BC Advantage - 2020 Issue 5
Public Health Emergency: Coding and Billing for the Care Provided
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Article Overview
This article explains how telehealth and virtual care billing were affected during the COVID-19 public health emergency. It is aimed at coders, billers, providers, and practice managers who need a broad understanding of CMS guidance, code set choices, documentation expectations, place of service reporting, modifier use, supervision rules, and teaching physician considerations in the emergency period.
Why This Topic Matters
The article helps healthcare staff understand rapidly changing telehealth billing guidance during the public health emergency and why those changes affected claims, documentation, and operational workflow. It is relevant for organizations trying to keep patient care accessible while reducing billing and compliance risk.
Article Sections
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Introduction and public health emergency context
Provides background on the rapid changes affecting healthcare operations during the emergency period and introduces the main telehealth billing questions addressed in the article.
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Which code set should you use?
Summarizes the article’s comparison of telehealth service categories and the general types of services discussed for virtual communication and patient encounters.
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Patient Portal with no audio or video required
Covers online communication services and the broader billing context for patient portal-style encounters during the emergency period.
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Audio Only Services
Discusses telephone-based encounter categories and the general differences in reporting among the service types described by the article.
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Audio & Video Services Required
Reviews office and outpatient evaluation and management services furnished through telehealth and the related documentation, timing, and level-selection topics raised by the article.
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Place of service (POS) reporting
Explains that the article addresses telehealth place of service reporting during the emergency period and why this became a source of confusion.
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Modifier Usage
Notes the article’s discussion of telehealth modifier reporting under the emergency guidance.
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Modification of Direct Supervision
Covers the emergency-period update to direct supervision requirements and its implications for services performed with remote communication.
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Teaching physician services
Addresses telehealth-related teaching physician questions, including supervision and the settings in which the article says the guidance applies.
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Additional telehealth services and practice considerations
Mentions other care categories that may be delivered via telehealth and discusses patient education, operational continuity, and practice workflow during the emergency.
What You Will Learn
- How CMS telehealth guidance changed during the COVID-19 public health emergency
- How the article groups virtual services by broad communication mode
- What topics the article raises about documentation and level selection for virtual office encounters
- Why place of service reporting and modifier use became important during the emergency
- How the article frames direct supervision and teaching physician issues in telehealth settings
- What operational considerations the article highlights for maintaining access to care during the emergency
Who Should Read This
- Medical coders
- Medical billers
- Providers
- Practice managers
- Compliance staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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