New 2019 Telehealth CPT Codes , Billing & Credentialing Strategies
Instructor : C. J. Wolf
Jun 04, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes
In April of 2019, the Department of Justice announced one of the largest health care fraud busts in history which involved telemedicine services. The total dollar loss to the government was $1.2 Billion and resulted in charges brought against 24 individuals, including marketing executives.
Telehealth services are more common in healthcare as more doctors use telemedicine to improve patient care and more insurers now cover telehealth. Coding and billing for telehealth can still be tricky as Medicare, Medicaid, and private insurers have different coverage rules.
However, along with increased use and reimbursement often comes increased compliance risk. This webinar will cover compliance risk associated with telemedicine and included in these risk are PHI/HIPAA issues, reimbursement requirements, qualified origination sites and reception sites and examples of state laws addressing these services.
- Physician Licensing and Credentialing to Provide Telemedicine
- Case studies of non-compliance with the rules and the resulting fines and settlements
- Links to documents regarding payment policies and documentation requirements
- Medical codes for telemedicine and telehealth services
- Summary of recent government enforcement cases involving telemedicine
- What are the risks with telemedicine and PHI/HIPAA security requirements
- What medical codes are recognized for payment and what types of services are not recognized
Who Will Benefit:
- Hospital/CAH case management and utilization review personnel
- Hospital/CAH coding personnel
- Billing and claims transaction personnel
- Nursing staff
- Outpatient service area personnel
- Chargemaster coordinators
- Financial analysts
- Compliance personnel
- Physicians/Non-physician practitioners