Anthem Commercial Risk Adjustment (CRA) reporting update: New guidance on telephone-only service CPT codes for risk adjustment program
Please contact Alicia Estrada, our Commercial Risk Adjustment Network Education Representative, via email at Alicia.Estrada@anthem.com if you have any questions.
October 2020 Anthem Provider News - Georgia
As providers, you are committed to providing the best care for your patients – our members. That care may now include telehealth visits. Recognizing the continuing increased need for telephone and virtual services during the COVID-19 public health emergency, the U.S. Department of Health and Human Services (HHS) has given additional consideration to the treatment of telephone-only services in the HHS-operated Risk Adjustment Program. HHS has clarified that telephone-only service CPT codes (98966-98968 and 99441-99443) are valid for the Risk Adjustment Program. Telephone-only visits may benefit your patients who have not participated in, or felt comfortable using, a telehealth video visit. Thank you for your continued commitment to assessing your patients’ health and closing possible gaps in care.