Updated Sample Telehealth Visit Template - DoctorsManagement Updated Sample Telehealth Visit Template - DoctorsManagement

Updated Telehealth Visit Note Template

April 10, 2020

by Sean Weiss, Partner & VP of Compliance

I have updated my Sample Telehealth Template to include a Disclosure regarding COVID-19 since this is a global pandemic. Every single person is a possible exposure and all providers should be covered. Here is what I came up with:

COVID-19 Disclosure Due to Possible Exposure and/or Patient Quarantine During A Public Health Emergency (PHE) / Pandemic:

I have confirmed with the patient in the event this telehealth visit results in the need for a face-to-face encounter that they have either potentially or had a confirmed exposure to someone with COVID-19 so that I may recommend further diagnosis, testing and/or treatment of their symptoms/signs.

If the patient indicates they cannot leave their home due to mandatory 14-day confinement due to COVID-19 for Possible Exposure use ICD-10CM Code Z03.818. 

For cases where there is an actual exposure to someone who is confirmed or suspected (not ruled out) to have COVID-19, and the exposed individual either tests negative or the test results are unknown, assign code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases.

Please see the full Template here: Sample Telehealth Visit Note 041020, which has been revised. Feel free to make any necessary adjustments you deem appropriate.

 

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…

  1. If you need help with an audit appeal or regulatory compliance concern, contact us at (800) 635-4040 or via email at info@drsmgmt.com.
  2. Read more about our: Total Compliance Solution

Why do thousands of providers trust DoctorsManagement to help improve their compliance programs and the health of their business?

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.

Synergy – DoctorsManagement is a full-service healthcare consultancy firm. The many departments within our firm work together to help clients rise above the complexities faced by today’s healthcare professionals. As a result, you receive quality solutions from a team of individuals who are current on every aspect of the business of medicine.