HCPro, JustCoding Outpatient - 2021 Issue 24 (June)
Creative delivery of outpatient hospital services during the COVID-19 PHE
June 14th, 2021
Subscribe or sign in to view the full article.
Article Overview
This article explains how COVID-19 public health emergency waivers and Medicare flexibilities affected the delivery of outpatient hospital services through telehealth and other communication-based technology services. It is aimed at hospital outpatient coders, billers, compliance staff, and practitioners who need a high-level understanding of the service categories, participating settings, and related coding frameworks discussed during the PHE.
Why This Topic Matters
During the COVID-19 PHE, hospitals and clinicians had to adapt outpatient service delivery and billing processes to maintain access while reducing exposure risk. Understanding the scope of the waiver-based options and the associated coding categories helps organizations identify which services are addressed in the article and where to look for operational and billing guidance.
Article Sections
-
Waivers and flexibilities
Introduces the Medicare waiver framework used during the public health emergency and the general hospital service delivery options discussed in the article.
-
Telehealth prior to the PHE
Summarizes the pre-PHE telehealth environment, including the general settings and practitioner types involved.
-
Telehealth during the PHE
Covers the emergency-era expansion of telehealth coverage and the related Medicare policy changes described in the article.
-
Billing for telehealth during the PHE
Describes the hospital and practitioner billing framework discussed for telehealth services during the public health emergency.
-
Billing for outpatient therapy services during the PHE
Addresses the outpatient therapy service delivery approaches referenced for the emergency period.
-
Other professional CBTS
Introduces the other communication-based technology services discussed apart from telehealth.
-
E-visits
Summarizes the article’s discussion of online digital evaluation and management services and related code families.
-
Virtual communication services
Covers brief communication-based services and remote evaluation services described in the article.
-
Telephone E/M services
Discusses telephone-based evaluation and management services addressed for the PHE timeframe.
What You Will Learn
- How the article frames Medicare waivers and flexibilities during the COVID-19 public health emergency
- Which outpatient service delivery categories are discussed as alternatives to in-person care
- How telehealth, e-visits, virtual communication services, and telephone E/M services are differentiated at a broad level
- What types of Medicare billing topics are covered for hospital and practitioner claims during the PHE
- Which code families and code sets are referenced in the article
Who Should Read This
- Hospital outpatient coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Health information management professionals
- Physicians and non-physician practitioners
- Medicare policy readers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com