Priority Health Continues to Reimburse for Expanded Telehealth Services
Priority Health announced that on July 1, 2020, they would return to paying the standard facility-based rate for expanded services provided via telehealth.
Given the investment providers have made in telehealth, ongoing concerns about patients not visiting provider offices for needed care, and the rapidly evolving COVID-19 situation, including the Governor’s recent announcement on the potential to dial back reopening, Priority Health has reversed their decision. They’ll continue to pay at the non-facility rate, using the rest of 2020 to review data on telehealth services to inform their future policies.
For dates of service between May 1 and December 31, 2020, Priority Health will pay the same rate for expanded telehealth services as you’re accustomed to receiving for in-person visits.
Audio-only visits for telehealth
Priority Health will continue to allow credentialed providers to bill real-time, interactive, audio-only telehealth encounters, so patients who don't have internet access or audio-visual capabilities can continue to get the care they need. Effective July 1, 2020, all audio-only visits must be billed using audio-only visit codes (99441 - 99443 and 98966 - 98968).
Click here to learn more about Priority Health's policy on telehealth during the COVID-19 pandemic.