There continue to be many opportunities for providers to be reimbursed for services provided via telehealth. The end of the PHE has come, but telehealth and some pandemic-spurred adaptations are here to stay. We now have more opportunities than before to embrace telehealth as a resource for patient care.
With increasing telehealth reimbursement and the convenience of virtual services for patients and providers alike, these services are here to stay. But reimbursement for and the requirements of providing them are ever evolving. Billing for virtual services can be very complicated with state-specific laws to observe and reimbursement policies varying per payer. Make sure you’re up to date on the rules and limitations for reimbursement.
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.
Participants will gain important knoweldge on correctly billing for telemedicine to Medicare, Medicaid, and private payers, learn how to identify differences in payer policies, and to utilize current codes and modifiers to report Telehealth services.
Are you confident your providers are eligible and meet the requirements to report telehealth services? Does your practice always obtain and appropriately document patients' informed consent? Have you implemented and maintained the appropriate policies and procedures in your practice? In this program you will learn all you need to know for correctly billing for telemedicine to Medicare, Medicaid, and private payers. Understand key differences in payer reimbursement policies. Know what types of services are covered, and by which payers. Review details on the most current CPT and HCPCS codes and modifiers that are utilized to report Telehealth services.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.
Past participant comments:
“Telehealth is evolving constantly and refreshers are always good.”
“Excellent up-to-date information.”
“Very valuable information on billing for telehealth services.”