Note: this post has been updated since initial publication (4/3/2020) to reflect recent changes to CMS billing.
Mark N. Painter, CPMA, presented “Billing and Regulations for Telehealth During COVID-19” for the Grand Rounds in Urology audience in March, 2020.
How to cite: Painter, Mark N. “Billing and Regulations for Telehealth During COVID-19” March, 2020. Accessed Oct 2022. https://dev.grandroundsinurology.com/billing-and-regulations-for-telehealth-during-covid-19/
UPDATED – Billing and Regulations for Telehealth During COVID-19 – Summary:
Mark N. Painter, CPMA, managing partner of PRS Consulting, LLC, CEO of PRS Urology Service Corporation and the Vice President of Coding and Reimbursement Information for Physician Reimbursement Systems, Inc. (PRS), and CEO of Relative Value Studies, Inc., gives an in-depth guide for how to bill for telehealth visits as they increase during the COVID-19 crisis. He gives background information on current telehealth and telemedicine regulations and billing, including CMS (Medicare & Medicaid), as well as detailing temporary changes to the Stafford Act that have been enacted during the current coronavirus pandemic to accommodate the increased number of remote visits. Mr. Painter further details relevant billing codes and requirements for getting them approved, circumstances where co-pays may be waived, as well as requirements for treating new patients. He also covers the current situation and possible changes to multi-state practitioning as it relates to distance treatment.
For other urology-focused information on the COVID-19 pandemic, visit our resource page.