reimbursement guides, beginner courses, a variety of webinars and recordings, podcasts, and more. The SCTRC team is eager to hear more about your efforts and to brainstorm how we could work together to expand telehealth adoption.

How can we help you today?

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Staff & Advisory Council

The SCTRC is staffed by telehealth professionals with backgrounds in nursing, business, education & instructional design, and mass media/communications.

Staff Directory »

The SCTRC also works with a dedicated group of professionals who comprise the SCTRC Advisory Council. This group provides a grassroots voice for the telehealth initiatives needed in Arkansas, Mississippi, and Tennessee.

Advisory Council List »

The SCTRC is proud to be part of the National
Consortium of Telehealth Resource Centers
SCTRC / UAMS Institute for Digital Health & Innovation

The South Central Telehealth Resource Center is made possible by Grant #U1UTH42528 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS, and the support of the UAMS Institute for Digital Health & Innovation. Please note: This information, content, and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. The information and tools presented on the SCTRC website should not be considered legal advice. The SCTRC is not guaranteeing that any information provided will result in reimbursement from a payer. All materials are strictly for informational and educational purposes. The SCTRC encourages you to check with the appropriate state agency for further information and direction for legal opinions, interpretation of the laws, regulations, and/or policies. Additionally, please consult with your legal counsel or attorney if seeking legal opinions. © 2024 Board of Trustees of the University of Arkansas acting for and on behalf of the University of Arkansas for Medical Sciences. All Rights Reserved.