Insights and Updates for Providers

July 2024

Reminder: required billing for telehealth services

Harvard Pilgrim Health Care Commercial | Tufts Health Direct | Tufts Health One Care | Tufts Health Plan Commercial | Tufts Health Plan Senior Care Options | Tufts Health RITogether | Tufts Health Together | Tufts Medicare Preferred HMO/PPO

Please keep required billing practices for telehealth services in mind.

CMS billing update for home health services using telehealth

Tufts Health Plan Senior Care Options | Tufts Medicare Preferred HMO/PPO

In keeping with a bulletin from the Centers for Medicare and Medicaid Services, Point32Health now requires providers to report one of the following remote patient monitoring codes, as applicable, when billing for home health services administered via telehealth to our Tufts Health Medicare Preferred or Tufts Health Plan Senior Care Options members.

Changes to ambulatory surgical center payments

Tufts Health Plan Senior Care Options | Tufts Medicare Preferred HMO/PPO

Effective for dates of service beginning Sept. 1, 2023, CPT code 99070 (supplies and materials provided by the physician or other qualified healthcare professional) will no longer be separately reimbursed for ambulatory surgical centers (ASCs).