Telehealth has rapidly evolved from an emergency solution during the COVID-19 pandemic to a cornerstone of modern healthcare delivery. Patients can now consult providers remotely, access follow-up care, and engage in chronic disease management—all without leaving their homes. As telehealth becomes an essential service, understanding telehealth billing and modifiers is crucial for healthcare providers aiming […]
Understanding Modifier 95: A Brief Overview Modifier 95 is a medical billing code used to indicate that a service was provided via telehealth. This modifier is essential for ensuring that healthcare providers receive appropriate reimbursement for remote services. Here are the key points about Modifier 95: Purpose: Modifier 95 is appended to the CPT or […]
After three years of policy proposals, the American Medical Association Current Procedural Terminology (CPT) panel responses, and substantial guidance from gastroenterology and other specialty societies, changes to the office/outpatient evaluation and management (E/M) codes became effective as of January 2021. Some aspects of these revisions took effect for telehealth services since spring 2020 for Medicare, […]