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Telemedicine

Telemedicine

HIPAA and Telehealth

Hidden Telehealth Billing Mistakes Costing Practices Revenue

Telehealth is no longer a temporary solution — it’s now a core part of how you deliver care, improve patient access, and protect practice revenue. But billing telehealth in 2026 requires careful attention to updated Medicare telehealth billing guidelines, evolving CMS policies, and payer-specific rules. Mistakes can quickly lead to denials, audits, or lost reimbursement. […]
telehealth mental health billing

MHPAEA Tele-Mental Health Billing: Reduce Denials & Protect Reimbursement

If your practice provides tele-mental health services, understanding how mental health parity rules affect remote care is increasingly important for your practice. The Mental Health Parity and Addiction Equity Act (MHPAEA) does not change how you clinically treat patients, but it does influence how insurers evaluate, manage, and reimburse the behavioral health services you provide. […]
telehealth documentation requirements

Telehealth Documentation Requirements in 2026: How to Stay Compliant and Get Paid

Telehealth is now a permanent part of patient care but incomplete documentation can lead to denied claims, compliance risks, or costly audits. According to CMS telehealth policy guidance, documentation must support eligibility, billing accuracy, and medical necessity for virtual services. When your team follows consistent documentation standards across Medicare, Medicaid, and commercial payers, you protect […]
telehealth

DEA Extends Telehealth Controlled Substance Prescribing: What Your Practice Must Do in 2026

Telehealth is now a permanent part of healthcare delivery—and so are the rules governing controlled-substance prescribing. The DEA has extended telehealth prescribing flexibilities for controlled substances through December 31, 2026, allowing medical practices to continue prescribing certain medications via telehealth under clearly defined requirements. If your practice prescribes Schedule II–V controlled substances, these rules apply […]
Telehealth

Telehealth Is at a Turning Point — What This Means for Your Medical Practice

Telehealth is no longer an optional add-on or a temporary solution. For many practices, it is built into daily scheduling, chronic care follow-ups, behavioral health visits, and post-discharge check-ins. Patients now expect virtual options, and staff have adapted workflows around them. However, many of the telehealth rules your practice relies on are still temporary. If […]

Telehealth Flexibilities Extended Through Jan. 30, 2026

When the Medicare telehealth flexibilities expired on October 1, most Medicare administrative contractors (MACs) held back on processing telehealth claims since it was unclear whether the waivers would be extended. Fortunately, when the government shutdown ended on November 13, telehealth claims were once again payable — but not for long. Keep reading to discover more […]
Telehealth

How to Decide When Your Telehealth Visits Require ABNs

As most practices are aware, CMS’ telehealth waivers expired on October 1 following the government shutdown. That doesn’t mean patients have stopped requesting telehealth appointments, however. Many practices report that patients still want to meet with their providers without leaving home by engaging in telemedicine visits. This puts practices in a challenging situation, because you […]
Telehealth

How the Gov’t Shutdown Impacts Telehealth, Payment Timeliness

As most practices are aware, the government didn’t pass a funding bill by the time the October 1, 2025 deadline arrived. And while CMS will retain about half of its staff during the government shutdown, practices are still likely to see some big changes due to the shutdown — most significantly to telehealth and payment […]
Telehealth CPT

How to Choose Telehealth CPT Codes: 98000-98007 vs. E/Ms

When CPT 2025 debuted several new audiovisual E/​M codes (98000-98007) on Jan. 1, 2025, coders across the U.S. were eager to have new options for reporting telemedicine services. After all, it’s been confusing to select the right telehealth CPT codes for the past several years. Check out a few pointers that will help you choose […]

Are Revenue Cycle Bottlenecks Costing Your Practice Thousands?

Dr. Lopez’s busy orthopedic practice submits hundreds of claims every week. But with denials creeping up, the billing team is constantly resubmitting claims. One front-desk employee, unfamiliar with payer rules, keeps entering incomplete patient insurance data—forcing staff to chase patients for missing information. Meanwhile, credentialing delays keep a new physician from being properly enrolled with […]