The policy and payment landscape around telehealth continues to be complex.
Learning objectives:
- Differentiate telehealth & telemedicine
- Emphasize reviewing requirements for clean claims
- Identify telehealth codes & modifiers
- Demonstrate proper documentation & billing for virtual services
- Ensure adherence to telehealth compliance
Congress has reinstated the Telehealth flexibilities available during recent years. An extended range of healthcare providers may again bill for Medicare telehealth services. Learn the latest details regarding the provision of Telehealth services and gain clarity on the impact of this extension to Telehealth flexibilities. Understand how this change impacts other codified rules already in place including for the prescribing of controlled medications and in-person visit requirements for FQHCs and RHCs.
Distinguish which non-face-to-face services are not subject to the rules that apply to Medicare telehealth services and why. Review recent updates to supervision requirements. New rules allowing virtual direct supervision and permitting teaching physicians to be virtually present will be explained. The instructor provides 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
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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 will benefit from this program. This program will help ensure accurate reimbursement for telehealth and virtual services and increase awareness of relevant compliance risks when billing for these services.
No prerequisites required. However, this intermediate-level course assumes basic level knowledge of provider coding and reimbursement.
Comments from past participants:
"Very informative, thank you!"
"Presenter is very professional and knowledgeable. Good pacing and speaking voice."
"Engaging! Great presentation."
Prod ID: 551