Learn more about the new COVID-19 billing codes

How to code for the SARS-CoV-2 lab test

The American Medical Association (AMA) announced a new CPT® code for the novel coronavirus (SARS-CoV-2), effective March 13, 2020. 

Code 87635: Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique. 

This code should be added to your bill when a physician or another qualified healthcare professional suspects that a patient may have coronavirus and collects respiratory swabs to send to the lab. 

Please note that CMS also recently published a Frequently Asked Questions document regarding billing for COVID-19 lab tests through two new HCPCS codes:

  • (U0001): Used to bill for the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel. 
  • (U0002): Used to bill Medicare and other health insurers for non-CDC 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) tests using any technique, multiple types or subtypes (includes all targets).
  • The Medicare claims processing system will be able to accept these codes on April 1, 2020 for dates of service on or after February 4, 2020.

If you are administering COVID-19 tests, we would recommend saving these codes to your Elation Settings page so that you can easily add it to your bill, when necessary.

Adding new billing codes to your Settings

Saving codes in Elation enables any user to quickly search for these codes by name and add them to the billing section of a visit.

  1. Click on your email address in the upper right corner then click Settings.
  2. On the left hand side, click “Billing”.
  3. Scroll to the bottom of the page and click “Add CPT Code”
  4. Fill in the 5-digit code and give the code a description that is easy for you to remember.

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  1. Click “Create”.

In a visit note, you can add billing codes under the Procedure section of your note and have them drop automatically into the Billing section:

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Or you can add the code directly to the Billing section:

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Lucy Li
March 17, 2020

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COVID-19 and telemedicine services for independent practices

To reduce risk of exposure during the COVID-19 outbreak, we encourage your practice to explore alternative methods to check-in with your patients and evaluate their health.

There are a number of telemedicine services that may be reimbursable by CMS and private payers. CMS specifically categorizes telemedicine services in 2 groups: telehealth visits and virtual check-ins.

Telehealth Visits

Telehealth visits are full-visits and have historically been subject to stringent requirements in order for providers to be paid (ex. a patient must be from a rural area and present at an approved facility as the “originating site” of service). Recent legislation passed on March 6, 2020 grants the HHS Secretary the authority to lift such requirements in the event of a public health emergency.

For billing eligible visits, in many cases, coding for telemedicine services uses the corresponding codes for an in-person E/M visit with the -95 modifier and “02” for place of service.

According to the American Academy of Asthma & Immunology: 

“Some private payers permit telemedicine visits for new patients, but not with the standard new patient CPT codes. Instead, they require billing with code 99499 (Unlisted evaluation and management code) with place of service “02”.Medicare used to require modifier GT for synchronous visits and GQ for asynchronous visits, but this has been eliminated as of January 2018. Instead, the place of service code should also be designated as “02”.”

Virtual Check-ins

Virtual Check-ins are reimbursable services for brief communications between providers and patients for specific purposes. These services are not restricted by originating site and other Medicare telehealth regulations. They can be provided when patients are in their homes, regardless of public health emergency declaration. These services can be rendered via telephone, email, or Elation’s Patient Passport.

Please note, patients must be established Medicare beneficiaries (i.e. seen by the practice in the last 3 years). You must also document in the patient’s chart that patient consent for the “check-in” was verbally provided.

Their billable codes and CMS Physician Fee Schedule Non-Facility estimated prices are listed below. Please note that these reimbursement rates may differ based on your locality for Medicare. Please check your health plan provider network representative for your contracted rates.

Furnished using telephone

G2012: Virtual visit performed by a physician provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours; 5-10 minutes of medical discussion. ($14.80)

Furnished using email

G2010: Remote evaluation of recorded video and/or images submitted by an established patient, including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours. ($12.27)

Furnished using Elation’s Patient Passport (must be patient initiated)

99421: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ($15.52)

99422: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ($31.04)

99423: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ($50.16)

G2061: Qualified nonphysician healthcare professional online assessment and management, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes ($12.27)

G2062: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes ($21.65)

G2063: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes ($33.92)

For more information on how to leverage Elation’s Patient Passport feature for Virtual Check-ins, please visit the following links:

Lucy Li
March 12, 2020

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Elation is here to help you address COVID-19 with your patients

In response to the growing concern around COVID-19 in the United States, our team wanted to share a few ways in which your practice can leverage Elation to reach out to your patients en masse.

