Episode 105: The Difference between E-Visits and Telehealth: What to Know


In light of current global events, Brian tackles a topic of major relevance and concern: telehealth and e-visits. He covers some specifics that practice owners should be aware of as they explore this avenue for patient care? Brian addresses common questions that we have been receiving from clients at this challenging time. Tune in to get Brian’s helpful tips and advice. Please note, he uses the APTA guidelines as a source for this podcast.

KEY TAKEAWAYS

  • Some clients are having to close their doors, while others aren’t feeling as much of the heat – we’re trying to help as many owners as we can and connect you with 
  • We want you connected to legitimate resources
  • E-Visit in regard to Medicare patients is defined as  “Non face-to-face patient initiation, which requires clinical decision-making, to help the patient.” E-Visits are only to be administered to current, active patients (not new patients). These are intended for short-term periods of coverage for assessing and managing patient’s care (7-day period of time).
  • There is talk about waiving HIPAA regulations so you can use the phone, Zoom, Skype, Google Hangout, FaceTime (although APTA is discouraging this).
  • Online Patient Portals are secure, online websites that gives patients convenience and 24-hour access to healthcare information. However these are not the only platform you need to use right now.
  • Codes to know for e-visits:
    • G2061 – From the first e-visit, you have 7 days to care for the patient. You bill at the end of the 7 days. Use modifier CR, and bill under the place of service (POS) using code 11. The reimbursement rate is $13.70.
    • Code G2062 reimburses at $23.24.
    • Code G2063 reimburses at $35.98.
  • You can market that you’re doing e-visits, however you can not put people on them. They have to initiate the desire to do them.
  • In regards to telehealth, many insurance carriers are reimbursing you in parity for Telehealth service. Note that the key word to look for is parity, or treating your coverage the same as if you were in office, reimbursing you at the same rate. 
  • Bill out with a GT or 95 code.
  • You will still need to have appropriate documentation to show medical necessity. Currently, PT’s are NOT covered under Medicare to do telehealth. 
  • For more information on setting up telehealth and compliance issues, reach out to TelePT Solutions, or email Daniel Seidler.

LINKS OF NOTE

As always, it is our mission to help as many owners be successful in private practice. While success might look a bit different during the current public health crisis, we are here to be a resource so please do not hesitate to contact us with any questions, or if you’re looking for any advice regarding your practice management.

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