I am needing some clarification, I have multiple providers of different specialties that are wanting to provide the telehealth services but CMS guidelines are vague and confusing when it comes to inpatient and skilled nursing. I have reviewed all the guidelines and everything on line and still no clarification on the following codes.
• Subsequent hospital care services, with the limitation of one telehealth visit
every 3 days (CPT codes 99231, 99232, and 99233) – Here is the question if the patient is in patient how do they determine the every 3 days. If a patient is in the hospital they are "normally" being seen by a physician daily. Is there a way to make this more clear for my providers?
• Subsequent nursing facility care services, with the limitation of one telehealth
visit every 30 days (CPT codes 99307, 99308, 99309, and 99310) – The question is if the patient is in Nursing Home and has multiple episodes what determines the 1 telehealth visit every 30 days. Is there a clear way to determine this for my providers?![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
• Subsequent hospital care services, with the limitation of one telehealth visit
every 3 days (CPT codes 99231, 99232, and 99233) – Here is the question if the patient is in patient how do they determine the every 3 days. If a patient is in the hospital they are "normally" being seen by a physician daily. Is there a way to make this more clear for my providers?
• Subsequent nursing facility care services, with the limitation of one telehealth
visit every 30 days (CPT codes 99307, 99308, 99309, and 99310) – The question is if the patient is in Nursing Home and has multiple episodes what determines the 1 telehealth visit every 30 days. Is there a clear way to determine this for my providers?