Reimbursement Policy Professional Fee time based billing RVU and reimbursement are 100% equal to face to face service Colorado Medicare – Reimburses if.

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Presentation transcript:

Reimbursement Policy Professional Fee time based billing RVU and reimbursement are 100% equal to face to face service Colorado Medicare – Reimburses if originated site is a Health Professional Shortage Area OR non MSA county 3rd Party Payers – Required to reimburse if patient is in a county of 150,000 or less – UnitedHealth Care (2009 policy no geographic criteria) Medicaid – Reimburses regardless of geographic location Remote monitoring from home (CO Medical Assistance Program) – Reimburses a flat fee to home health agency if patients meet very specific criteria 1

2 Reimbursable Codes – Appendix Page 1 of 2

Reimbursable Codes – Appendix Page 2 of 2 3