We’re all on our own path in life. Who we are today is a collection of our past experiences that make us what we are. None of us are alike, yet we all can relate to each other through similar feelings. As we shine a light on suicide in September through National Suicide Awareness and … Read More
An e-signature through DocuSign or Adobe is an acceptable type of signature. However, a typed provider or member signature saved in a Word document does not meet signature requirements.
For behavioral health, the clinician should make a note within the medical record that the member is unable to sign the documents due to the delivery method. If a member is unable to sign a document because the service was rendered by telehealth, this should be noted by the clinician. When the member is seen … Read More
April 16, 2020: There are multiple ways you could collect a copay. Examples include using a patient portal, sending a bill, getting credit card number at beginning of call, etc. Please ensure that you find a method that works the best for you and your patients.
April 16, 2020: Colorado Access is not extending timely filing at this time. If you are experiencing issues with being able to bill timely, please contact your provider relations representative, or send an email to email@example.com.
March 27, 2020: When billing a service conducted by the telephone, please use POS 02. CMS1500 Professional Claim Billing guidance: Capitated behavioral health billing (RAE/Colorado Access): For CMS1500 Professional Claim billing – Please use POS 02 for all telemedicine/telephone services rendered. Modifier 95 can also be added, though not required, as long as the placement … Read More
March 27, 2020: Please continue to follow the USCS manual as it relates to the use of modifier HE, it should not be changed to GT. CMS1500 Professional Claim Billing guidance: Capitated behavioral health billing (RAE/Colorado Access): For CMS1500 Professional Claim billing – Please use POS 02 for all telemedicine/telephone services rendered. Modifier 95 can … Read More
March 27, 2020: The reimbursement for a telehealth visit will be the same rate as an in-person visit.
March 30, 2020: There are currently no copays for RAE behavioral health services. For CHP+ members, there currently is no copay for telehealth services provided for behavioral health services. There is a copay for telehealth services provided for physical health services and this will only be waived if the service is related to a COVID-19 … Read More
March 27, 2020: The provider agreement details if there are any limitations on which codes. If there are no limitations in the provider agreement, then codes in the USCS may be billed to Colorado Access as long as they were rendered by someone with the appropriate credentials and documented according to the USCS manual. Colorado … Read More
March 27, 2020: For CHP+ members, please see the AMA’s CPT book, Appendix P, which lists all CPT codes that are approved for telehealth mode of treatment delivery. The codes approved for telehealth are also notated with a five pointed star. Place of service should be listed as 02, and services done by telehealth should … Read More
March 27, 2020: Yes, the reimbursement for the codes you mentioned below for Video Conferencing/ Telehealth services are the same as if the session was done face to face. Using telehealth does not qualify for interactive complexity. Rules concerning the use of interactive codes have not changed. Good clinical judgement is necessary to determine if … Read More