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Telemedicine

Telemedicine

Telehealth fraud

3 Recent Cases Show Providers Charged With Telehealth Fraud

Telehealth has become such an important part of our lives that it’s now second nature for many medical practices. That doesn’t mean you can become complacent, however. The reality is that auditors are still scrutinizing telehealth claims to look for instances of wrongdoing, and several recent cases highlight how telehealth fraud scrutiny may even be […]
Published Date: October 18, 2023
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Telehealth across state lines

Telehealth Across State Lines: Can Professional Assns. Help?

The COVID-19 pandemic led to countless changes in how clinicians provided services, and one such change boosted the use of telehealth and increased the number of patients who were transient. When patients left one state and moved to another—whether temporarily or permanently—it created issues for many providers who wanted to keep seeing them over telehealth. […]
Published Date: August 8, 2023
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Telehealth toolkit

How to Use the OIG’s Telehealth Toolkit to Benefit Your Practice

If you’re curious about where you stand in terms of telehealth claim compliance, the OIG has a new tool that may help you sort things out. By using the government’s Telehealth Toolkit, you can evaluate how payers are reviewing telehealth claims and shore up any issues that may exist among your own. Check out a […]
Published Date: August 7, 2023
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telehealth

5 Measures for Assessing Risk Among Your Telehealth Claims

Even though you’ve been deeply immersed in the telehealth codes since the pandemic began three years ago, that doesn’t mean you’re coding and billing correctly. In fact, a recent audit showed that every single telehealth claim the government reviewed had errors on it. To avoid the most common issues that the government sees, it’s a […]
Published Date: June 27, 2023
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telehealth

How to Update Your Telehealth Security With the PHE Over

As most practices are aware, the COVID-19 public health emergency ended on May 11, 2023, and with it came the end of relaxed HIPAA rules for providers meeting with patients over telehealth. The Office of Civil Rights (OCR) has given providers a 90-day flexibility period to ensure telehealth systems and practices are in line with […]
Published Date: June 6, 2023
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telehealth

Which Telehealth Rules Will Go Away When the PHE Ends?

Ever since the public health emergency (PHE) began during the early days of the COVID-19 pandemic, practices have gotten accustomed to the adjusted rules and regulations, which have included more telehealth flexibilities than ever before. However, when the PHE ends on May 11, many of those provisions will go away. Find out which telehealth PHE […]
Published Date: May 3, 2023
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Telehealth Claim Denial

Claim Denial Telehealth: Check 2 Items Before Refiling

QUESTION: We just received our first denial for a telehealth service using audio-visual. The claim was filed with office visit code 99212, place of service 02 for telehealth and modifier 95. Can you tell us what we did wrong so that we can get paid for these visits? Question from Palatine, Illinois Subscriber ANSWER: Based […]
Published Date: March 4, 2022
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Medicare Telehealth Reimbursement

Master 4 Conditions to Qualify for Medicare Telehealth Reimbursement

On April 21, 2021, the Department of Health & Human Services (HHS) renewed the Medicare telehealth requirement waivers that were implemented last year during the pandemic. The new expiration date for these relaxed rules is set for the end of July. This means you have a little while longer to take advantage of these telehealth […]
Published Date: May 13, 2021
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TELEHEALTH_PLACE_OF_SERVICE

Get Paid for 60 New Telehealth Codes in 2021

After a year of constant updates, the rule changes for telehealth coding have “finally” been finalized in the 2021 Physician Fee Schedule final rule. Keep reading to ensure you’re getting paid for every service—including the newly reimbursable telehealth codes. CMS Adds Services to Telehealth List. Beginning January 1, 2021, the list of services reimbursable when […]
Published Date: February 25, 2021
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CPT telehealth audits

Ace Telehealth Audits and Keep Your Reimbursements

Important: Your CPT codes 99201-99215 claims are under attack. CMS and private payers started their telehealth exam post-payment audits which include reviewing your records and contacting your patients. Address these telehealth audit targets right now so you can hold onto more of your office visit pay and prevent future compliance penalties. Telehealth Exams Must Include […]
Published Date: September 15, 2020
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