Part B Insider - 2023 Issue 7
Telehealth: Understand Virtual Visits Post-PHE
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Article Overview
This piece reviews how telehealth and virtual visit policies are changing after the COVID-19 public health emergency. It focuses on Medicare-related coverage timing, audio-only encounters, e-visits, temporary telehealth additions, and place-of-service reporting, with context for physicians, QHPs, and coding/billing staff tracking payer and CMS guidance.
Why This Topic Matters
Post-PHE telehealth rules affect whether services remain payable, how encounters are reported, and which documentation and location rules apply. The article helps coding and billing professionals follow current CMS and CPT-related changes without assuming all pandemic-era flexibilities continue.
Article Sections
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Understand Audio-Only Interaction
Covers audio-only telehealth and related Medicare timing changes after the PHE. Also notes documentation and reporting considerations tied to these services.
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Anticipate the Future of E-Visits
Discusses digital patient-initiated encounters and their role after the PHE. The section also addresses general documentation topics and coverage context.
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Expect Addition of Some Services, Extension of Others
Summarizes temporary telehealth list updates under the 2023 Medicare Physician Fee Schedule. It explains the broader coverage window and how Medicare policy may influence other payers.
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Revert to Previous Place of Service Codes
Explains the return to standard place-of-service reporting after the PHE transition period. It also notes state, scope, and payer considerations and mentions a future telehealth-oriented code set.
What You Will Learn
- How post-PHE telehealth policies are changing
- Which broad categories of virtual encounters are discussed
- What documentation themes are highlighted for digital encounters
- How Medicare telehealth coverage timing affects reporting
- Why place-of-service reporting is changing after the PHE
- What future telehealth-related coding changes are mentioned
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician offices
- Qualified health care professionals
- Telehealth program administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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