tci Medicare Compliance & Reimbursement - 2019 Issue Q3
Telemedicine: Tackle Telemedicine Coding With 2 Top Tips
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Article Overview
This article explains broad telemedicine coding considerations for providers and coders working with remote clinical services. It focuses on staying current with evolving telehealth-related guidance, understanding how telemedicine differs from other virtual communication services, and recognizing common reporting elements referenced in CPT, HCPCS Level II, and Medicare-related guidance. The piece is useful for medical coders, billing staff, and practices implementing telemedicine workflows.
Why This Topic Matters
Telemedicine coding changes can affect how virtual services are reported and whether claims are submitted correctly. Understanding the article’s scope helps readers determine whether they need guidance on telehealth coding updates, modifiers, place-of-service reporting, or services that fall outside telemedicine.
Article Sections
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Definitions
Introduces basic terminology and distinguishes related remote-care concepts. The section frames the broader coding context for telemedicine and telehealth.
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Tip 1: Stay Abreast of Telemedicine Coding Changes
Covers the need to keep pace with evolving telemedicine coding guidance and mentions references used to identify relevant services. The section also addresses reporting elements tied to telehealth claims and Medicare-related updates.
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Modifier reminder
Highlights a reporting reminder tied to telehealth claims and discusses the continued relevance of certain modifiers under specified circumstances.
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Tip 2: Know When It’s Not Telemedicine
Explains that some communication-based services are treated differently from telemedicine. The section focuses on how to recognize categories of services that are excluded from telemedicine reporting.
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Review
Provides a short reference list of telephone- and internet-based E/M services discussed in the article. The section supports identification of services that are not considered telemedicine.
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Resource
Points readers to a Medicare telehealth reference document for additional background. This is a source citation rather than substantive coding guidance.
What You Will Learn
- How the article distinguishes telemedicine from telehealth and related communication-based services
- Which broad coding references are discussed for staying current with telemedicine guidance
- What types of reporting elements are mentioned for telehealth claims
- Which categories of services are described as outside telemedicine scope
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Telehealth program administrators
- Compliance and reimbursement staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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