Finding the Positive in the New Normal - Walking Early into 2020

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews telehealth documentation issues that emerged during the rapid shift to virtual care during the COVID-19 pandemic. It is aimed at providers, coders, auditors, and compliance staff who need to understand how payer rules, documentation integrity, and audit risk affect telehealth billing. The discussion focuses on broad compliance themes such as video-based visits, exam elements that can and cannot be supported remotely, and the role of time-based documentation when allowed by the payer.

Why This Topic Matters

Telehealth billing created new compliance risks, especially when documentation was adapted from in-person templates without reflecting what could actually be performed remotely. Understanding these documentation pitfalls helps reduce audit exposure and supports more defensible claims.

What You Will Learn

  • Why telehealth documentation required special attention during the COVID-19 pandemic
  • How payer expectations affected telehealth billing compliance
  • Why exam documentation integrity matters in virtual visits
  • How time-based documentation can factor into telehealth visit support when permitted

Who Should Read This

  • Physicians
  • Coders
  • Auditors
  • Compliance staff
  • Practice managers

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