decisionhealth Newsletters, Part B News - 2023 Issue 7 (July)
Practices turned to telehealth for 40% of psych visits after CMS waivers
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Article Overview
This article looks at Medicare psychotherapy services delivered through telehealth during the COVID-era waiver period, with emphasis on claims activity, reimbursement trends, and audit attention. It is aimed at coding, billing, compliance, and behavioral health practice staff who need a broad view of telehealth reporting patterns and related oversight concerns without exposing article-specific coding detail.
Why This Topic Matters
Telehealth billing for behavioral health continued to rise under CMS waiver policies, and the resulting claims volume has drawn auditor scrutiny. The article helps readers understand the scope of telehealth psychotherapy utilization and the compliance environment surrounding documentation and claims review.
What You Will Learn
- How telehealth changed the delivery of psychotherapy services during the waiver period
- Why psychotherapy claims are receiving increased audit attention
- What broad compliance areas are associated with telehealth-delivered behavioral health services
- How claims volume and reimbursement trends are being discussed in Medicare-focused reporting
Who Should Read This
- Medical coders
- Billing specialists
- Compliance auditors
- Behavioral health practice managers
- Revenue cycle teams
- Telehealth program staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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