Your ability to provide and get paid for telehealth services will change after the PHE expires on May 11 (along with its associated waiver extensions).
There is a catch. Not all telehealth will change immediately.
The expiration of the COVID Public Health Emergency (PHE) brings with it multiple modifications to State and Federal telehealth compliance regulations, including government and commercial payer billing rules. However, in addition to these May 11 changes, some pandemic-implemented rules won’t terminate until this year ends, and some will stay on permanently.
It is imperative that you master when and if specific telehealth compliance and billing rules expire. This is where healthcare attorney Adam Laughton, JD, can help. Adam presents an online training event that breaks down the complexities of the pending PHE expiration and walks you through exactly how it will affect the telehealth services you provide. In addition, you’ll receive plain-English tactics to help ensure your compliance after the PHE expires.
Here are just a few of the telehealth rule change questions you’ll get answered by attending this online training:
- How will your geographic area change your telehealth reimbursement?
- How will audio-only telehealth rules be modified? Will it still be allowed?
- How often will in-person visits be required for telehealth services approval?
- How will telehealth rules differ between Medicare vs. private payers?
- How will state-specific Medicaid programs be affected when the PHE expires?
- Which telehealth/remote care services will require prior authorizations?
- How and when will provider virtual supervision rules change?
- How will documentation requirements be adjusted?
- How will your specialty affect your ability to continue to offer telehealth services?
- How will telehealth services be affected by HIPAA after the PHE expires?
- How will “distant site” telehealth requirements change?
- How will post-PHE apply if you submitted a Medicare 1135 General waiver form?
- How are new vs. established patient telehealth visit rules changing?
- And so much more…
Whether you like it or not, the federal Public Health Emergency for COVID-19 will expire on May 11, and what comes with it is change. Some rules will revert back to pre-pandemic requirements immediately. While others will have a more phased approach, ending at the end of the year (or longer).
The challenge is to precisely figure out how and when these rules will change, which is no easy task. However, you don’t have to do it alone, this expert-led online training can help. By attending, you’ll be able to provide your telehealth services compliantly and ensure your claims get paid correctly. Don’t wait, sign up for this online training today.
Adam guides health care providers through the new regulations, heavy enforcement, and reimbursement challenges that define the highly regulated health care industry. He helps clients navigate complex regulations, potential investigations, as well as enforcement. Adam works with providers to develop custom legal strategies for doing business in an ever-changing industry.
Adam advises a wide range of clients and providers within the health care space, including facilities, physicians, pharmacies, laboratories, and other service providers. He also advises startups, entrepreneurs, and provider joint ventures.
Adam’s experience is centered on regulatory and compliance matters, such as HIPAA, Stark/Anti-Kickback, False Claims Act, and state law issues. He advises businesses on corporate and transactional matters ranging from reorganizations and mergers to the development of complex organizational and contractual structures.
Adam has handled dozens of transactions in the health care space, ranging in size up to $1 billion. He has also been part of the defense of multiple False Claims Act investigations in almost every sector of the health care industry.
The webinar was great! Very informative!
Jennifer Kastner
Coding Educator, Longstreet Clinic
