E/M Coding Alert - 2021 Issue 5
COVID-19 PHE: Manage Telehealth Compliance and Coding with 3 Tips
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Article Overview
This article explains how telehealth coding and compliance changed during the COVID-19 public health emergency and why those changes matter for accurate claims. It focuses on Medicare telehealth resource updates, documentation expectations, and the evolving status of temporary telehealth flexibilities. The piece is intended for coders, billers, compliance staff, and clinicians who need to stay current on telehealth policy and documentation requirements.
Why This Topic Matters
Telehealth policies changed rapidly during the COVID-19 public health emergency, affecting coverage, documentation, and claim submission. Understanding the current guidance helps reduce denials, support compliant billing, and prepare for future policy changes.
Article Sections
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Tip 1: Track Temporary Telehealth Codes
Covers how to monitor Medicare telehealth code lists and updates during the public health emergency. It also discusses CMS status categories, resource links, and related federal corrections.
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Tip 2: Master Telehealth Documentation
Reviews general documentation considerations for telehealth encounters, including communication mode, participant information, and time tracking. It also addresses telehealth-related claim elements and references to telephone-based services.
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Tip 3: Look to Telehealth’s Future
Summarizes discussion of temporary telehealth flexibilities, potential policy permanence, and what may happen when the public health emergency ends. It also notes federal statements and ongoing administrative updates.
What You Will Learn
- How telehealth coverage information was being updated during the COVID-19 public health emergency
- What documentation elements are emphasized for telehealth encounters
- How Medicare and federal policy developments affect telehealth compliance planning
- What types of resources are available for staying current on telehealth guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians and other clinicians
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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