Telehealth Billing: Avoid Errors to Increase Reimbursement

Event Materials (Key Required)

This webinar will be a detailed account of the many changes from when the PHE first announced leniencies to CMS updates and changes to expand telehealth coverage. Medicare and other payers are providing you additional telehealth reimbursement opportunities for the telehealth services you provide every. You must avoid common billing and coding mistakes to access those reimbursement. As per government auditors 100% of provider they audited had error-filled telehealth claims. Telehealth billing and coding rules are complex and provider can easily make simple mistakes in their billing and coding.

Expert Maya Turner, CPC, CPMA, will explain how you can minimize the telehealth billing and coding mistake and also discuss in detail the many changes involving licensure, covered services as well as some key discrepancies with documentation of services. Many organizations have been subject for recoupments because of lack of knowledge. Don’t let your organization succumb to the failure to protect themselves by being well aware of the regulatory changes and documentation requirements to substantiate payment.

Learning Objectives:

• Understanding licensure requirements
• Coverage for audio only services
• Important consent documentation and standardization
• Examination of OIG recoupments and what to avoid
• Changes in E/M time requirements and services based on time
• Provisional and permanent coverage types determined by CMS
• Services scheduled for deletion in 2025
• SDoH inclusive to telehealth and documentation requirements
• General and direct supervision requirement updates via telehealth

Areas Covered in the Session:

• Telehealth Healthcare Scope – Then and Now
  • Telehealth Pre-Covid
  • Telehealth during Covid
  • Telehealth Post-Covid
• CMS Regulation Billing, Compliance & Documentation
• Telehealth Revenue Cycle Key Factors
• Telehealth Place of Service (POS) – POS 02 and POS 10
• AMA Coding Updates for Telehealth
• Licensure Across State Lines
• Cross-State Licensing
• Cross-State Licensing – Interstate Medical Licensure Compact
• Understanding the Distinct Modalities of Telehealth
• Two Major types Synchronous Communication
• What is asynchronous Communication?
• Telehealth Venues Defined
• Who Can Perform Telehealth Services?
• What type of services are covered?
• Detailed Documentation Requirements
• Telehealth Progress Note Example
• What is an Originating and Distant Site?
• Telehealth – Modifiers and When to use them
• Reporting POS and Modifiers
• Common telehealth billing mistakes
• Telehealth Billing and Restriction Table
• G2211: The complexity of it all
• CMS and CY2024 Final Rule – Add on Code +G2211
• CMS G2211 Reporting Guidance
• When to Bill G2211
• Evaluation and Management wRVU MPFS Comparison
• EM Time Office Based Billing
• Digital Medicine – The next wave of patient care
• Telehealth and Digital Medicine CCM, RPM and beyond
• CPT codes for Digital health, medicine and consulting
  • Interprofessional telephone/internet/EHR consultation (eConsults)
  • Online Digital Evaluation and Management (eVisit)
  • Remote Therapeutic Monitoring
  • Digital Medicine-Services Taxonomy
  • AI taxonomy for medical services & procedures

Suggested Attendees:

• Healthcare CEOs
• Healthcare CFOs
• Healthcare COOs
• Healthcare Providers
• ASC Directors
• Office Managers
• Administrators
• Policymakers
• Billing Staff and Companies
• Physicians and Other Providers
• Healthcare Consultants
• Hospital Director
• Software Developers
• Compliance Officers
• Mid-Level Providers
• Physicians
• Coders
• Billers
• Clinic Managers
• Nurses
• Practice Manager
• Office Managers
• Reimbursement Managers and Staff
• Other Staff Involved in the Telehealth Services

Presenter Biography:

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Snippet From Our Previous Session