Medicare Compliance & Reimbursement - 2020 Issue 5
News You Can Use: Confused by the Current COVID-19 Telehealth Waivers? Here's What You Need to Know
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Article Overview
This article reviews CMS interim telehealth guidance issued during the COVID-19 public health emergency. It is aimed at coders, billers, and clinicians who need a high-level understanding of temporary Medicare telehealth flexibilities, billing updates, patient location and technology allowances, consent changes, and related payer considerations.
Why This Topic Matters
Temporary telehealth policy changes affected which services could be delivered remotely, how visits were reported, and how payment and compliance considerations were handled during the public health emergency. The article helps readers recognize the areas of telehealth billing and documentation most likely to change during this period.
Article Sections
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CMS interim final rule and telehealth updates
Introduces the CMS action taken during the COVID-19 public health emergency and explains that the article is summarizing temporary telehealth guidance and clarifications.
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More codes added to the Medicare telehealth service list
Reviews the expansion of the Medicare telehealth service list and notes that additional service categories were made available during the emergency period.
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Guideline waivers and flexibilities for the PHE
Covers temporary changes affecting telehealth location, technology, patient status, consent, office/outpatient E/M selection, and payment-related policy during the public health emergency.
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Private payer considerations
Summarizes the article’s discussion of private insurer response to the emergency-era telehealth environment and points readers to external payer resources.
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Coding alert
Provides a general caution that COVID-19 guidance was changing rapidly and directs readers to authoritative sources for current updates.
What You Will Learn
- How CMS changed telehealth policy during the COVID-19 public health emergency
- What broad categories of telehealth services were added or clarified for Medicare
- How temporary waivers affected location, technology, consent, and evaluation-and-management reporting
- What the article says about Medicare payment updates and private payer alignment
- Where to look for current telehealth policy updates during a rapidly changing emergency period
Who Should Read This
- Medical coders
- Billing staff
- Physicians and nonphysician practitioners
- Practice managers
- Telehealth compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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