Coding Changes for CPT, HCPCS, Modifiers and Revenue Codes. Determine if All Revenue Codes and CPT/HCPCS, Modifiers Codes Are Up-to-Date and Being Properly Reported. Be Prepared to Appreciate the Concept of Transparent Pricing and the Changes That Must Be Made By January 1, 2021.

Telemedicine services continue to grow both in volume and breadth of coverage. Much of the guidance for telemedicine or telehealth services comes from the Medicare program and changes occur almost every year. 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. 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.

Session Objectives:-

• To understand the general concept of telemedicine and how it works.
• To appreciate the underlying technology and advancements that allow telemedicine services to work.
• To understand the special terminology used in telemedicine.
• To review the current Medicare rules and regulations surrounding telemedicine services.
• To understand special requirements for physicians and practitioners.
• To appreciate how to code, bill and the reimbursement process for telemedicine services under the Medicare program.
• To appreciate clinical and billing privileges surrounding telemedicine.
• To review changes in credentialing for physicians providing telehealth services.
• To review changes in coverage and types of services that can be provided through telemedicine.
• To assess unusual requirements for different providers relative to telemedicine services.
• To discuss how private third-party payers view telemedicine.
• To review the new latitude that Medicare Advantage programs have in the telemedicine area.
• To review the 21st Century Cures Act relative to telemedicine.
• To assess future technological changes for telemedicine particularly with Medicare.

Session Goals:-

• How is telemedicine supposed to work? Who is involved in telemedicine?
• What is the difference between telemedicine and telehealth? Why is it so confusing?
• Who is allowed to provide telemedicine services?
• How are telemedicine services paid under the Medicare program?
• What do hospitals, CAHs, and clinics need to do in order to bill for telemedicine services?
• Is there anything special about RHCs (Rural Health Clinics)?
• Are there any compliance issues for telemedicine?
• How do private third-party payers view telemedicine and telehealth services?
• How will the 21st Century Cure Act impact telemedicine and telehealth?
• What will Medicare Advantage programs do with increasing latitude for the provision of telemedicine?

The recently enacted 21st Century Cures Act direct CMS to expand telemedicine services.  Remote robotic surgery is on the horizon. Medicare Advantage programs are being given more latitude in what they can include relative to telemedicine. Hospitals, clinics, and physicians must regularly update policies and procedures in this area to keep current as the technology continues to outstrip payment and compliance issues. Join Telehealth expert presenter, Duane C. Abbey, CFP, in this 90 minutes webinar to enhance your grasp in telemedicine and telehealth.

Session Agenda:-

• Telehealth Review and Overview
  • Telemedicine Services, and Telehealth Services
  • General Process and Review of Terminology
  • Current Legislation – 21st Century Cures Act
• Underlying Technologies
  • Interactive Communications, Electronic Monitoring, and Remote Robotic Services
• Clinical Issues for Telemedicine
  • Physicians Vs Non-Physician Practitioners Vs Consultation Services
• Updating Telemedicine
  • What services can be provided? Who can provide services?
  • Where can services be provided?
  • New Place-Of-Service (POS) Code
• Coding, Billing, and Reimbursement Issues
  • Coding and Claims Filing Requirements
  • Special Codes and Modifiers
  • Distant Site Consideration, Originating Site Considerations
  • Medicare Payment Process and Rates
  • Special Considerations for CAHs and RHCs
• Compliance Issues for Telemedicine
  • Credentialing for Telemedicine Providers, Incident-To Services, Telepresenters
• Private Payer View of Telemedicine Services
  • More Liberal Usage Vs Cost Savings Perspective Vs Medicare Advantage Latitude
• Congressional Action Relative to Telehealth
  • 21st Century Cures Act – Section
  • Proposed CONNECT Act

Who Should Attend?

• Coders, Billers, Auditors
• Hospital/CAH Case Management and Utilization Review Personnel
• Hospital/CAH Coding Personnel
• Billing and Claims Transaction Personnel
• Outpatient Service Area Personnel, Nursing Staff
• Chargemaster Coordinators, Financial Analysts
• Compliance Personnel
• Physicians, Non-Physician Practitioners, and Other Interested Personnel