Following the launch of the
EI-Hub, providers should include a telehealth modifier on all relevant claims.
This modifier will help quantify the number of children receiving telehealth
services.
For providers using the
EI-Hub Service Logging component for billing, telehealth modifiers are
integrated into the system. When generating a claim, users will select the
appropriate telehealth modifier when applicable CPT/HCPCS codes are used.
Providers using a
third-party billing system may need to collaborate with their vendor to
incorporate the modifier if it is not already available. It is important to
start using this modifier as soon as possible after the EI-Hub launch.
Below is the telehealth modifier to be used:
ยท Modifier 95: Allows reporting of services that provides audio-visual conferencing between provider/patient that includes a virtual examination
If you have questions,
please reach out to the PCG Call Center at 866-315-3747. You can also email NYEITraining@pcgus.com with system questions and EIP.Fiscal@health.ny.gov with programmatic
questions.
Article ID: 515, Created On: 9/23/2024, Modified: 9/23/2024