Telemedicine Service – Vital during critical time of Pandemic
CODING OF PHONE CALLS, INTERNET AND TELEHEALTH CONSULTATION
There is no consistency among the payers making coding of telemedicine confusing and challenging. It is important to understand the 2021 OIG Audits of Medicare Part B
Telehealth Services During the COVID-19 Public Health Emergency.
To accurately code for Telemedicine services, coders must understand the types of telehealth services and be aware of the rules that apply to :-
• Services recognized by the American Medical Association (AMA) included in Appendix P of the CPT code set
• Services recognized by the Centers for Medicare and Medicaid Services (CMS),
• New and established patients
• Telemedicine exams documentation requirements/checklists for outpatient E/M visits
• Commercial vs Medicare rules and waivers.
Siji Susan Joy
MS, BPT, AHIMA Approved ICD 10 CM/PCS Trainer CCS,CPC,SMC
Over 17 years of experience in HIM domain , leading HIM coding/audit services and analytics solution projects for providers & payers of US & UAE industries . Applies the Clinical Coding domain expertise to identify revenue opportunities for payers & providers using HIM technology, analytics, and research initiatives to improve the quality of care.
Contributes for Payment integrity audit solution/product development strategies for Healthcare Claims Fraud and Abuse detection, Population Health Analytics and Claims Audit Solutions to prevent resubmissions & revenue leakages, Clinical Data Mapping projects and Quality Measure Development.
Extensive experience in HIM coding validation and post-payment audits.
Educator for Clinical coding Academies to promote continuing education activities to meet the industry & project standards