BC Advantage - 2021 Issue 7
Evaluating the Promise of Telehealth: Pandemic Physician Practice Lifesaver Gives Way to Billing, Regulatory Scrutiny
Subscribe or sign in to view the full article.
Article Overview
This article examines how telehealth changed during the public health emergency, including expanded payer coverage, temporary privacy flexibilities, and the surge in use across Medicare, Medicaid, CHIP, and private insurance. It also discusses the rise in fraud enforcement, upcoming audits, and best-practice considerations for physician practices that continue to use telehealth. The piece is relevant to providers, billing teams, compliance staff, and practice leaders who need to understand the broad operational and regulatory issues affecting telehealth services.
Why This Topic Matters
Telehealth remains an important part of care delivery, but practices now face closer scrutiny from payers and regulators. Understanding the article helps organizations stay aware of compliance, documentation, billing, licensing, and technology considerations as telehealth rules continue to evolve.
Article Sections
-
Telehealth Visits, Claims Skyrocket During Pandemic
This section summarizes the growth in telehealth use and claims activity during the pandemic across major payer groups. It also notes the expansion of covered services and temporary privacy-related flexibilities.
-
Bad Actors Get in On the Action
This section covers fraud, waste, abuse, and enforcement activity associated with telehealth expansion. It highlights audit activity and related oversight concerns from federal agencies.
-
Best Practice Recommendations for Providers
This section outlines general compliance and operational considerations for physician practices using telehealth. It focuses on documentation, billing accuracy, provider credentials, privacy readiness, software updates, and review of federal guidance.
What You Will Learn
- How telehealth usage expanded during the pandemic
- Why payer and regulatory scrutiny increased alongside telehealth growth
- What types of compliance and billing areas providers should review
- Which broad government and advisory organizations are involved in telehealth oversight
- How telehealth technology and billing workflows affect practice operations
Who Should Read This
- Physician practices
- Medical billing and coding staff
- Compliance officers
- Practice administrators
- Healthcare revenue cycle teams
- Telehealth program managers
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com