TELEPHONE VISIT- ESTABLISHED PATIENT [8312]

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TYPE 1: TELEPHONE VISITS

If an MD or NP spends more than 5 mins on the phone with a patient or family, you can now bill for this service

Caveats:

Do NOT bill if a phone call leads to a VIDEO or IN-PERSON visit within 24 hours
DO NOT bill if this is 7 days AFTER a visit unless IT IS FOR A COMPLETELY DIFFERENT and UNRELATED E and M.
YOU MUST HAVE VERBAL CONSENT (CCM CONSENT COUNTS)

STEP 1: Ensure the time is more than 5 mins on the phone

STEP 2: Ask your AA to schedule the Telephone Visit 8312

NOTE: If you are doing this retroactively, GO BACK to the phone message and WRITE IN HOW MANY MINUTES you spent on the phone call; then ask your AA to schedule the Telephone Visit 8312 for the day it was conducted

STEP 3: Documentation in the notes should indicate the following:

Patient verbal consent (CCM consent counts)
“I spent XX minutes on a telephone call with patient…etc…”
AGAIN, if this is retroactive, you may cut and paste your previous telephone encounter into the TELEPHONE VISIT encounter

STEP 4: Bill at the following level:

MEDICARE, MEDICAID OR COMMERCIAL INSURANCE: 99441 (5-10min), 99442 (11-20min), 99443 (21-30 min)

IF an MD or NP spends more than 5 minutes over a 7 day period doing MYCHART messaging with a patient or family.

Caveats:

Do NOT bill if you have had a visit in the past 7 days
Wait until the end of a 7 day period to bill at the appropriate level (ie. 5, 11 or 21 mins)
YOU MUST HAVE VERBAL CONSENT (CCM CONSENT COUNTS)

STEP 1: Ensure the time is more than 5 mins over 7 days and tally the number of minutes at the end of the 7 day period

STEP 2: Ask your AA to schedule the Telephone Visit 8312

STEP 3: Documentation in the notes should indicate the following:

STEP 4: Bill at the following level:

NP ONLY MEDICARE, MEDICAID OR COMMERCIAL INSURANCE: 99441 (5-10min), 99442 (11-20min), 99443 (21-30 min)
MD follow guidelines above for telephone encounters