Diagnoses requiring testing cannot be confirmed. This will allow for quick telephonic consultations related to COVID-19 screening or other necessary consults, and will offer appropriate reimbursement to providers for this amount of time. The facility that the patient is being transferred to (e.g., SNF, AR, or LTACH) is responsible for notifying Cigna of admissions the next business day. U.S. Department of Health & Human Services If a provider was reimbursed for a face-to-face service per their existing fee schedule, then they were reimbursed the same amount even if they delivered the service virtually. HIPAA requirements apply to video telehealth sessions so please refer to our guide on HIPAA compliant video technology for telehealth to ensure youre meeting the requirements. You can call, text, or email us about any claim, anytime, and hear back that day. Deliver services that are covered by the Virtual Care Reimbursement Policy; Bill consistently with the requirements of the policy; and. "Medicare hasn't identified a need for new POS code 10. CMS now defines these two telemedicine place of service (POS) codes: POS 02: Telehealth Provided Other than in Patient's Home Descriptor: The location where health services and health related services are provided or received, through telecommunication technology. Services performed on and after March 1, 2023 would have just their standard timely filing window. To this end, we appreciate the feedback and deep collaboration weve had with provider groups and medical societies regarding virtual care. Yes. We did not make any requirements regarding the type of technology used. April 14, 2021. When specific contracted rates are in place for COVID-19 specimen collection services, Cigna will reimburse covered services at those contracted rates. This form can be completed here:https://cignaforhcp.cigna.com/public/content/pdf/resourceLibrary/behavioral/attestedSpecialtyForm.pdf. As a result, Cigna's cost-share waiver for diagnostic COVID-19 tests and related office visits is extended through May 11, 2023. Patient is not located in their home when receiving health services or health related services through telecommunication technology. Billing guidelines: Optum Behavioral Health will reimburse telehealth services which use standard CPT codes and a GT modifier or a Place of Service of 02 for Telemedicine Billing Guide & CPT Codes | HealthLens Federal government websites often end in .gov or .mil. Cigna will allow direct emergent or urgent transfers from an acute inpatient facility to a second acute inpatient facility, skilled nursing facility (SNF), acute rehabilitation facility (AR), or long-term acute care hospital (LTACH). Providers will not need a specific consent from patients to conduct eConsults. Talk directly to board-certified providers 24/7 by video or phone for help with minor, non-life-threatening medical conditions1. This code will only be covered where state mandates require it. As a reminder, standard customer cost-share applies for non-COVID-19 related services. Approximately 98% of reviews are completed within two business days of submission. A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. Please note that COVID-19 admissions would be considered emergent admissions and do not require precertification. Providers will continue to be reimbursed at 100% of their face-to-face rates for covered virtual care services, even when billing POS 02.