tci Medicare Compliance & Reimbursement - 2020 Issue Q3
Telehealth: Prepare for Telehealth Claims Audits With Expert Advice
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Article Overview
This article explains why telehealth claims are likely to receive increased Medicare audit attention and what compliance staff, coders, and providers should review in their documentation practices. It discusses audit context from CMS and Medicare contractors, common documentation problem areas for telehealth encounters, and general evaluation and management recordkeeping considerations relevant to audit readiness.
Why This Topic Matters
Telehealth utilization grew rapidly, and the article focuses on the documentation and compliance issues that can affect how those claims are viewed in audit settings. It is relevant for organizations that bill telehealth services and want to strengthen internal review processes before audits occur.
What You Will Learn
- How telehealth claims fit into the current Medicare audit environment
- What documentation areas are most likely to be reviewed in telehealth encounters
- How visit modality documentation can affect audit preparedness
- How time-based and medical-decision-making-based documentation are discussed in relation to telehealth
- What kinds of recordkeeping issues may create audit risk
Who Should Read This
- Medical coders
- Compliance officers
- Physician practices
- Billing staff
- Telehealth program administrators
- Auditors
Codes Discussed
Code Ranges Discussed
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