Triwest (VA) updates Tele-Health billing proceedures
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TriWest (VA / VAPCCC) is allowing Tele-Health sessions that would have normally been performed "in office" to bill as an "11-Office" POS with a modifier in the 1st box of "95" for all claims after 3/1/2020 until the end of the Public Health Emergency.

This will pay approximately 12% more for some services than using "02-TeleHealth" and a "GT" modifier as usually done.

  1. Create the claim (do not "create and submit claim").
  2. Then, for each service:

    • Edit the claim and change POS (Box 24-B) from "02-TeleHealth" to "11-Office" in the drop-down.

    • Type in a "95" modifier in the first modifier box (Box 24-D).

  3. Save/Submit.

 

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    Gillian

    Thanks for sharing this information with our Community, Wendy.

    Thanks for sharing this information with our Community, Wendy.