Season 8 - Episode 16 - Monday Auditing, Coding and Compliance Roundtable

The Compliance Guy

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5M ago 42:02

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The conversation delves into the complexities and changes surrounding telehealth services, particularly in light of the 2025 Medicare physician fee schedule final rule. Key topics include the confusion regarding telehealth reimbursement post-public health emergency, the implications of new regulations, compliance challenges, malpractice concerns, and the importance of equitable access to telehealth services. The discussion emphasizes the need for healthcare providers to adapt to these changes and ensure compliance to avoid legal repercussions.

Takeaways

Telehealth reimbursement will change significantly after January 1, 2025.
Providers must return to originating sites for many telehealth services.
Compliance with telehealth regulations is critical to avoid malpractice issues.
Many practices are unprepared for the upcoming changes in telehealth policy.
Patients may feel pressured to use telehealth services even when they prefer in-person visits.
The lack of clarity from CMS has led to confusion among providers.
Telehealth services must be accessible to all patients, including those with disabilities.
Providers need to ensure they are using HIPAA-compliant platforms for telehealth.
The importance of having effective policies in place for telehealth services cannot be overstated.
Congressional intervention is uncertain, leaving many providers in a difficult position.

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