[Ohioaap-practicemanagers] [ External ] - Caresource letter about telehealth coding

[Michael Chamberlin]

Thanks, Theresa.  We have gotten these in the past as well. This is the
first one we have received from Caresource and it is specifically about
telehealth appts.  Did any of your doctors get one about telehealth appts?


Michael Chamberlin, M.D., FAAP
Pediatric Assoc. of Mt Carmel
4371 Ferguson Dr
Cincinnati, OH  45230
513-752-3650
513-752-3387 (fax)



On Fri, May 7, 2021 at 7:07 AM Theresa Vonhoene <tvonhoene at ahpediatrics.com>
wrote:

> Yes, we have received the same letter several times for some of our
> physicians.  I would really love to know who they are comparing us to.  We
> received these prior to COVID so it's probably not all mental health claims
> related for us.
>
>
> Theresa Von Hoene, CPEDC
> Anderson Hills Pediatrics
> Insurance Manager
> 513.232.8100 x3043
>
>
>
> This e-mail, including attachments, may include confidential
> and/or proprietary information, and may be used only by the person or
> entity  to which it is addressed. If the reader of this e-mail is not the
> intended  recipient or his or her authorized agent, the reader is hereby
> notified that any dissemination, distribution or copying of this e-mail is
> prohibited. If you have received this e-mail in error, please notify
> the sender by replying to this message and delete this e-mail immediately.
> ------------------------------
> *From:* Ohioaap-practicemanagers <
> ohioaap-practicemanagers-bounces at lists.deltaforce.net> on behalf of
> Michael Chamberlin via Ohioaap-practicemanagers <
> ohioaap-practicemanagers at lists.deltaforce.net>
> *Sent:* Thursday, May 6, 2021 3:19 PM
> *To:* Ohioaap-practicemanagers at lists.deltaforce.net <
> ohioaap-practicemanagers at lists.deltaforce.net>
> *Subject:* [ External ] - [Ohioaap-practicemanagers] Caresource letter
> about telehealth coding
>
> One of our doctors received the attached letter.  It states that she did
> more 99214s and 99215s compared to her peers.  Has anyone else received a
> letter like this?
>
> Of course, many of these visits (BECAUSE WE ARE IN THE MIDDLE OF A
> PANDEMIC) were mental health and ADHD visits which typically result in
> higher office visit codes.  She has good documentation to support these
> codes as well.
>
> I think that they claim that 20% of telehealth visits were 99214/215s
> underestimated what we and most pediatricians have seen.  I was wondering
> if anyone else has received a similar letter.
>
> Thanks in advance for your help,
>
> Mike
>
> Michael Chamberlin, M.D., FAAP
> Pediatric Assoc. of Mt Carmel
> 4371 Ferguson Dr
> Cincinnati, OH  45230
> 513-752-3650
> 513-752-3387 (fax)
>
> This e-mail, including attachments, may include confidential and/or
> proprietary information, and may be used only by the person or entity to
> which it is addressed. If the reader of this e-mail is not the intended
> recipient or his or her authorized agent, the reader is hereby notified
> that any dissemination, distribution or copying of this e-mail is
> prohibited. If you have received this e-mail in error, please notify the
> sender by replying to this message and delete this e-mail immediately.
>
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://lists.deltaforce.net/pipermail/ohioaap-practicemanagers/attachments/20210507/c3d9eddd/attachment.htm>