• Tuesday, October 27, 2020

  • 12:30 pm - 1:15 pm

Register Here

With the recent news that the Public Health Emergency (PHE) declaration has been extended to January 21, 2021, most Commercial payers extended their Expanded Telehealth Guidelines until December 31, 2020. Plus, with the Senate’s push to make certain expanded Telehealth coverage permanent, it looks like telehealth is here to stay!

Would your practice’s documentation during COVID-19 withstand a carrier Telehealth audit?

Today, telehealth is used at a far greater rate than ever before due to the flexibilities granted by the Public Health Emergency (PHE) declaration. However, additional telehealth flexibility also increases concerns about potential fraud, waste, and abuse. This will likely result in some downstream reverse engineering by federal, state, and commercial payers to mitigate these inherent risks. A significant barrier to an already difficult to navigate landscape – documentation compliance.

In April, a federal audit in one of the southern states found that 95% of Medicaid telehealth visits were insufficiently documented and disallowed. It was determined that the state’s noncompliance was a result of a lack of training, monitoring and controls in practices surrounding telehealth documentation.  Additionally, frequent coding revisions to telehealth services (including CPT and modifier changes) made by commercial payers during the initial months of the COVID emergency increases the likelihood that a practice fails an audit without the proper mechanisms in place.

How can you avoid this? Perform an internal audit of your provider’s telehealth visits over the last 6 months, or if time is tight hire an independent auditor to assist you with this review and training and of course by providing necessary training going forward for your staff and providers specifically focused on telehealth documentation.

Is your practice at risk? Are you prepared for Telehealth audits by federal, state, and commercial payers? Learn the key issues you will need to focus on to get your practice ready. 

Please join us as we discuss the key documentation and coding requirements to be compliant with Telehealth guidelines to help you prepare your practice in case of a telehealth audit.

During this webinar we will discuss:
– The Future of Telehealth
– Telehealth Documentation Requirements and Checklists
– PHE Expanded Telehealth Guidelines and Claims Requirements
– HIPAA Compliant Telehealth Platforms


Featured Speaker
Maureen West McCarthy, CPA
Managing Director


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