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Description
With the end of the COVID-19 Public Health Emergency, healthcare organizations are navigating a new regulatory landscape for telehealth and digital health services.
During the PHE, many restrictions were relaxed to expand access to care. Now, providers must adapt to updated CMS policies, reimbursement rules, and compliance requirements.
Understanding these changes is critical to maintaining compliance and ensuring continuity of care.
Impact on Digital Health & Virtual Care
Healthcare providers must now:
- Reevaluate telehealth programs
- Ensure compliance with updated rules
- Adjust workflows and documentation
Compliance Risks Post-PHE
- Incorrect billing for telehealth
- Lack of documentation
- Misunderstanding updated CMS rules
Best Practices for Healthcare Providers
Stay Updated with CMS Regulations
Regularly review policy changes
Train Staff on New Rules
Ensure proper billing and documentation
Audit Telehealth Programs
Identify gaps and risks
Strengthen Compliance Programs
Update policies and procedures
Future of Digital Health
- Continued growth of telehealth
- Increased focus on compliance
- Integration of AI and remote monitoring
Learn how to navigate post-PHE changes and ensure compliance in digital healthcare.
Learning Objectives
- Understand the differences between telehealth and telemedicine post-Public Health Emergency (PHE)
- Recognize the difference between synchronous and asynchronous technology post-Public Health Emergency (PHE)
- Recognize documentation requirements for Telehealth services post-Public Health Emergency (PHE)
- Recognize which payers cover telehealth and telemedicine post-Public Health Emergency (PHE)
- Understand Regulatory Considerations for Telehealth providers post-Public Health Emergency (PHE)
Key Points
Key Changes After the Public Health Emergency
1. Telehealth Flexibilities Are Changing
- Some waivers have expired
- Others extended temporarily
Providers must verify current CMS guidelines
2. Updated Reimbursement Policies
- Changes in telehealth billing
- New payment structures
3. Geographic & Origin Site Requirements
- Some restrictions reinstated
- Impact on patient eligibility
4. Licensing & Cross-State Practice
- Temporary waivers were removed in many areas
Areas Covered
- Discuss differences between telehealth and telemedicine services post-Public Health Emergency (PHE)
- Identify relevant CPT Codes and Place of Service codes applicable to telehealth and telemedicine services post-Public Health Emergency (PHE)
- Discuss originating and distant site restrictions post-Public Health Emergency (PHE)
- Outline which payers cover telehealth and telemedicine post-Public Health Emergency (PHE)
- Discuss who can render telehealth and telemedicine services post-Public Health Emergency (PHE)
- Discuss relevant telehealth and telemedicine modifiers post-Public Health Emergency (PHE)
- Review telehealth and telemedicine reimbursement rates post-Public Health Emergency (PHE)
- Deconstruct telehealth and telemedicine clinical documentation requirements post-Public Health Emergency (PHE)
- Discuss post-Public Health Emergency (PHE) regulatory considerations for medical providers and practices
- Outline best practices for compliantly reporting Telehealth and Telemedicine services post-Public Health Emergency (PHE)
Background
Digital Health reimbursement rules have changed enormously throughout the last 3 years in terms of coverage, reimbursement, documentation requirements, supervision requirements, billing requirements, etc.
Why Should You Attend
The PHE expired on May 11, 2023, and MANY rules and regulations have subsequently been impacted. The cost of non-compliance can be catastrophic to healthcare organizations.
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
Faqs
What changed after the Public Health Emergency ended?
Telehealth flexibilities, billing rules, and compliance requirements were updated.
Are telehealth services still covered?
Yes, but with modified rules depending on CMS updates.
What are the biggest compliance risks post-PHE?
Billing errors, outdated policies, and a lack of documentation.
Do providers need to update policies?
Yes, policies must reflect current CMS regulations.
Is telehealth still growing?
Yes, but with stricter compliance requirements.
Speaker
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With well over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.
Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She frequently serves as an expert and consulting witness in both civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosts the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.