The patient’s physician requests the treatment advice of another physician consultant, but without a face-to-face encounter with the patient and that consultant. Is this a billable situation? Traditionally No. But since 2018 and even now, more specifically, CPT® codes in 2019, "virtual" peer reviews are a covered benefit for most payers. This is new territory when it comes to insurance coverage, especially since these services are not subject to telehealth rules or restrictions Medicare has put on other telemedicine services. What’s the solution? Nationally recognized professional physician coder and auditor Terry Fletcher will be analyzing this situation when she reports our lead story during this edition of Talk Ten Tuesdays.
The broadcast will also feature these other segments: