E/M Coding Alert - 2023 Issue 2
MPFS 2023: Navigate Telehealth Rules Through PHE and Beyond
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Article Overview
This article covers Medicare telehealth policy changes for 2023 in the context of the MPFS final rule and the COVID-19 public health emergency transition. It is written for physician practices, coders, and billing staff who need a practical overview of telehealth coverage categories, place-of-service reporting, audio-only visit considerations, HIPAA-related temporary flexibilities, and the timing of post-PHE changes.
Why This Topic Matters
Telehealth billing and coverage rules changed significantly as the public health emergency phaseout approaches, so practices need to understand which services remain on the telehealth list, how reporting expectations shift, and when temporary flexibilities expire.
Article Sections
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Examine Medicare’s Updated Covered Telehealth E/M List
Reviews the Medicare telehealth E/M service list in the context of 2023 CPT and MPFS updates. The section focuses on how telehealth coverage is being aligned with broader E/M changes.
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Prepare to Go Back to These Place-of-Service Codes
Discusses place-of-service reporting under the 2023 final rule and the expected post-PHE transition. It addresses how telehealth claims are affected by location reporting changes over time.
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Understand Audio-Only Interaction
Covers audio-only telehealth coverage considerations, related communication formats, and reporting tools mentioned in the article. The section also notes temporary post-PHE timing issues for certain services.
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Know How to Keep Telehealth Sessions HIPAA Compliant
Summarizes the temporary HIPAA-related telehealth flexibilities used during the PHE and the types of technology referenced by the article. It provides a compliance-oriented overview rather than service-specific guidance.
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Watch for End Dates and Extensions
Explains the timing of the COVID-19 public health emergency end date and the related extension period. The section places telehealth policy changes into the broader federal transition timeline.
What You Will Learn
- How 2023 Medicare telehealth guidance is changing alongside CPT E/M updates
- What broad categories of telehealth services are discussed in the MPFS final rule context
- How place-of-service reporting is affected during and after the PHE transition
- What the article says about audio-only telehealth and related temporary considerations
- How HIPAA-related telehealth flexibilities and PHE timing affect practice planning
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- General surgery practices
- Compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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