decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 4 (April)
COVID-19 update: CMS allows telehealth home visits, OIG waives copays
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Article Overview
This article explains early COVID-19-era federal changes affecting Medicare telehealth access, cost-sharing, and provider compliance. It is aimed at coders, billers, compliance staff, and practices that needed to understand expanded virtual care coverage and the related agency announcements from CMS, HHS OIG, and HHS OCR. The discussion focuses on temporary policy updates, general billing implications, and operational considerations for telehealth and related virtual services.
Why This Topic Matters
The article helps practices understand rapidly changing federal telehealth rules during the COVID-19 pandemic so they can assess whether their virtual visit workflows, billing processes, and compliance practices align with the temporary Medicare guidance.
Article Sections
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COVID-19 telehealth policy update
Overview of the federal announcements expanding telehealth access during the COVID-19 emergency and the reasons these changes were issued.
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6 things you need to know
A practical summary of the major operational points practices were told to consider before billing for telehealth services, including coverage scope, patient location, technology, cost-sharing, and state-law considerations.
What You Will Learn
- How Medicare telehealth access changed during the early COVID-19 emergency
- Which federal agencies issued related telehealth and compliance announcements
- What broad operational factors practices needed to review before billing telehealth services
- How the article distinguishes telehealth services from related virtual visit types
- Why state scope-of-practice requirements still matter for telehealth delivery
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
- Healthcare providers
- Telehealth program administrators
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