Even if the 20 minutes are met, you cannot bill for 99457 without a live conversation. Make sure your documentation is airtight to avoid potential audits and claims of fraud.
- We clarified that for CPT codes 99457 and 99458, an “interactive communication” is a conversation that occurs in real-time and includes synchronous, two-way interactions that can be enhanced with video or other kinds of data as described by HCPCS code G2012. We further clarified that the 20-minutes of time required to bill for the services of CPT codes 99457 and 99458 can include time for furnishing care management services as well as for the required interactive communication.
What is Synchronous Messaging?
Synchronous messaging is part of a real-time conversation with a clearly defined beginning and end. Both parties must actively engage in the conversation at the same time, whether on their phones or on their keyboards.
You’ve no doubt heard of synchronized swimming or synchronized skating, and the principle is the same with synchronized messaging—everyone must participate at the same time.
What is Asynchronous Messaging?
Asynchronous messaging occurs when two parties have a conversation but don’t have to be present at the same time; what’s more, with asynchronous messaging, there’s generally not a clearly defined end to the conversation.
If you’re like many of us, text messaging with your friends and family occurs asynchronously. When both of you are available, the conversation might go back
and forth seamlessly, but you could also have the same conversation over a longer period of time while you’re both working or running errands.
https://quiq.com/blog/asynchronous-vs-synchronous-messaging/
Is your team prepared? Now’s the time to check. 💡 #RPM #HealthcareCompliance #OIG #MedicalBilling #CPT99457 #FraudPrevention