Back to Insights and Updates for ProvidersOctober 2023

Telehealth billing reminders and MassHealth guidance

Tufts Health Plan SCO  |  Tufts Health Together  |  Tufts Health Unify

As a reminder, MassHealth has issued guidance related to various aspects of billing for telehealth services via their All Provider Bulletin 355, All Provider Bulletin 364, and MCE Bulletin 95.

As we communicated in the March 2023 and July 2023 issues of Insights and Updates for Providers, we would like to remind providers of the importance of adhering to the guidance and requirements identified in these bulletins, which deal with appending appropriate telehealth modifiers to claims, billing properly for provider-to-provider e-consults, and more.

In addition, as identified in MassHealth’s All Provider Bulletin 374 (“Access to Health Services through Telehealth Options”), modifier V3 is no longer available. Providers should report modifier 93 to indicate services rendered via audio-only telehealth, as indicated in appendix T of the CPT Manual.

For more information, please refer to the above-referenced bulletins, as well as Tufts Health Plan’s Evaluation and Management Professional Payment Policy and Telehealth/Telemedicine Payment Policy.

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