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Billing / Reimbursement

Billing Telehealth Updates for the South Central Region – February 2022

By March 7, 2022February 28th, 2024No Comments

The Arkansas, Tennessee, and Mississippi Virtual Visit Billing Guides have been updated with the most recent payor telehealth policy changes!  Payors have continued to keep in place their current telehealth flexibilities as the COVID-19 Federal Public Health Emergency (PHE) continues on.

We are seeing payors begin to implement the use of POS 10, which is the new POS code that CMS added effective January 1st, 2022.  POS 10  is now known as “Telehealth Provided in Patient’s Home”, while the original telehealth place of service (02),  was renamed to “Telehealth Provided Other than in Patient’s Home”.

Below are the detailed updates:

View or Download Guides

 

ANTHEM WISCONSIN

  • Extended telephone allowable code and cost share waiver through April 16th, 2022

CIGNA

  • Ended coverage for urgent care virtual care services effective March 13th, 2022
  • Announcement to hold off billing POS 02 until further notice

UHC Community Plan of Tennessee

  • Code list recognized with a modifier 95 updated

UHC

  • Added use of POS 10

WELLMARK

  • Revised section based on provider manual that was received.

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.

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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.

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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.

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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.