2018 Telemedicine: Coverage, Billing and Coding Rules

Product Id : HE33
Instructor : Nathaniel Lacktman
Mar 22, 2018 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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Get Insights on Medicare updates for Telemedicine Regulations in 2018

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.

Telemedicine services have been seeing a continuous growth both in terms of volume and breadth of coverage. Hospitals large and small participate in telemedicine services although in different capacities. Making certain that all the rules and regulations are faithfully followed can be challenging.

Most of the guidance for telemedicine or telehealth services comes from the Medicare program. However, changes in the guidance occur almost every year. While the Medicare program has many rules and regulations in this area, private third-party payers tend to be more liberal in reimbursing for these types of services. The recently enacted 21stCentury Cures Act directs CMS to expand telemedicine services. Remote robotic surgery is on the horizon. Hospitals, clinics and physician must regularly update policies and procedures in this area to keep current as the technology continues to outstrip payment and compliance issues.

Join this session, where healthcare consultant Nathaniel Lacktman, will provide an overview of the general concept of how telemedicine worksLacktman will discuss how you can assess future changes for telemedicine, particularly with Medicare.

Session Objectives:

  • Coverage and reimbursement of telehealth services
  • Guidelines for billing and coding for telehealth services
  • Coverage differences & rules for Medicare, Medicaid & Commercial insurance
  • Making sense of multistate enrollment and interjurisdictional reassignment of claims
  • Federal Office of Inspector General’s recent focus on review of payments for telehealth services
  • Coding, billing and reimbursement issues
  • Private payer view of telemedicine services
  • Compliance issues for telemedicine
  • Clinical issues for telemedicine
  • Federal Office of Inspector General’s recent focus on review of payments for telehealth services

Session Highlights:

  • How telemedicine is supposed to work
  • Why the terminology is so confusing
  • What the difference between telemedicine and telehealth is
  • Who is involved in telemedicine
  • Who is allowed to provide telemedicine services
  • How telemedicine services are paid under the Medicare program

Who Should Attend:

  • 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
Speaker Profile:

Mr. Nathaniel Lacktman is a partner and health care lawyer with Foley & Lardner where he is the Chair of the firm’s Telemedicine Industry Team and Co-Chair of the firm’s Digital Health Group. Mr. Lacktman advises hospitals, health care providers and technology companies on business arrangements, compliance, and corporate matters, with particular attention to telehealth, digital health, and health innovation.

His approach to practicing law emphasizes strategic counseling, creative business modeling, and fresh approaches to realize clients' ambitious and innovative goals. He has helped draft comments, legislation, and policy input on telehealth to state lawmakers, the DEA, the Congressional Research Service, Medicaid agencies, state boards of medicine, and the American Heart Association.


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