Medical Billers and Coders

With telehealth rapidly becoming the new normal, physicians are facing a wave of new challenges, especially when it comes to billing. Navigating insurance complexities and code changes becomes even trickier in the virtual setting. So, what features are essential in a billing system to ensure smooth telehealth claim processing in 2024? 1. Automated Telehealth Code Recognition: Forget manually sifting through codes! Look for a system that automatically recognizes telehealth-specific codes based on session types and documentation. This saves time and minimizes the risk of incorrect coding. 2. Real-time Eligibility and Prior Authorization Verification: Streamline the process by verifying patient benefits and prior authorizations in real-time during the telehealth encounter. This helps avoid claim denials and ensures prompt reimbursements. 3. Secure Patient Data Integration: Seamless integration with telehealth platforms and electronic health records (EHRs) is crucial. This minimizes ...

  Basics of Telehealth Physical Therapy Medicare covers three types of telehealth physical therapy services i.e., telehealth services, e-visits, and virtual check-ins. But physical therapist still needs to follow a few basic practices for getting paid for telehealth physical therapy, let’s discuss them. During the c, the federal government has broadened access to telehealth services including physical therapy. With revised billing guidelines, all beneficiaries can now connect with their healthcare providers online, and providers will get the same reimbursement for these services as they would for in-person sessions. Verification of Identity Given that in the telehealth clinical setting, the beneficiary and therapist are not in the same location and may not have established a prior in-person relationship, it is critical, at least initially, that the identities of the physical therapy providers and beneficiaries be verified. Photo identification is recommended for both the benef...

  CY 2023 Medicare Physician Fee Schedule Proposed Rule On 7th July 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2023. This calendar year (CY) 2023 PFS proposed a rule that made lots of provisions including expanding Medicare telehealth use even after the end of a public health emergency (PHE). Expanding Medicare Telehealth Use after PHE For the calendar year 2023, CMS is proposing a number of policies related to Medicare telehealth services including making several services that are temporarily available as telehealth services for the PHE available through CY 2023 on a Category III basis, which will allow more time for collection of data that could support their eventual inclusion as permanent additions to the Medicare telehealth service...