The South Central Region Virtual Visit Billing Guides have been updated with the most recent payor changes. Below is this announcement's most recent updates, or click on any state to go directly to that state's guide.
The Arkansas, Tennessee, and Mississippi Virtual Visit Billing guides have been updated with the most recent payor changes! Medicare performed several updates for 2024. The telehealth code set was updated, direct supervision requirements were clarified, and the list of allowable telehealth providers was expanded. Furthermore, the Consolidated Appropriations Act of 2023 will continue to allow numerous telehealth flexibilities for Medicare through December 31st, 2024.
For Commercial, several payors completed an end of year telehealth code set update, including Aetna, which had a significant revamp in their telehealth policy for the first time since the PHE ended in May 2023. Commercial policies should remain relevantly stable in the next couple months, with the exception of possibly BCBS of Mississippi, which still lists numerous codes within their policy that expired in December 2023.
Lastly, Medicaid policies have remained relatively stable, with no significant changes for year end.
Video: Check out the Telehealth Roundup: Billing & Reimbursement Updates March 2024 webinar recording HERE. Perfect compliment to this quarter’s reimbursement guides.
Below are the detailed updates:
CIGNA
Updated the Remote Physiologic Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) Medical Policy
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- Removed S9110 and added G0322, The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)
- Added policy statement for self-measured blood pressure monitoring
- Removed policy statement criteria requiring FDA approval/clearance
- Revised policy statement for RPM for any other indication
BCBS of TN
- Updated quality measure tables
- Clarified Place of Service Requirements
BCBS of MS
- Updated code set to remove codes that expired December 31st, 2023
Mississippi Medicaid
- Added Licensed Marriage and Family Therapists (LMFTs) and Mississippi State Department of Health (MSDH) clinics as approved distant site providers
- Added the installation or maintenance of any telecommunication devices or systems as a non-covered service
UHC
- Updated code set
