Billing for Telehealth Services

Telehealth allows healthcare practitioners to bridge gaps in providing care. As a result of the COVID-19 public health emergency (PHE), the Centers for Medicare and Medicaid Services (CMS) broadened access to telehealth services to provide beneficiaries access to a wider range of services from their doctors without having to travel to a healthcare facility. The PHE officially ended in May of 2023, but many flexibilities continue to exist for those participating in Medicare or Medicaid.

Gain details on the telehealth flexibilities that have been made permanent and identify which are only temporarily still in place. Know which telehealth services continue to be covered by private insurance carriers. Review examples of carrier specific rules and comprehend the importance of reviewing payer-specific telehealth service requirements to ensure proper claim submission.

The policy and payment landscape around telehealth continues to be complex. Learn how to bill appropriately for telehealth services now. Identify the codes and modifiers that should be utilized and understand the related documentation requirements.

This class will help ensure your providers receive accurate reimbursement for telehealth services and avoid penalties associated with fraudulent telehealth billing.

Highlights:

• Key telehealth terminology
• Telecommunications methods and approved modalities
• State vs Federal requirements
• Understand relevant HIPAA Privacy and Security guidelines
• Approved providers and telehealth services
• Current approved telehealth service codes and modifiers
• Place of service and distant / originating site requirements
• Avoiding fraud and abuse

Medical coders, billers, auditors, clinicians, and practice managers may benefit from this program. This intermediate-level course assumes base knowledge of provider coding and reimbursement. Digital course materials and access to recorded session is available for 6 months.

https://www.pmimd.com/live_webinar_training/DL-TEL.php?af=25445-1206