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Billing for Telehealth and Virtual Services
Learn how to bill appropriately for telehealth and virtual services and avoid penalties associated with fraudulent billing. Understand relevant HIPAA Privacy and Security guidelines and comprehend the importance of reviewing payer-specific service requirements to ensure proper claim submission.
Learning objectives:
1. Differentiate telehealth & telemedicine2. Emphasize reviewing requirements for clean claims
3. Identify telehealth codes & modifiers
4. Demonstrate proper documentation & billing for virtual services
5. Ensure adherence to telehealth compliance
The policy and payment landscape around telehealth continues to be complex.
Medicare did not extend the flexibilities available during recent years with an exception for the prescribing of controlled medications. Understand which practitioners can no longer furnish Medicare Telehealth services, what services will continue to be covered by CMS, and the in-person visit requirement exception for FQHCs and RHCs.
Understand which non-face-to-face services are not subject to the rules that apply to Medicare telehealth services and why. Gain clarity on recent updates to supervision requirements. New rules allowing virtual direct supervision and permitting teaching physicians to be virtually present will be explained. The instructor will review the most current information available on the following and more:
- CMS rules and payer differences
- Coding, documentation, and billing workflows
- Compliance and audit risk increasing
- Originating Site, distant site, and technology requirements
- Avoiding common billing errors
- Remote Monitoring services
- Licensing across state lines
Full Schedule
Program times are Central unless otherwise noted.
| Session | Date | Time | Instructor | |
| 1 | March 12, 2026 | 11.00 am - 2.00 pm | Jan Hailey | |
| Fee: $239.00 | Register | |||
Can't attend live? Click here for On Demand option.
CEUs:
| PMI | 3 |
Target Audience
Medical coders, billers, auditors, clinicians, and practice managers will benefit from this program. This session will help ensure accurate reimbursement for telehealth and virtual services and increase awareness of relevant compliance risks when billing for these services.
PMI's Virtual Classroom experience allows for optimal interaction. Get your questions answered by the instructor in real time and build a network with your peers.
Registration includes live instructor-led online class instruction plus companion digital materials. A meeting link will be provided by email a few days prior to the event.
About the Presenter
Jan Hailey MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.