EmblemHealth announced a new reimbursement policy for Telehealth/Virtual Care back in February this year. Accordingly, they launched it on June 1, 2022. Providers are asked
To use telehealth visits (where possible)
To meet Healthcare Effectiveness Data and Information Set (HEDIS®) measures
To improve risk score accuracy
To increase Consumer Assessment of Healthcare Providers and Systems (CAHPS®).
Note that, for EmblemHealth and ConnectiCare Medicare Advantage plans, the POS requirements will go into effect at the end of the PHE. Providers are also requested to use telehealth modifiers listed in the policies to reduce errors in payment.
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