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Telehealth 101: Medical Payment Policy and Clinical Use of Telehealth Technologies for Physicians

Continuing Medical Education Information

Course Description:
Significant expansion of telehealth in response to the COVID-19 pandemic will have a long-lasting impact on patient care and health care delivery. Medicare, Medicaid, and private payers are changing telehealth coverage and payment requirements at a dizzying pace. The effectiveness of new models of care through telehealth will determine how telehealth and telemedicine tools are used in medical practice once the COVID-19 threat is mitigated. This course explores the current and changing landscape and includes descriptions and guidance on best practices and clinical practice implementation.

Citations:
https://governor.ky.gov/attachments/20200325_Executive-
Order_2020-257_Healthy-at-Home.pdf

http://apps.sos.ky.gov/Executive/Journal/execjournal
images/2020-Reg-SB-0150-2878.pdf

Key aspects of the expansion of telehealth during the pandemic to present day include:

  • Improved coverage
  • Reduction of HIPAA barriers to telehealth in Medicare, Medicaid and other plans
  • State licensure waiver for Medicare and Medicaid
  • Access expansion including settings, services and technologies

Statement of Need:
New guidelines and compliance requirements for implementation of telemedicine may not be familiar or implementable for physicians without additional education and guidance about federal and state statute and requirements.

Objectives:
At the end of this module physicians will be able to:

  • Understand Medicare’s recent changes in policy, including CPT and payment determinations, along with very recent decisions by commercial health insurers and state agencies tied to their ongoing acceptance and payment for telehealth services by physicians.
  • Gain a better understanding of what are telehealth services (and telemedicine), the differences between these services from a coding and reimbursement perspective.
  • Understand what is needed in order to provide these services for their patients and how to document these services in the medical record.
  • Document telehealth services in the medical record for compliance.
  • Describe the risks, liabilities and opportunities that this new technology and approach to patient care afford a physician practice and their patients.

Disclosure:
The following planners and speakers disclose that they have no relevant relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients:

  • Rachel Crouch, planner
  • Miranda Mosley, planner
  • Matt Katz, speaker


    Commercial Support:
    There is no commercial support associated with this activity.

    Accreditation and Designation:
    The Kentucky Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    The Kentucky Medical Association designates this internet enduring activity for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    Target Audience: Physicians in the Commonwealth of Kentucky

    Resources
    https://kyma.org/wp-content/uploads/2022/11/Telehealth-Resources.pptx

Estimated Time to Complete: This module will take approximately 45 minutes to complete

Method of Participation Used: Participants will view and listen to a recorded lecture while simultaneously viewing slides.

Hardware/Software Requirements: High speed internet connection

Faculty: Matt Katz, MS

Meeting Planner: Miranda Mosley, Rachel Crouch

Provider Contact Information: Miranda Mosley, Kentucky Medical Association

Copyright: There is no copyright associated with this activity

Release Date: November 2022

Termination Date: November 2023

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