Online Training Course

Prod ID: 556
Navigating the Changing Tides of Telehealth Billing

The telehealth landscape has shifted again. With key Medicare flexibilities recently extended through December 31, 2027, providers must adapt to a "new normal" of permanent versus temporary rules. This online seminar provides the essential knowledge to master today's complex regulatory environment, ensuring your practice receives full reimbursement while staying ahead of increasing audit scrutiny.

CEUs

1

Length

60 min

Price

$119.00


Learning Objectives

  • Define and Differentiate: Master the technical and legal distinctions between telehealth, telemedicine, and virtual care services.
  • Master Coding: Correctly identify and apply the latest telehealth CPT/HCPCS codes, including the proper use of modifiers and Place of Service codes.
  • Claim Accuracy: Review the specific documentation requirements for "clean claims" to prevent denials and ensure compliance with payer-specific guidelines.
  • Compliance Strategy: Develop a roadmap for adhering to evolving federal and state regulations to mitigate audit risks and avoid costly penalties.

Gain clarity on the impact of reinstated flexibilities and how they intersect with existing rules. Key discussion points include:

  • CMS Updates: Learn about recently added services to the Telehealth List and understand which policies and services are now permanent.
  • Audio-Only Services: Navigating the latest rules for audio-only E/M services and specific requirements for FQHCs and RHCs.
  • Controlled Substances: Updates on the DEA and HHS extensions for remote prescribing of controlled medications.

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.

Medical coders, billers, auditors, clinicians, and practice managers will benefit from this program. This program will help ensure accurate reimbursement for telehealth services and increase awareness of relevant compliance risks when billing for these services.
No prerequisites required.
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable companion materials for 6 months.

Other classes like this.

Billing for Telehealth and Virtual Services

Billing for Telehealth and Virtual Services