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Billing for Telehealth and Virtual Services
Develop the knowledge and skills necessary to accurately bill for
telehealth and virtual services in a rapidly evolving regulatory
environment. Stay current with evolving federal and payer-specific guidelines
to ensure compliant claim submissions, minimize audit risk, and prevent
penalties for improper or 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:
- 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
The policy and payment landscape around telehealth continues
to be complex.
Congress has reinstated the Telehealth flexibilities
available during recent years. An extended range of healthcare providers may again
bill for Medicare telehealth services. Attend this session to 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 will provide 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
Registration includes digital companion materials to serve as a resource beyond the classroom.
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.
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Earn 3 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).