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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Likewise, nursing services are necessary to train and educate the patient and caregivers on the safe administration of infusion drugs in the home.

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Billing Medicare Telehealth during COVID-19 PHE

Medisys Compliance

During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located. Some important changes to Medicare telehealth coverage and reimbursement during this period include: Location. Cost-sharing.

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Billing for Medicare Annual Wellness Visit (AWV)

Medisys Compliance

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare pays the IPPE costs if the provider accepts assignment.

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Medicare Coverage for Chiropractic Manipulative Treatment (CMT)

Medisys Compliance

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. Medicare Coverage. American Medical Association. All Rights Reserved.

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

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Understanding Modifiers for Mental Health Billing

Medisys Compliance

GT Modifier – Synchronous Telehealth Services [Medicare] The GT modifier is specifically used for Medicare claims to indicate that mental health services were provided through synchronous telehealth. This modifier helps in distinguishing services provided by LCSWs from other mental health providers.

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Understanding Mental Health Telehealth Billing

Medisys Compliance

The provider must adhere to the telehealth regulations and guidelines established by their respective state’s licensing board. Covered Services: Understanding what services are covered is fundamental.