MBB f/u visit

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painisfear

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To those of you utilizing a follow up visit to gather information about MBB (as opposed to a nurse phone call or some other non billable method):

1. Do you need to wait to do the visit until after the global period for the MBB (what is the global period for an MBB)?

2. Are you guys using a telemedicine visit?
 
depends on insurance carrier.

Option plans/medicaid - always needs follow up appointment.

i dont think you have to wait until after global period - thats for seeing a patient for potential complications, not for assessing future care.

i have used telemedicine. it works except for medicaid plans.
 
depends on insurance carrier.

Option plans/medicaid - always needs follow up appointment.

i dont think you have to wait until after global period - thats for seeing a patient for potential complications, not for assessing future care.

i have used telemedicine. it works except for medicaid plans.
I usually do 1 week follow up. Then 1 week to do 2nd mbb thus it's 2 weeks out from mbb #1
 
I never do fu for these as I currently am booking out 2 months. I just have them call back with % and duration relief and document it in the chart. Much more time and cost efficient
 
Telehealth follow up that same week. Takes about 2 minutes for a 99213 and often a G2211 as well. “Did it work?” If yes, then I say great, we’ll move on to the next step, I’ve got a templated note that all I have to do is sign and then dot phrase to schedulers to get them on the scheduler. If it didn’t work, then they can come in-person for re-evaluation and discussion of other options. Not doing that via phone call.

My schedule is packed full but this adds a minimal amount of work, ensures my MBB#2/RFAs are getting scheduled ASAP instead of vanishing, and is an easy RVU source.
 
depends on insurance carrier.

Option plans/medicaid - always needs follow up appointment.

i dont think you have to wait until after global period - thats for seeing a patient for potential complications, not for assessing future care.

i have used telemedicine. it works except for medicaid plans.
Thank you
 
I never do fu for these as I currently am booking out 2 months. I just have them call back with % and duration relief and document it in the chart. Much more time and cost efficient
same
 
Telehealth follow up that same week. Takes about 2 minutes for a 99213 and often a G2211 as well. “Did it work?” If yes, then I say great, we’ll move on to the next step, I’ve got a templated note that all I have to do is sign and then dot phrase to schedulers to get them on the scheduler. If it didn’t work, then they can come in-person for re-evaluation and discussion of other options. Not doing that via phone call.

My schedule is packed full but this adds a minimal amount of work, ensures my MBB#2/RFAs are getting scheduled ASAP instead of vanishing, and is an easy RVU source.
telehealth is going away in terms of reimbursement as a 99213/4
 
interesting. source?

that would change things for me.
my hospital admin, we were getting ready to launch telehealth last month and they put a stop on it - saying as of jan1 2025, rules roll back to pre-covid
 
my hospital admin, we were getting ready to launch telehealth last month and they put a stop on it - saying as of jan1 2025, rules roll back to pre-covid

CMS rule, or individual insurances?

to be honest, i hate doing telehealths, but if they arent going to be paid, then i may have my mbb f/u come in for a 2 minute in person visit. im not giving up those e/m codes. we do the work, we do the documentation, we should get paid for it
 
my hospital admin, we were getting ready to launch telehealth last month and they put a stop on it - saying as of jan1 2025, rules roll back to pre-covid
Is this for both telephone and video visits or just televists?
 
Global period for blocks is 0-days
Global period for RFA is 10-days

We don't make money or sense, so we just document in the EMR using patient messages and schedule the next injection or RFA.
 
Is this for both telephone and video visits or just televists?
reverts back to specific cpt code for telephone, and strict rule for video - can't just bill follow up like we have been
 
So does that mean as of Jan 1st, we don’t get paid anything for either a zoom or a telephone call?

This is insane. Would be horrible for patient access. They're trying to force us to do more free work.
 

Scroll down to the Telehealth Services header.
you are right. it is a bit ambiguous, but it looks like you can still do telehealth with audio and visual, but not audio only.

not worth my time to futz with a zoom video call. these all will have to come in now. huge waste
 
you are right. it is a bit ambiguous, but it looks like you can still do telehealth with audio and visual, but not audio only.

not worth my time to futz with a zoom video call. these all will have to come in now. huge waste
It’s the part about re-implementing geographic restrictions though. I think patients may now have to be in a rural census tract or health professional shortage area to receive telepath from their home.
 
sh$t rolls downhill. you can either eat the cost of free work, or pass that responsibility on to the patient. i know what im gonna do
 
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