Author Topic: Billing for Skype/telehealth/telemedicine for substance abuse counseling in CA  (Read 1298 times)

1UR1

  • Newbie
  • *
  • Posts: 4
Hello. Does anyone have experience billing for Skype or other videoconferencing OP sessions in California? Has anyone seen success in getting these paid? I have found a lot of conflicting information about this. If so, what codes/modifiers are to be used? Any helpful information would be appreciated. Thanks!

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4762
    • Solutions Medical Billing
You mean telemedicine where the provider is not physically in the same location as the patient?  I have not billed it but here is information from CMS regarding it:

http://www.americantelemed.org/docs/default-source/policy/medicare-payment-of-telemedicine-and-telehealth-services.pdf
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

1UR1

  • Newbie
  • *
  • Posts: 4
Thank you Michele! That is what I mean. I am assuming that this also applies to private insurance?

Also, if anyone out there does have experience in this, I'd love to hear from you as well.

PMRNC

  • Hero Member
  • *****
  • Posts: 4252
    • One Stop Resources & Networking for Medical Billers
You won't get reimbursed for this at all, EVEN if you can show medical necessity for not being able to visit the office.
The next reason of course is privacy.. certain platforms may not meet HIPAA standard safeguards.
This is mostly a private pay service and your provider should collect up front. You can try to obtain auth/payment but i's highly unlikely right now.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com