Telehealth
The COVID-19 pandemic has highlighted the need for expanded services to provide care beyond the confines of an office visit. While telehealth reimbursement has been available for years and recognized by Medicare and other health insurances, many clinicians have not incorporated this service into their practice. Mydayda offers an affordable solution to expand your clinical and financial opportunities while navigating the telehealth landscape.
Mydayda is Your Telehealth Solution
Not all telehealth options are created equal. In fact, not having the right platform can create additional work and liability. Mydayda offers unique and comprehensive options. Use HIPPA compliant video conferencing and encrypted messaging to assess patients and provide routine and acute care safely during this pandemic and beyond. With the included features, automatically keep track of time spent with each interaction, easily document medical discussions, communicate with staff, and receive guidance on billing reimbursement.
| CPT / HCPCS Code | Description | Medicare Payment Average |
|---|---|---|
| Office or Other Outpatient Services, New Patient | ||
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. | $46.56 (NF) $27.07 (F) |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family. | $77.23 (NF) $51.61 (F) |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. | $109.35 (NF) $77.23 (F) |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. | $167.09 (NF) $132.09 (F) |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. | $211.12 (NF) $172.51 (F) |
| CPT / HCPCS Code | Description | Medicare Payment Average |
|---|---|---|
| Office or Other Outpatient Services, Established Patient | ||
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services | $23.46 (NF) $9.38 (F) |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting Problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. | $46.19 (NF) $26.35 (F) |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family. | $76.15 (NF) $52.33 (F) |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. | $110.43 (NF) $80.48 (F) |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-toface with the patient and/or family. | $148.33 (NF) $113.68 (F) |
| CPT / HCPCS Code | Description | Medicare Payment Average |
|---|---|---|
| Online Digital Evaluation & Management Services | ||
| Physician or Other Qualified Healthcare Professional | ||
| 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 (NF) $13.35 (F) |
| 99422 | Same as 99421 but with 11-20 minutes of medical discussion. | $31.04 (NF) $27.43 (F) |
| 99423 | Same as 99421 but with 21+ minutes of medical discussion. | $50.16 (NF) $43.67 (F) |
| Qualified Nonphysician Healthcare Professional (Non-Medicare) | ||
| 98770 | Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes. | NA |
| 98971 | Same as for 98770 but with 11-20 minutes of medical discussion. | NA |
| 98972 | Same as for 98770 but with 21+ minutes of medical discussion. | NA |
| Qualified Nonphysician Healthcare Professional (Medicare) | ||
| G2061 | Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes. | $12.27 (NF) $12.27 (F) |
| G2062 | Same as for G2061 but with 11-20 minutes of medical discussion. | $21.65 (NF) $21.65 (F) |
| G2063 | Same as for G2061 but with 21+ minutes of medical discussion. | $33.92 (NF) $33.56 (F) |
| CPT / HCPCS Code | Description | Medicare Payment Average |
|---|---|---|
| Virtual Check-In | ||
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), 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 or soonest available appointment. | $13.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, 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 or soonest available appointment; 5-10 minutes of medical discussion. | $15.00 |
NF = Non-Facility | F = Facility