Billing > Billing
95/2 vs 95/11
(1/1)
arvsun:
Hello
For outpatient office visits, "Modifier 95 and in office for POS 11" with some insurances pays better than "95/2". Are there recommendations on how to get best reimbursement for tele visits and in choosing 95/11 vs 95/2 - perhaps with additional modifiers and additional codes such as facility codes
If someone has a web reference to an item that clarifies it, that will also really help
Thanks so much
ASG
Michele:
I don't believe it's an option. Some insurances require that you use the 02 POS and others require the 11 POS. Some require the 95 modifier, others do not want it. There is no way to code telehealth to "get best reimbursement". It has to be coded the way that the insurance requires it.
Navigation
[0] Message Index
Go to full version