ED Coding & Reimbursement Alert - 2020 Issue 6
Reader Question: Examine Your Documentation for Telehealth Visits
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Article Overview
This premium Q&A article explains how telehealth documentation is being assessed for evaluation and management services during the COVID-19 pandemic. It addresses general documentation expectations, the role of medical decision making and time, and common payer documentation elements for telehealth encounters. The article is aimed at coders, billing staff, and compliance teams who need to understand how telehealth visit records are being documented and reviewed under pandemic-era policies.
Why This Topic Matters
Telehealth documentation rules can affect compliance, claim support, and payer review long after the public health emergency period. Understanding the broad documentation themes in this article helps practices align their records with payer expectations and internal billing protocols.
What You Will Learn
- How telehealth evaluation and management documentation is being approached in the COVID-19 environment
- What broad documentation elements payers may look for in telehealth records
- Why provider documentation protocols matter for remote visits and related exams
- How virtual visit recordkeeping may differ across payer policies
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
- Physician office staff
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