Breaking!!! Telehealth/COVID-19 Updates
April 9, 2020
by Sean Weiss, Partner & VP of Compliance
If you all have not seen this, it is new guidance from UHC issued 04/08/2020 on Telehealth Services! Great Job by NAMAS to catch this and get it out there! if you are not a member of this Auditing and Compliance Organization give them a look! Well worth it. Please see the message below!
From: NAMAS, A Division of DoctorsManagement <email@example.com>
Date: Thu, Apr 9, 2020 at 1:03 PM
Subject: BREAKING TELEHEALTH/COVID-19 UPDATES— APRIL 9, 2020
IMPORTANT UPDATES —
As guidelines keep updating and changing daily, we at NAMAS are committed to helping keep each of you “in the know”.
UHC updated their telehealth guidance on April 8, 2020. please click below for access.
UHC clarified one way video usage as a billable E&M office/outpatient code, meaning if the patient does not have video rather audio only- the provider can still report the E&M service code.
We continue to look for specific guidance on this issue from CMS.
UnitedHealthcare will reimburse appropriate claims for telehealth services for dates of service from March 18, 2020 until June 18, 2020.
Sean M. Weiss is a Partner and serves as VP/Chief Compliance Officer for DoctorsManagement, LLC based in Knoxville, TN. DoctorsManagement, LLC services more than 20,000 clients nation-wide and has been in existence since 1956. Weiss serves as an Investigator and expert witness in Federal and State cases as well as an expert or lead in Administrative Law Judge Hearings. During his 25-year career, Weiss has engaged in more than 200 cases working with law firms and health systems across the country. Weiss serves as a third-party compliance and regulatory officer for more than a dozen health care organizations across the country of varying sizes. For more information on Sean M. Weiss or DoctorsManagement, LLC visit us online at www.doctors-management.com or contact us directly at 800.635.4040. You can also follow Sean on his biweekly Blog on LinkedIn (Sean M. Weiss “The Compliance Guy”) or at www.thecomplianceguyblog.com
What to do next…
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Experienced compliance professionals. Our compliance services are structured by a chief compliance officer and supported by a team that includes physicians, attorneys and a team of experienced auditors. The team has many decades of combined experience helping protect the interests of physicians and the organizations they serve.
Quality of coders and auditors. Our US-based auditors receive ongoing training and support from our education division, NAMAS (National Alliance of Medical Auditing Specialists). All team members possess over 15 years of experience and hold both the Certified Professional Coder (CPC®) as well as the Certified Professional Medical Auditor (CPMA®) credentials.
Proprietary risk-assessment technology – our auditing team uses ComplianceRiskAnalyzer(CRA)®, a sophisticated analytics solution that assesses critical risk areas. It enables our auditors to precisely select encounters that pose the greatest risk of triggering an audit so that they can be reviewed and the risk can be mitigated.
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