decisionhealth Newsletters, Part B News - 2025 Issue 1 (January)
Can you report audio-only office E/M? Yes, but be very careful
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Article Overview
This article reviews recent Medicare telehealth updates affecting audio-only office and other outpatient E/M encounters. It is aimed at coders, billers, and compliance staff who need to understand how the 2025 telehealth changes intersect with office E/M reporting, patient location, provider capability, and documentation expectations. The discussion focuses on the general policy framework, the status of telephone E/M and newer audio-only telehealth codes, and the types of claim review points that matter for these encounters.
Why This Topic Matters
Audio-only telehealth rules changed for 2025, and billing teams need to align Medicare claims with the updated telehealth framework. Understanding the article helps avoid using outdated telephone visit assumptions and supports cleaner documentation and claim submission for qualifying office E/M encounters.
Article Sections
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Telehealth
Overview of the telehealth context for audio-only encounters and the Medicare coverage environment discussed in the article.
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Follow 4 documentation and coding requirements
Summary of the main claim review and documentation areas highlighted for audio-only encounters after the 2025 effective date.
What You Will Learn
- How the article frames audio-only Medicare telehealth encounters in 2025
- What general documentation and billing elements are emphasized for these visits
- How the discussion distinguishes audio-only office E/M from older telephone visit concepts
- What types of policy and claim review changes billing teams should monitor
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance teams
- Practice managers
- Physician office staff
Codes Discussed
Code Ranges Discussed
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