Author Topic: Medicare wellness telehealth  (Read 317 times)

stellerdobes

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Medicare wellness telehealth
« on: January 12, 2022, 02:06:01 PM »
Can the medicare wellness be done by telehealth?  Im being told yes they can but the provider still has to check all the boxes ex min mental exams ect.  If they are a diabetic a foot exam is required and on the mini mental they have to the clock drawing.  If the patient has no means of a video visit just phone call can they still do these telehealth and state in note that no video was avaiable and those to things not done

RichardP

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Re: Medicare wellness telehealth
« Reply #1 on: January 12, 2022, 08:17:52 PM »
Somewhere on this site I posted a summary, with links, of what Medicare was going to allow during the emergency period that is still in effect.  These are a couple of points that summary made:

1.  Telehealth is distinct from Telemedicine, as are the rules that pertain to each.

2.  To qualify as a telehealth visit, it can only contain codes for activities that don't require the doctor to be physically present.  There are a number of tools available on the market that can be connected to the computer and their output fed to the provider - like temperature and blood pressure - that would otherwise require the physical presence of the physician.  Medicare allows those tools to be used in a Telemedicine visit.

A foot exam might be allowed for telehealth if the visit was conducted through video of the feet and was properly documented in the notes.  Can't really do that when it is a telephone-only connection.

RichardP

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Re: Medicare wellness telehealth
« Reply #2 on: January 12, 2022, 08:20:49 PM »
Annnnnd - in re-reading, I realize that I did not answer your question - can they ... state in note that no video was avaiable and those to things not done?

I don't know the answer to that question.

stellerdobes

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Re: Medicare wellness telehealth
« Reply #3 on: January 13, 2022, 03:31:37 PM »
Thanks.  I know those exams and the mini mental are required during the wellness.  But he is saying his friend that works for... are doing them telehealth and not doing those.  But I refuse to bill something that  isn't done correctly

Michele

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Re: Medicare wellness telehealth
« Reply #4 on: January 17, 2022, 10:44:01 AM »
I am not 100% sure but I believe they can just document that those tests could not be done and why.  All rules have and are changing due to COVID.
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stellerdobes

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Re: Medicare wellness telehealth
« Reply #5 on: January 18, 2022, 02:10:31 PM »
thanks michelle

Medical Billing Forum

Re: Medicare wellness telehealth
« Reply #5 on: January 18, 2022, 02:10:31 PM »