As we emerge from the public health emergency, the digital health landscape offers us an opportunity to reimagine healthcare delivery. Telemedicine, AI, data interoperability, wearables, and digital therapeutics have the potential to revolutionize patient care, enhance access, and improve health outcomes. To fully realize these benefits, healthcare providers, policymakers, and technology innovators must collaborate to address challenges related to infrastructure, data security, and privacy. By harnessing the power of digital health innovations, we can build a resilient and patient-centric healthcare system that is prepared to face future challenges head-on.
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Navigating Post-PHE Digital Health Telehealth Compliance and Reimbursement Rules
1. The Public Health Emergency is
Over
Now What? - Digital Health
Updates
Speaker
Toni Elhoms
CCS, CPC, CPMA, CRC,
AHIMA-Approved ICD-10-CM/PCS Trainer
2. About 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). She is a regular volunteer and mentors a
network of Revenue Cycle Management (RCM) and Health
Information Management (HIM) professionals across the United States.
3. Description
There have been unprecedented changes to the rules and
regulations for Telehealth and Telemedicine services during the
Public Health Emergency (PHE). The PHE expired on May 11,
2023, and Many rules and regulations have subsequently been
impacted. Many healthcare organizations continue to struggle
with navigating the complex Telehealth reimbursement rules and
regulations.
Today’s webinar will give you a deeper understanding of the
fundamentals so that you can implement and operationalize
telehealth services post-PHE, understand the requirements after
the waivers and flexibilities have ended, and know which
insurance companies provide reimbursement post-Public Health
Emergency (PHE).
4. 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)
5. 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)
• 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)
6. 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.
7. Who Should Attend
• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Compliance Officers