16:02:01	 From  Krzysztof Laudanski : Thank you!!!!
16:21:36	 From  Krzysztof Laudanski : Could you comment what is the standards any modality needs to meet in order to get official billing codes?
16:31:09	 From  Amay Parikh : What CPT codes are people here currently using when providing Tele-critical care?  For those that have done tele-CC pre-COVID, how was billing done?
16:33:07	 From  Amay Parikh : 99291 does not require a physical exam for billing purposes
16:33:29	 From  piyush mathur : Yes,99291 and 99292 do not require physical exam.
16:33:49	 From  piyush mathur : ....for billing that is.
16:41:35	 From  Amay Parikh : If a group has a PA/NP at the bedside, then the physical exam issue is moot.  This is not as profitable.  Are folks providing Tele-critical care without anyone at the bedside (except for the bedside nurse)?
16:42:47	 From  Krzysztof Laudanski   to   Organizational Affairs(Direct Message) : can you make a quick poll?
16:44:47	 From  Organizational Affairs   to   Krzysztof Laudanski(Direct Message) : yes
16:45:21	 From  Krzysztof Laudanski   to   Organizational Affairs(Direct Message) : can you ask people via poll is we should traditional 30 minutes code or shorter one?
16:46:48	 From  Amay Parikh : @Piyush Mathur, sounds like it would be easier to create a CPT modifier for 99291 to indicate that tele critical care was provided.
16:47:27	 From  Organizational Affairs   to   Krzysztof Laudanski(Direct Message) : it has been set up can you see it?
16:47:31	 From  piyush mathur : @Amay, I was suggesting the opposite.It is much harder but possible.
16:47:38	 From  Krzysztof Laudanski   to   Organizational Affairs(Direct Message) : nope
16:48:51	 From  Organizational Affairs   to   Krzysztof Laudanski(Direct Message) : let me try again
16:50:28	 From  Organizational Affairs   to   Krzysztof Laudanski(Direct Message) : Dominika will launch it as I am having zoom issues
16:52:15	 From  Thomas Shaughnessy : If we 99291 is usable regardless of tele Critical care or in person, what would the role be for the current G Codes for Teleservices?
16:53:17	 From  Organizational Affairs   to   Krzysztof Laudanski(Direct Message) : we have 10 answers should we close the poll
16:53:26	 From  Krzysztof Laudanski   to   Organizational Affairs(Direct Message) : yes
16:53:51	 From  Nilesh Dave MD (Steward TeleICU) : Sounds like for immediate billing revenue needs, 291 and 292 are being used.  But this code requires at least 30 min.  Moreover, it is not agnostic to the bedside group tax ID nor take into consideration numerous small interventions that are impactful but not necessarily add up to 30 min.  TO me, it seems we need a new type of code to factor these variables.
16:54:59	 From  Dominika Skarka : Per the Poll: "Should traditional 30 minutes code or shorter one?:  80% answered yes and 20% answered no
16:59:13	 From  piyush mathur : https://www.sccm.org/COVID19RapidResources/Resources/Critical-Care-Documentation-and-Billing-Update-CO
16:59:56	 From  piyush mathur : Guidelines we had put together at the beginning of the pandemic and rule change.
17:00:27	 From  Krzysztof Laudanski : This was our problem
17:00:46	 From  Krzysztof Laudanski : accounting department just said "not worthy"
17:04:28	 From  piyush mathur : Prior to this public health emergency, HCPCS code
G0508 was created as a telehealth consultation, critical
care, initial code. To use G0508, physicians typically
spend 60 minutes communicating with the patient and
providers via telehealth and the wRVU is 4.00, $214.37.
G0509 is the subsequent day code and physicians
typically spend 50 minutes communicating with the
patient and providers via telehealth. The wRVU for
G0509 is 3.86, $197.77.
17:04:40	 From  piyush mathur : Reference: https://www.thoracic.org/about/newsroom/newsletters/coding-and-billing/resources/2020/newcbqapril.pdf
17:05:23	 From  Nilesh Dave MD (Steward TeleICU) : I am happy to volunteer for a task force or whatever formal grouping to create a future solution.
17:06:21	 From  Amay Parikh : Happy to volunteer