Description:

There have been unprecedented changes to the rules and regulations for Telehealth and Telemedicine services during the Public Health Emergency (PHE). The PHE lapsed on May 11, 2023, and many rules and regulations were subsequently impacted. Rapid responses and digital communication play a vital role in protecting public health in times of crisis. However, when the public health emergency ends, a transition face is equally critical to ensure a smooth shift from crisis management to normalcy while maintaining readiness for potential future challenges.

Digital updates and communication are essential components of this transition, with a focus on data, transparency, and preparedness. By maintaining clear and informative digital channels, public health authorities can ensure that the public remains informed and ready for the future.

In today's webinar, you will gain a more profound grasp of the core principles, enabling you to put telehealth services into practice and make them operational beyond the Public Health Emergency (PHE) period. You will also learn about the post-waiver and flexibility requirements and discover which insurance providers offer reimbursement once the Public Health Emergency (PHE) concludes.

Digital Health reimbursement rules have changed enormously throughout the last three years in terms of coverage, reimbursement, documentation requirements, supervision requirements, billing requirements, etc. Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) can provide telehealth services to Medicare beneficiaries (i.e., can be distant site providers) rather than being limited to being an originating site provider for telehealth (i.e., where the beneficiary is located).

Areas Covered:

• Critical Post-PHE Updates for Telehealth and Telemedicine
• Unpack what the end of the PHE means for Telehealth and Telemedicine
• Current audit trends for Telehealth and Telemedicine services
• Telehealth Reimbursement and Parity Considerations
• Compliance Considerations and Best Practice Tips

Webinar Highlights:

• Briefly discuss the Consolidated Appropriations Act (CAA) of 2023, which extended certain telehealth flexibilities.
• Enforcement agencies will ramp up to impose sanctions for violating AKS and CMPL laws. 
• OCR has resumed enforcement penalties for noncompliance with HIPAA rules for technology.
• Frequency limitations on specific services that were removed during the PHE have ended.
• Enrollment forms must be updated to include the Telehealth rendering provider’s home address.
• List of services payables under the Medicare physician fee schedule when furnished via telehealth.
• Telehealth Clinical documentation requirements.
• Provide Telehealth POS Codes in the patient’s home or other. 
• Difference between synchronous and asynchronous technology.
• Telehealth Modifiers. 
• TH clinical documentation regulations.
• Evaluate payer coverage and payment policies.
• Audit, Educate, Rise, and Repeat
• Health plans must follow Federal Parity Laws.
• Telehealth reimbursement rules and regulations.
• Question and answer session to cover all the doubts.

Why Should You Attend:

As the recent public health emergency ends, staying informed about the latest healthcare and public health developments is essential. It’s leading to a new era of digital health updates. These updates are the key to building resilient healthcare systems, preparing for future emergencies, and providing better and more accessible healthcare to all.

Who Should Attend:

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees 
• American Academy of Professional Coders
• American Health Information Management Association
• Medical Group Management Association
• Health Care Compliance Association
• Medical Associations

Presenter Information:

Name: Toni Elhoms

Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.