Deconstructing the Latest Behavioral Health Telehealth & Telemedicine Reimbursement/ Compliance Rules in 2023

Toni Elhoms

Toni Elhoms

Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association...
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Pre-recorded
60 Mins
Toni Elhoms

As of May 11, 2023, the Public Health Emergency (PHE) has officially ended, leaving the future of coverage and reimbursement for behavioral health services via Telehealth uncertain. With the PHE's conclusion, numerous rules and regulations are set to revert to pre-pandemic requirements, sparking debates about reinstating the Ryan Haight Act's in-person exam requirements for prescribing controlled substances.

Navigating the complex Telehealth regulatory landscape continues to pose challenges for many behavioral health providers. However, fear not! This session, led by industry expert Toni Elhoms, CCS, CRC, CPC, is here to equip you with the essential information to successfully navigate regulatory compliance after the PHE. Gain valuable insights on maximizing Behavioral Health Telehealth services within your organization, compliantly reporting BH services based on the latest 2023 rules, and understanding the potential challenges that lie ahead.

Webinar Objectives

Navigating the complexities of Behavioral Health Telehealth and Telemedicine regulatory compliance are challenging.  CMS and commercial insurance payers regularly present policy changes and notice of material changes to their Behavioral Health Telehealth service lines regarding coverage and reimbursement policies. This webinar will give you a deeper understanding of the upcoming Behavioral Health changes to regulations following the end of the PHE, unpack the Ryan Haight Act requirements post-PHE, discuss various payer coverage and reimbursement policies, provide tips on finding the latest updates, and so much more!

Webinar Agenda

  • Understand the Behavioral Health Telehealth rules after the PHE
  • Recognize the difference between synchronous and asynchronous technology as it relates to Behavioral Health
  • Recognize which payers cover Behavioral Health rendered via Telehealth after the PHE
  • Understand the Behavioral Health operational infrastructure requirements in 2023 after the PHE
  • Understand the Ryan Haight Act requirements after the PHE
  • Understand Post-PHE Regulatory Considerations for Behavioral Health - Telehealth providers in 2023

Webinar Highlights

  • Discuss upcoming Behavioral Health Telehealth rule changes after the PHE
  • Define synchronous vs. asynchronous technology as it relates to Behavioral Health
  • Identify relevant CPT Codes and Place of Service codes applicable to as it relates to Behavioral Health 
  • Discuss originating and distant site as it relates to Behavioral Health
  • Outline which payers cover Behavioral Health via Telehealth after the PHE
  • Discuss who can render Behavioral Health via Telehealth after the PHE
  • Outline operational Behavioral Health infrastructure requirements after the PHE
  • Discuss relevant Behavioral Health Telehealth modifiers 
  • Review Behavioral Health Telehealth reimbursement rates in 2023
  • Deconstruct Behavioral Health Telehealth clinical documentation requirements in 2023
  • Review various Behavioral Health Telehealth case studies and coding rationale together

Who Should Attend

Professional Fee Coders, Auditors, Billers, Educators, Consultants, Revenue Cycle Management Professionals, Coding Management and Operational Leadership, Behavioral Health Providers, Mental Health Providers, Psychiatrists, Psychologists, Clinical Social Workers, Physician Advisers, Compliance Officers/Committees

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