E-Visits – What you need to know!
E-Visits aren’t new. You’ve been interacting with patients through your online portals for years. Here’s what you need to know to make sure you are meeting the requirements needed to support your E-Visit.
What is an E-Visit?
CMS defines e-visits as communication between an established patient (18+ years old) with their provider through an online portal, like MyChart.
E-Visit Codes
CPT offers two code sets. The first code set applies to providers recognized to report E/M (Evaluation and Management) services, such as physicians and other qualified health care professionals (OQHPs).
Alternatively, the second applies to licensed non‑physician clinicians who perform specific non‑E/M services.
1. Physicians and OQHP (NP/PA/CNS)
E-Visit Codes
2. Qualified Non-Physician Professionals (e.g. PTs, OTs, SLPs, licensed CPs, CSWs, and RDs)
Online Digital Assessment Codes
Use POS (Place of Service) code equal to what it would have been had the service been furnished in-person.
Requirements
- The patient must be an established patient, 18+ years old, who has given consent for e-visit (co-pays apply), and
- The e-visit must have been initiated by the patient, and
- The e-visit must not result in an in-person (includes A/V Telemedicine) visit within a 7-day period (for same condition that prompted e-visit) and not in a global period for same/similar condition, and
- the minimum time for lowest level is 5″ cumulative time over a 7-day period (do not report service for less than 5″)
If you would like to have a discussion regarding e-visits at one of your faculty meetings, please contact [email protected], [email protected], or, see our Meet the Team page for your compliance liaison.
For more information and documentation tips, please see our tip sheet linked below.
Resources:
MSHBC E-Visit Tip Sheet