Much of the guidance for telemedicine or telehealth services comes from the Medicare program—where changes occur almost every year. The recently enacted 21st Century Cures Act directs CMS to expand telemedicine services. Remote robotic surgery is on the horizon, and Medicare Advantage programs are being given more latitude in what they can include relative to telemedicine. Hospitals, clinics and physicians need to comply with the updated rules, policies, and procedures. But this can be quite challenging, because the technology continues to outstrip payment and compliance issues. 

Understand the updated coding, billing, and reimbursement process for telemedicine services in this audio conference by industry expert Duane Abbey. Abbey will explain the general concept of telemedicine and how it works. He will bring you up to speed with the special telemedicine terminology, the current Medicare rules and regulations, and the special requirements for physicians and practitioners. He will walk you through the coding, billing and reimbursement process for telemedicine services under the Medicare program; explain the clinical and billing privileges surrounding telemedicine; and review the credentialing changes for physicians providing telehealth services. He will explain what hospitals, CAHs and clinics need to do to bill for telemedicine services, and bring you up to speed with what’s so special about rural health clinics (RHCs), key compliance issues, how third-party payers view telemedicine and telehealth, and the new latitude that Medicare Advantage programs have in the telemedicine area. He will also explain how the 21st Century Cures Act impacts telemedicine and telehealth, and review future changes for telemedicine, particularly with Medicare.

After attending this session, you will be better placed to comply with the updated coding and billing requirements for telemedicine services, particularly under the Medicare program.

Session Highlights

This session will bring you up to speed with:

• The general concept of telemedicine and how it works
• The underlying technology and advancements that allow telemedicine services to work
• Special terminology used in telemedicine
• The current Medicare rules and regulations surrounding telemedicine services
• Special requirements for physicians and practitioners
• Coding, billing, and reimbursement process for telemedicine services under the Medicare program
• Clinical and billing privileges surrounding telemedicine
• Changes in credentialing for physicians providing telehealth services
• Changes in coverage and types of services that can be provided through telemedicine
• How to assess unusual requirements for different providers relative to telemedicine services
• How private third-party payers view telemedicine
• The new latitude Medicare Advantage programs have in the telemedicine area
• The 21st Century Cures Act relative to telemedicine
• Future changes for telemedicine, particularly with Medicare

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 and other interested personnel