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Telehealth: Reimbursement and Coding is a Course

Telehealth: Reimbursement and Coding

Time limit: 30 days
2.0 credits

$19.90 Enroll

Full course description

Target Audience: Healthcare Professionals

DESCRIPTION

Telehealth services have been available for several decades. In 2001, for example,  Medicare paid out $61,302 in telehealth payments for a restricted number of providers and services. On March 17th, 2020, in response to high-risk complications associated with COVID-19, the Centers for Medicare and Medicaid Services (CMS), waved restrictions and expanded temporary telehealth services under the 1135 waiver and the Coronavirus Preparedness and Response Supplemental Appropriations Act. The expansion allows beneficiaries access to healthcare not only from physicians but allied healthcare professionals as well.  Following suit, other commercial payers have agreed to reimburse for the exchange of medical care through electronic communications to limit exposure and reduce the spread of the virus. While CMS and other commercial payers have made clear that telehealth coverage is available to their beneficiaries during the pandemic, the “how to” obtain reimbursement is murky at best. This course provides answers to many of the reimbursement and coding questions.

This course qualifies for 2 "Category A" credits for ATs under the BOC.

OBJECTIVES

  1. Identify and discuss medical information needed prior to seeking reimbursement for various healthcare professionals. 
  2. Healthcare professionals will compare and contrast Medicare, Medicaid, and Private payers programs and reimbursement requirements.
  3. Healthcare professionals will be able to identify and describe POS codes, modifiers, ICD-10, CPT, and other codes associated with a HCFA-1500 form, which is used for billing purposes.
  4. Healthcare professionals will be able to identify pitfalls associated with reimbursement and fill out a verification form to tease out essential information to determine patient eligibility before providing services.

FACULTY

   Melody Sheldon, MA, CCC-SLP

Melody L. Sheldon, M.A., CCC-SLP graduated from Western Washington University in 1990 with a master’s degree in Speech-Language Pathology (SLP). She began a private practice in Coos Bay, Oregon in 1989 which grew from a home office to a private clinic with four SLPs serving in- and out-patients throughout southern Oregon. Her clinical practice specializes in medical SLP services including FEES, Stroboscopy, MBSS, trach and vent, head and neck cancer, and infant feeding issues. Currently, she is a clinical doctoral student at Rocky Mountain University of Health Professions in Provo, UT working as a TA as needed while completing her research on the use of respiratory exercise to improve cognition in post stroke patients.