2020 Third Party Insurance Mid-Year Update – COVID-19 Special Edition:

Updates on Medicare and Summary of COVID-19 Telehealth Services

James McNally, CPC


View this excellent presentation here!   Learn about:

  • Eased MIPS requirements
  • Medicare’s new Prior Authorization program (for rhinoplasty, Botox injections and certain other services)
  • Medicare telehealth:  Visit types, with coding & billing instructions:
    • E-Visits  
    • Virtual Check-Ins
    • Telephone calls (99441-99443)
    • Longer visits:  The Telehealth Services List
  • Special rules for Medicare cost-sharing during the public health emergency
  • Telehealth documentation for Medicare
  • Medicare’s planned Advanced Diagnostic Imaging program (implementation depends on the public health emergency)
  • Commercial insurers and telehealth
  • Telehealth for Medicaid and Workers Comp

James A. McNally, CPC, heads his own health care consulting ­firm specializing in third party insurance issues and has over 40 years of experience in the health care field, including many years as one of NYCMS’s most valuable resources.  He served as Ombudsman and as Associate Director of the Division of Socio-Medical Economics at MSSNY, and held varied positions in Empire Blue Cross Blue Shield's Medicare Division.  He has handled many diverse issues from third party insurer review and audit actions, assisting physicians on coding and billing policy topics, advising on the implementation of electronic data formats for physicians, and other pertinent medical practice concerns.