08/13/2020
Check out pages 7 and 8 on Billing for COVID19 Counseling
https://www.cms.gov/files/document/se20011.pdf
Counseling and COVID-19 Testing
To prevent further spread of COVID-19, a key strategy includes quarantine and isolation while patients wait for test results or after they get positive test results – regardless of showing symptoms.
Physicians and other health care practitioners who counsel patients during their medical visits have an opportunity to decrease the time between patient-testing and quarantine/isolation, especially when this counseling happens concurrent with COVID-19 testing. Working in partnership with public health personnel, providers could speed the counseling, testing, and referrals for case tracing initiation to reduce potential exposures and additional cases of COVID19. By having patients isolated 1-2 days earlier, spread of COVID-19 can be reduced significantly. Modeling shows early isolation can reduce transmission by up to 86 percent. Through counseling, providers can discuss with patients:
1. The signs and symptoms of COVID-19.
2. The immediate need to separate from others by isolation or quarantine, particularly while awaiting test results.
3. The importance of informing close contacts of the person being tested (e.g., family members) to separate from the patient awaiting test results.
4. If the patient tests positive, the patient will be contacted by the public health department to learn the names of the patient’s close contacts. The patient should be encouraged to speak with the health department
5. The services that may be available to assist the patient in successfully isolating or quarantining at home.
This early intervention of counseling steps and isolation can reduce spread of COVID-19.
How to Bill for Counseling Services
These counseling services are covered by Medicare. Physicians and other practitioners furnishing counseling services to people with Original Medicare should use existing and applicable coding and payment policies to report services, including evaluation and
management visits.
When furnishing these services during 2020, when physicians and other practitioners spending more than 50 percent of the face-to-face time (for non-inpatient services) or more than 50 percent of the floor time (for inpatient services) providing counseling or coordination of care, use time to select the level of visit reported.