Public Announcements

 

Telehealth Updates

APTA-NE Chapter Members:

We sincerely hope that all of you are well.  We have been receiving multiple requests for information on Telehealth as it relates to Physical Therapy in Nebraska....

Telehealth is literally changing by the hour in relation to medical care and specifically PT.  We are allowed to treat patients via telehealth per President Trump.  However, getting paid for these services is another issue.  Wellcare is paying for it, but please watch the powerpoint that is linked below.  

We had a meeting with United HealthCare Community Plan this week and information changed during the meeting.  We are waiting for further information from Nebraska Total Care.  We are also in the process of working with BCBS on telehealth coverage as well. 

Here are some documents that may be helpful as you navigate through all of this. 

 

This topic is very muddy and we are not sure how the private payers are going to handle this at this time.  We will continue to update you as soon as we are able.  Thank you!!!

Brian Brunken, PT, MSPT, OCS

UPDATE: 

Below please find the questions we’ve received recently re: Telehealth (non the telephonic temporary services MLTC provider bulletin speaks to) and the answers to them in follow up to the discussion on our PAC Mtg call today.  Please reach out if any questions.

  • Is telehealth service cov'd by NTC?  If so are there any specific CPT codes or place of service info that must be used for these services outside of the standard billing? Yes, telehealth is covered by NTC. No special contracting/licensure/registration required.  Services are billed with standard codes and modifiers, with addition of also including a GT modifier to denote telehealth services.  POS 2 (Home) is an acceptable POS code.  Here is a link to our telehealth resource guide: https://www.nebraskatotalcare.com/providers/resources/telehealth.html

 

  • Do Tele-health services require pre-authorization like standard OT/PT/ST services?  If a patient already has an existing pre-authorization in place for OT/PT/ST and receives Tele-Health services is the existing pre-authorization valid for the Tele-Health service? No, a specific telehealth auth is not required.  PT/OT/ST services still require prior authorization.  If those services are authorized and delivered via telehealth that would be done using the units/existing authorization.

 

  • For home health evists, we do not have a definite answer for this.

Telehealth services reimburse at same rate as face to face.  Additionally, telehealth services do need to be delivered via a HIPAA secure platform (typically skype or facetime does not meet that requirement).

This information was provided by: Adam Proctor -Senior Director, Provider Network

Office: 531-329-8403   l   Cell: 402-990-3615   l   [email protected]

Nebraska Total Care, 2525 N. 117th Ave. Suite 100, Omaha, NE 68164