Telemedicine/Telehealth Articles and Resources
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According to the Center for Connected Health Policy (CCHP), "States alternate between using the term “telemedicine” or “telehealth”. In some states both terms are explicitly defined in law and/or policy and regulations. In some cases, “telehealth” is used to reflect a broader definition, while “telemedicine” is used mainly to define the delivery of medical services." Regardless of which definition you prefer, this field has experienced nearly exponential growth over the last several years. News and Important InformationEven if a code is identified as a telemedicine service by either the CPT code book (Appendix P), or on the Medicare telehealth list, that doesn't mean that another service might be able to be rendered via telehealth. Much of that depends on individual payer policies. Also, be sure you are aware of individual state laws regarding these services. Click on the other tabs to review more information. Find-A-Code's Tools & ResourcesCoronavirus & Telehealth CheatsheetCoronavirus & Telehealth Cheatsheet Additional Links and ResourcesNAMAS - PHE Telehealth GridNAMAS - PHE Telehealth Grid List of Telehealth ServicesCMS List of Telehealth Services Select the title to see a summary and a link to the full article. December 8th, 2020 Final Rule on Communications Technology and 2021 Physicians Fee Schedule| Published December 8th, 2020 To create a healthcare system that will benefit providers as well as Medicare beneficiaries there have been several new rules issued that begin on or after January 01, 2021. CMS released the final policy and payment provisions on December 01, 2020, which includes the physician fee schedule (PFS) for 2021. ... June 3rd, 2020 Watch for Payer Telehealth Coverage Changes| Published June 3rd, 2020 As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage. May 13th, 2020 Are Diagnoses from Telehealth Services Eligible for Risk Adjustment?| Published May 13th, 2020
On April 10th, CMS released a memo with the subject line, “Applicability of diagnoses from telehealth services for risk adjustment,” suggesting there may be some telehealth services that might not qualify for risk adjustment. However, in the memo CMS states:
“Diagnoses resulting from telehealth services can meet the risk adjustment face-to-face ... May 4th, 2020 Additional Telehealth Changes Announced by CMS| Published May 4th, 2020 On April 30, 2020, CMS announced additional sweeping changes to meet the challenges of providing adequate healthcare during this pandemic. These changes expand the March 31st changes. The article covers some of the key changes. See the official announcement in the references below. April 20th, 2020 Dismal OIG Report on Telemedicine| Published April 20th, 2020 Providers need to understand the rules for reporting telemedicine services. A recent OIG report shows that this is not the case. What problems are being found in documentation claims? As providers are expanding their telehealth offerings, now is the time to understand the potential pitfalls since disallowed amounts will be taken back. April 13th, 2020 COVID-19 Chiropractic Resources| Published April 13th, 2020 COVID-19 Chiropractic Resources contains current, updated information regarding COVID-19. Included are lists of webinars, articles, websites and links pertaining to the ongoing changes. April 7th, 2020 More Telehealth Changes Announced by CMS Chiropractic Offices Should Know About| Published April 7th, 2020 On March 31, 2020, CMS announced further changes to their telehealth program in response to this unprecedented public health emergency (PHE). The announcement included far more information than is presented in this article which only summarizes the changes to telehealth. In fact, it does change a little of the information included in our March 31st webinar. April 2nd, 2020 More Telehealth Changes Announced by CMS| Published April 2nd, 2020 On March 31, 2020, CMS announced further changes to their telehealth program in response to this unprecedented public health emergency (PHE). See this article for further information as well as references & links to CMS information March 25th, 2020 COVID-19: Cybercrime, Telehealth, and Coding| Published March 25th, 2020 Your inbox is probably like mine with all sorts of announcements about COVID-19. Here are just a few reminders of things we felt should be passed along.
We have heard of several cases of cybercrime related to this outbreak. For example, there was a coronavirus map which loads malware onto your ... January 14th, 2020 Billing for Telemedicine in Chiropractic| Published January 14th, 2020 Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care. September 16th, 2019 E-Health is a Big Deal in 2020| Published September 16th, 2019 The new 2020 CPT codes are on the way! We are going to see 248 new codes, 71 deletions, and 75 revisions. Health monitoring and e-visits are getting attention; 6 new codes play a vital part in patients taking a part in their care from their own home. New patient-initiated ... June 13th, 2019 Medicare Approves Reimbursement for Virtual Communication (G2012)| Published June 13th, 2019 Medicare has taken a stand to recognize communication technology-based services by approving two newly defined physicians' services that will significantly help providers who deal with phone calls and patient triage. One of these services includes:
Virtual check-in (G2012), which allows the provider to be reimbursed for communicating with the patient via ... June 13th, 2019 Medicare Now Reimburses for Remote Monitoring Services (G2010)| Published June 13th, 2019 Medicare's 2019 Final Rule approved HCPCS code G2010 for reimbursement, which allows providers to be paid for remote evaluation of images or recorded video submitted to the provider (also known as "store and forward") to establish whether or not a visit is required. This allows providers to get paid for ... February 14th, 2019 Proposed Rule: Expanded Telemedicine Benefits for Medicare Advantage Beneficiaries| Published February 14th, 2019 Telemedicine continues its rise, with new technologies allowing for better communication and access to more aspects of healthcare than ever before. Each year Medicare has made strides, albeit small strides, in their telemedicine coverage while commercial payers continue to make great strides, constantly improving and expanding telemedicine service offerings to ... There are more articles. View all articles... View articles for the current subject by subtopic: (There are no webinars at this time, please check back later.) CMS: Telehealth Services MLN BookletFAQs on Telehealth and HIPAA during the COVID-19 nationwide public health emergencyMedicare Coverage and Payment of Virtual ServicesPhysician Assistant (PA) Resources NoridianUnitedHealthcare Telehealth Services: Care Provider Coding Guidance (There are no podcasts at this time, please check back later.)
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