Title: Telehealth 2023 Update: What Happens When the PHE Ends?
Presented by: Terry Fletcher, CPC, CCC, CMC, CMSCS, CMCS, CCS-P, CCS, CEMC, ACS-CA, SCP-CA, QMCRC, QMGC, QMPM
Time: 52.35 minutes
Description:
There have been many updates to telehealth services during and following the Public Health Emergency (PHE). Learn about these and other changes and extensions following the end of the PHE and where to find the most updated information to maintain compliance.
Objectives:
Post PHE; the Public Health Emergency ends 5/11/2023.
There is more to this story than telehealth.
What happens on May 12th?
What is extended through 2023?
What is extended through 2024?
What are the regulatory/compliance points to consider for out-of-state virtual care?
Main Points:
Renewal of determination that a Public Health Emergency exists
Creating a roadmap to the end of the PHE
Consolidation Appropriations Act 2023 - Congressional extension of telehealth
Telehealth Remote Communications Technology under the PHE
Who can provide telehealth services?
Place of Service for telehealth services
What do I need to know? CMS waivers, flexibilities, etc.
99441-99443; Audio-only telephone calls
Telemental audio-only health services
Payment parity for audio-only telehealth
Telehealth modifier (95) during PHE
-93 Modifier
2023 POS; Place of Service codes for telehealth
Do we have to obtain consent?
HIPAA related enforcement discretion
Cost-sharing
Virtual check-ins
Virtual supervision
Supervision guidelines for diagnostic testing
Hospital waivers that end with the PHE
Removal of frequency limitations on certain Medicare telehealth services – reinstated post-PHE
Remote physiologic monitoring
COVID-19 testing and pharmacists
Locum tenens changes post-PHE
Medicaid continuous enrollment condition
Telehealth/telemedicine crossing state lines
State law telehealth considerations
Speaker Ms. Terry Fletcher is a Specialty Coding Industry Coding and Billing Expert, Auditor, and educator based in Laguna Beach, California, with over 30 years' experience. Terry is a past member of the National Advisory Board for AAPC, past Chair of the AAPCCA, and AAPC National and Regional Conference Educator. Ms. Fletcher is an Advisory Board Member for ICD10Monitor.com, Editorial Advisor for Cardiology Coding Alert! & Practice Management Coding Alert! from The Coding Institute. Ms. Fletcher is an Educator for McVey Seminars, MGMA, MMI, AAPC, AHIMA, ICD10Monitor University, NSCHBC and her company, Terry Fletcher Consulting, Inc., teaching over 100 specialty coding seminars, teleconferences, and webinars every year. Terry is the author of several coding and reimbursement publications, as well as a practice auditor for multiple specialty practices around the country. Terry holds a bachelor's degree (BS) in economics, multiple certifications in coding, and her proficiency certification in ICD-10-CM: CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMCS, CMC, QMGC, QMCRC, QMPM. Her coding and reimbursement specialties include: Cardiology, Peripheral-Cardiology, Gastroenterology, E/M Auditing, Orthopedics, General Surgery, and Telemedicine/Telehealth services. www.terryfletcher.net terryfletchercpc@aol.com |