Whether your objective is to share prevention recommendations or latest news, Elation’s built-in messaging functionality will allow you to push announcements to your patients to ensure they have the information they need to stay healthy.

Using Elation’s Bulk Letter feature to reach out to your patients

Bulk Letters allows you to send personalized messages to all patients who have registered Passport accounts.

For any patients without Passport, the feature gives you the option to bulk invite these patients to Passport, print out a PDF copy of your message for these individuals, or exclude them from the recipient list.

For HIPAA compliance reasons, you are not able to send messages directly to a patient’s email from within Elation. However, if you’d like, you can download a spreadsheet of patient email addresses from our Patient List to email them outside of Elation (instructions for downloading the spreadsheet can be found at the bottom of this article).

  1. Run a Patient List to see all patients in your panel.
    1. If you would only like to see patients with Passport accounts, you can check-off the “Patient passport status” filter and choose “Registered users”
    2. Once your Patient List is generated, check the box for “Select All” and click “Send Bulk Letter”
  2. Complete the Bulk Letter form to the right of your screen and click Next.
    1. Under Step 3, you can specify how you’d like to handle the Letter for patients without Passport accounts.
  3. Review the confirmation page and click “Send Bulk Letter”
  4. You’ll be redirected to a Dashboard view where you can track who has received and opened your message.

For more instructions please visit our help center article on Bulk Letters.

Again, for HIPAA compliance reasons, you are not able to send messages directly to a patient’s email from within Elation. To export a spreadsheet of patient email addresses:

  1. Go to “Reports > Patient List”
  2. Generate a list of your patients
  3. Check “Select all”
  4. Click “Download > Download CSV”

 

Lucy Li
March 12, 2020

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Write Prescriptions More Easily with Elation’s new Rx Form

Starting next Wednesday, 1/15, Elation will be turning on an upgraded Prescription form for Rx and OTC meds for your practice!

This new Rx form will allow your practice to:

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Spend less time writing and editing your Rx and OTC scripts with new features that allow you to easily complete and edit multiple medications in a single Rx order.

 

Initiate bulk refills of multiple meds with a click of a button from the patient’s medication list.

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Ensure patient safety with easy access to the drug-drug and drug-allergy interactions and alerts in a consolidated view on the right-hand side of the Rx form.

For additional details, please visit our Help Center Article.

Karin Feng
January 13, 2020

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Make booking fast and easy with patient self-scheduling

Elation is excited to announce that your patients can now book their own appointments with our newest feature, patient self-scheduling.

Empower the patient experience with HIPAA compliant, modern appointment booking that works seamlessly with your EHR.

Improve the quality of your patient engagement with improved appointment reminders and patient check-ins that reduce no-shows.

Make your booking site work for you even when you’re outside of office hours.

How does this feature work?

Patient Experience: 

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Provider Experience:

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How do I get access to this new feature?

Users within your practice can enable the booking site by using the toggle in Settings. To access this page:

  1. Navigate to your Settings page by clicking on your email address in the top right-hand corner
  2. Under Practice Settings in the leftmost pane, click Calendar & Booking
  3. Select the Booking Site tab and use the toggle to enable booking site for your practice

Karin Feng
December 17, 2019

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Write Prescriptions More Easily with Elation’s new Rx Form

Elation is excited to announce that you can now opt-in to an upgraded Prescription form for Rx and OTC meds.

Turn it on for your practice today!

Spend less time writing and editing your Rx and OTC scripts with new features that allow you to easily complete and edit multiple medications in a single Rx order.

Initiate bulk refills of multiple meds with a click of a button from the patient’s medication list

Ensure patient safety with easy access to the drug-drug and drug-allergy interactions and alerts in a consolidated view on the right-hand side of the Rx form

How does this feature work?

For additional details, please visit our Help Center Article

How do I get access to this new Rx form?

Admin users within your practice can turn the new prescription form by using the toggle in Settings. To access the new Rx form:

  1. Navigate to your Settings page by clicking on your email address in the top right-hand corner of the page and selecting Settings from the dropdown menu
  2. Under Practice Settings in the leftmost pane, click Prescriptions
  3. Use the toggle to turn on the new Rx form for your practice

Turn it on for your practice today!

