Telehealth Billing Decision Trees

On March 30, 2020, CMS provided new guidance regarding Telehealth billing. Many other payers have issued specific guidance as well to assist providers during the COVID-19 public health emergency. In addition, CMS has published a Clinician Letter which summarizes many of these changes.

Carol Hoppe, CPC, CCS-P, CPC-I, President and CEO of MedLucid Solutions, has provided iSalus Healthcare with tools which may assist providers in making billing choices. These Telehealth Billing Decision Trees may be very helpful for users of the Choice products.

Telemedicine Decision Tree NEW - Indiana 4-28-2020.pdf provides information regarding Medicare, Commercial Payers, and Indiana Medicaid.

Telemedicine Decision Tree NEW FQHC 4-28-2020.pdf provides information regarding FQHC-RHC Medicare, Commercial Payers, and Indiana Medicaid. As of July 1, 2020, per CMS, the CG modifier will need to be added when appropriate. 

Telemedicine Decision Tree NEW - Other States 4-28-2020.pdf provides information regarding Medicare and Commercial Payers, but does NOT include any specific Medicaid information. 

NOTE: On these documents, any important updates are highlighted in yellow.

Carol Hoppe is a dynamic speaker who has been in healthcare for more than 25 years. She has worked with many different specialty and primary care physicians over the years. She has extensive hands-on practice experience working in transcription, billing, collections, medical office management and consulting services. Carol provides billing, coding, and compliance audits and education for physicians and staff. Carol previously worked as a consultant, instructor, and Director of Billing, Coding and Credentialing for a 500+ physician/hospital system in Indianapolis before starting her own consulting business in 2011.  

Carol Hoppe Full Bio_4-8-2020.pdf