Nov 8, 2024 · Medicare reinstates certain pre-pandemic telehealth policies. COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule …

May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial:-The patient was …

May 1, 2023 · Just an FYI to the article from the author: The use of the -93 modifier is currently active, but optional. CMS has stated that the -95 modifier is for Telehealth services through …

Nov 11, 2017 · Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E&M service (99201-99395). Initially I tried with modifier “25” to E&M, after that I even …

Oct 20, 2022 · Sometimes it gets denied but then will go through after appending the 59-mod to it. If the corrected claim gets denied, then I submit an appeal with medical records; but lately …

Jan 15, 2025 · Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now. Now that the dust has settled on the American Relief Act, 2025, Medicare policy for …

Aug 8, 2019 · We had a claim for 99222 that was denied by Aetna since another provider had billed for it first. We are the attending physician (and was the one who asked for a consult with …

Dec 18, 2024 · Aetna - Follow Medicare (per their risk adjustment inquiry team– no updated policy of their own yet) BCBS - Follow Medicare (may want to check on this later to see if they …

Through Dec. 31, 2024, there are no geographic restrictions for patients or providers. For Medicare, use the place of service code that identifies where the patient is located: POS 02 …

Nov 1, 2011 · Due to the fact that we have several patients who have Aetna, in addition to Medicare, and/or other primary/supplemental payers (whose policies and protocol are based …