 

Karin Feng
October 1, 2019

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Introducing the PHQ-9 Questionnaire to Elation

Easily document a patient’s PHQ-9 screening directly in the patient’s chart!

Elation is excited to announce that we have added the PHQ-9 depression screening questionnaire to the patient chart. Now you can easily capture a patient’s PHQ-9 screening answer directly in the patient’s clinical profile, and Elation will automatically calculate the PHQ-9 score based on what’s entered.

How does this help my practice?

  • Easily document PHQ-9 responses – Elation provides a structured PHQ-9 form that can be easily completed.
  • Automatically calculate the PHQ-9 score – Once the form is completed, Elation will also calculate the PHQ-9 score based on the responses.

How does this feature work?

How to start using this feature

Any provider or staff can access the PHQ-9 form directly in the patient’s chart.

  1. When in a patient chart, navigate to the history section of the patient’s clinical profile on the left-hand side.
  2. Under the Psych section, click the “Add special” dropdown and chose “Depression (PHQ-9 Questionnaire)”
  3. Click “Fill out form”
  4. Complete the questions, and a total score will be calculated based on the selected answers

What is PHQ-9 and why is it important?

PHQ-9 or the Patient Health Questionnaire is a nine-item depression scale questionnaire based on the nine diagnostic criteria for major depressive disorder in the DSM-IV. It is a multipurpose screening tool used to assist clinicians with diagnosing depression, measuring its severity, and monitoring treatment response. It can be used for adolescents as young as 12 years and can be administered rapidly in a variety of ways. It is particularly valuable in a clinical setting because it is well validated for a range of populations and is brief compared to other depression rating scales.

Click here to log into Elation and start using the new form today!

Karin Feng
June 25, 2019

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Everything you need to know about Ohio’s Positive Identification Law and how Elation supports it

Prescribing drugs that are considered dangerous has become a major issue as the opioid crisis continues in the US. A number of healthcare organizations are taking steps to ensure these drugs do not fall into the wrong hands. Several states have also introduced additional regulations for drugs that may be misused or abused if the prescriptions are not safeguarded. Ohio is one of those states that has implemented requirements around how prescriptions are written and how patients can have those prescriptions filled.

The Ohio Positive Identification Law, introduced in 2016 and reviewed in 2019, establishes requirements for healthcare providers regarding Board of Pharmacy rules for what constitutes a valid prescription. The Law defines “Positive identification” as a “method of identifying an individual who prescribes, administers, or dispenses a dangerous drug.” The law also states that positive identification “shall always be used to document the:

(a) Dispensing, compounding, or repackaging of a drug;

(b) Removal and possession of a controlled substance to administer to a patient;

(c) Waste of a controlled substance.

(d) All activities relating to the practice of pharmacy.

All providers in Ohio must keep “a printout of every transaction that is verified and manually signed within a reasonable period of time by the individual who prescribed, administered, or dispensed the dangerous drug.” Elation helps providers follow this requirement by providing an Rx Report feature that documents all prescriptions made by each provider within a desired timeframe.

The Rx Report, when printed and manually signed by the prescribing provider every 24 to 72 hours (the Ohio State Board of Pharmacy highly recommends Rx Report documentation every 24 hours), satisfies positive identification requirements. Every minute of every day must be accounted for, including weekends and holidays. Positive identification documentation must be kept for three years and provided in the case of an audit.

Electronic prescriptions are legal and accepted in Ohio. In fact, the Ohio Board of Pharmacy has stated that it “understands the benefits of electronic drug record keeping systems” and the additional safeguards that can be seen in electronic prescriptions. Electronic prescriptions written by Ohio Elation providers will be received by pharmacies without a manual signature displayed, which will satisfy Ohio’s prescribing requirements and will improve the security of the prescription.

Karin Feng
June 21, 2019

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Introducing Elation Smart Coding for BMI

Add patient vitals measurements and Elation instantly calculates the correct code in visit notes.

This feature is the first of a series of exploratory features aimed towards helping you spend less time in your note, while still meeting compliance and billing requirements, and allowing you to focus more time on patient care.

Elation is excited to announce our smart coding feature for body mass index assessments (BMI). Now when you enter a patient’s height and weight in the Vitals portion of the Visit Note, Elation will instantly add the resulting BMI value’s corresponding ICD-10 code in the billing section.

BMI assessments are an important quality metric for MIPS and Medicare Advantage programs. We’re releasing the coding automation to help our providers get credit and meet the benchmarks for quality programs.

