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. Identify the codes and modifiers that should be utilized and understand the related documentation requirements. This program 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
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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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.
Medical coders, billers, auditors, clinicians, and practice managers may benefit from this program This session will help ensure your providers receive accurate reimbursement for telehealth services and avoid penalties associated with fraudulent telehealth billing.
No prerequisites required. However, this intermediate-level course assumes base knowledge of provider coding and reimbursement.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable digital course materials for 6 months.
Prod ID: 465