Outpatient Facility 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 were affected during the COVID-19 public health emergency. It is relevant to coders, billers, compliance staff, and clinicians who need to track CMS telehealth updates, document remote services appropriately, and understand how temporary policy changes may affect future coverage.
Why This Topic Matters
Telehealth policies changed rapidly during the COVID-19 public health emergency, creating ongoing risk for claim denials and documentation errors. Understanding the general categories of CMS guidance discussed here can help organizations stay current as telehealth coverage and reporting requirements evolve.
Article Sections
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Tip 1: Track ‘Temporary’ Telehealth Codes
Discusses how to follow CMS telehealth code updates during the public health emergency and how to monitor temporary coverage lists. It also notes that the article compares different CMS telehealth status designations and references related CPT telehealth indicators.
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Tip 2: Master Telehealth Documentation
Covers documentation elements commonly associated with telehealth encounters, including encounter details, participant information, communication mode, and time reporting. It also addresses telehealth-related billing context such as place of service, audio/video considerations, and phone-only service references.
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Tip 3: Look to Telehealth’s Future
Reviews broader policy and legislative discussion about the future of telehealth after the public health emergency. It includes general references to federal authority, timing of the emergency declaration, and anticipated updates from HHS.
What You Will Learn
- How to monitor CMS telehealth coverage updates during the COVID-19 public health emergency
- What kinds of documentation elements are discussed for telehealth encounters
- How telehealth billing considerations differ between remote modalities and related service types
- What policy issues may affect telehealth coverage after the public health emergency ends
Who Should Read This
- Medical coders
- Billers
- Compliance professionals
- Practice managers
- Clinicians providing telehealth services
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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