How does this feature help my practice?

  • Spend less time documenting – Elation is using the documentation already present in your visit note in the structured vitals section to automate coding for the BMI assessment.
  • Get credit for care delivered – Elation is using the BMI value calculated from the entered height and weight to apply the appropriate ICD-10 code to the billing section of your note. Now there’s one less hoop to jump through to make sure that billing requirements are met in each visit.

How does this feature work?

When you enter a patient’s height and weight in the structured Vitals portion of the Visit Note, Elation will automatically enter the resulting BMI value’s corresponding ICD-10 code in the billing section.

How to start using this feature

Admin users within your practice can turn the automated coding feature for body mass index assessments on and off by using the toggle in the Settings section.

To access the automated coding toggle, please follow the steps below:

1.) Navigate to your Settings page by clicking on your email address in the top right-hand corner of the page and selecting Settings from the dropdown menu

2.) Under Practice Settings in the leftmost pane, click Billing and scroll to the bottom of the page to view the Automatic Coding section

3.) Use the toggle next to Body Mass Index to turn the automated coding feature on or off for your practice.

Click here to turn it on today!

 

Karin Feng
June 4, 2019

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One Login improves patient engagement and lets patients access their charts more easily

Patients using Elation Passport can now access their charts more easily than before using One Login for patients.  Now anyone who is responsible for the care of other patients on Elation can use a single login to see and manage all the patient charts in passport. Anyone who has multiple logins to patient passport can consolidate the charts to a master patient passport login.

What are the benefits of this feature?

  • Pediatric clinics can have parents take care of kids accounts more easily.
  • Care takers can manage their patients’ charts from a single login.
  • No more patient email alias addresses
  • Patient’s will be able to access charts with multiple providers from one Passport account

How does One Login work?

A provider invites a patient with an email address that already exists as a Passport account. The patient will then receive an email with a “claim your account” copy and links. The patient will then click on the link to claim the additional Passport account. Once the patient has entered the correct information, they will be taken to their Passport account with the new chart open.

Switching between multiple Passport Charts

A Passport owner with more than one chart will see the name of the person who’s chart they are viewing and the practice name to which it is associated. Please see the following clip how a patient can easily switch between multiple charts:

The Passport owner can view the dropdown menu in Passport by clicking on their name in the top right hand corner of the account to see a list of other charts they’ve claimed. Clicking on a different chart will change the view to the selected chart.

Claiming an Already Existing Passport Chart:

For patients that already have multiple existing Passport accounts with different providers using an email alias or multiple email addresses, then can claim multiple charts by taking the following steps:

  1. Click the name from the right hand corner anywhere in a Passport account
  2. From the dropdown menu, click “Claim Account”
  3. Enter the email address of the passport account the patient wishes to claim
  4. Click Send

After selecting the other Passport account you wish to claim, patient’s can log out of that account. From there, please have them log back into Passport using the alias or separate email address. From the second Passport account, please take the following steps:

  1. Click on the profile menu dropdown
  2. Click on Access Request
  3. Choose to grant access by checking the box
  4. If the person requesting access is a delegate (and not you) check the delegate box
  5. Click “Share chart”
  6. Log out of passport
  7. Log into passport with the requesting email address
  8. Click the dropdown menu and choose the new chart

This video clip walks the patient through claiming multiple charts already associated with a Passport account:

Who can use One Login?

This feature allows patients to gain access to multiple charts using a single passport login for the following use cases:

  • A passport owner with a chart and passport at clinic 1 who sees a doctor at clinic 2 can use the email address from clinic 1 to create the chart and passport invite at clinic 2.
    • Example: Sam sees 2 doctors at 2 different practices on Elation. He can now use the same email address for both charts.
  • A passport owner with a 2 passport accounts at the same clinic that have separate email addresses can use a single email address associated with their preferred passport account to claim both charts.
    • Example: Sam and his child, Sam Jr, both belong to the same practice. Sam Sr is responsible for all of Sam Jr’s encounters / interactions via passport. Sam Sr. can now claim the account for Sam Jr securely and see both charts from Sam Sr’s patient passport.
  • A provider can invite a passport user that is already in use on the Elation platform.

Still have questions? Email support@elationhealth.com and we’d be happy to help!

Karin Feng
March 5, 2019

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