New 2019 Telehealth CPT Codes , Billing & Credentialing Strategies

Product Id : HE143
Instructor : C. J. Wolf
Jun 04, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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In April of 2019, the Department of Justice announced one of the largest health care fraud busts in history which involved telemedicine services. The total dollar loss to the government was $1.2 Billion and resulted in charges brought against 24 individuals, including marketing executives.

Telehealth services are more common in healthcare as more doctors use telemedicine to improve patient care and more insurers now cover telehealth. Coding and billing for telehealth can still be tricky as Medicare, Medicaid, and private insurers have different coverage rules.

However, along with increased use and reimbursement often comes increased compliance risk. This webinar will cover compliance risk associated with telemedicine and included in these risk are PHI/HIPAA issues, reimbursement requirements, qualified origination sites and reception sites and examples of state laws addressing these services.

Session Highlights:

  • Physician Licensing and Credentialing to Provide Telemedicine
  • Case studies of non-compliance with the rules and the resulting fines and settlements
  • Links to documents regarding payment policies and documentation requirements
  • Medical codes for telemedicine and telehealth services
  • Summary of recent government enforcement cases involving telemedicine
  • What are the risks with telemedicine and PHI/HIPAA security requirements
  • What medical codes are recognized for payment and what types of services are not recognized

Who Will Benefit:

  • Hospital/CAH case management and utilization review personnel
  • Hospital/CAH coding personnel
  • Billing and claims transaction personnel
  • Nursing staff
  • Outpatient service area personnel
  • Chargemaster coordinators
  • Financial analysts
  • Compliance personnel
  • Physicians/Non-physician practitioners
Speaker Profile:

C. J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Early in his career, Dr. Wolf made a change to healthcare administration, reimbursement, and compliance. He has worked in various coding, reimbursement, or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System, and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity.

Dr. Wolf has a passion for teaching and education. He has developed and taught curricula for adult employees seeking national coding certifications, trade workshops and seminars, and has served as adjunct faculty for Salt Lake Community College and currently is a faculty at Brigham Young University-Idaho. In addition to his medical degree from the University of Illinois at Chicago College of Medicine, Dr. Wolf holds a master of education (M.Ed.) from the University of Texas at Brownsville. He completed his B.S., magna cum laude, from Brigham Young University, Provo, UT.

He holds the following professional certifications:
AAPC (American Academy of Professional Coders):  CPC (Certified Professional Coder), COC (Certified Outpatient Coder)
HCCA (Health Care Compliance Association):  CHC (Certified in Healthcare Compliance)
SCCE (Society of Corporate Compliance and Ethics):  CCEP (Certified Compliance & Ethics Professional)
IIA (Institute of Internal Auditors):  CIA (Certified Internal Auditor)

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