Optimizing Telehealth Billing: Current Telehealth CPT Codes & Telehealth Reimbursement Strategies (2023)

4.8      (2108)

Faculty: Marlene M. Maheu, PhD

Today’s telehealth CPT codes, telehealth modifier codes, and other telehealth billing issues are in rapid flux, given the end of the COVID-19 Public Health Emergency. Information gathered from online searches or colleagues can be outdated and incorrect, leading to unnecessary telehealth reimbursement claim denials. Dr. Marlene Maheu, a telehealth industry leader for three decades, offers this information-packed webinar to help optimize your telehealth and teletherapy billing strategies. This training is relevant to all behavioral professionals nationwide, from private payers to Medicare or Medicaid.

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Telehealth Reimbursement Issues Covered

This 1-hour program will cover the following telehealth reimbursement issues:

  • Currently available telehealth CPT codes & telehealth modifier codes
  • What is the difference between telehealth CPT codes and telehealth modifier codes?
  • How are opioid CPT codes different from regular telehealth CPT codes?
  • Which professions can now get telehealth Medicare reimbursement?
  • What about reimbursement for digital therapeutics and remote patient monitoring?
  • What's the status of getting reimbursed for "e-consults"?
  • What place of service code (POS) is now required for behavioral telehealth vs. telemedicine?
  • When is the POS change date scheduled for behavioral providers?
  • Which additional telehealth CPT codes can be used to maximize reimbursement?
  • How can you get reimbursed for delivering care to someone over state lines or international borders?
  • Which is likely to be the most reliable insurer to offer telehealth reimbursement?
  • Who are the best payers to consider when planning a telehealth focus for your practice?
  • What is a telehealth facility fee, and which codes do you use to collect it?
  • Where to get up-to-date information about telehealth reimbursement in different states?
  • Are out-of-network providers also being covered for telehealth services?
  • Does your documentation need to be different for telehealth billing?
  • What do you do if payers don't pay for legitimate and correctly-coded telehealth services?
  • What are the specific telehealth billing and teletherapy billing codes for:
    • Telehealth assessment
    • Telephone
    • Group therapy
    • Family therapy
    • Virtual Check-Ins
    • Remote Evaluation
    • Remote patient monitoring (RPM)
    • Telesupervision

Learning Objectives

  • Identify the current telehealth CPT codes and other current telehealth billing strategies.
  • Describe what to do if you are not paid for your telehealth sessions.
  • Outline where to go to get free and accurate information about telehealth billing.

Telehealth.org will help you avoid claim denials by giving you actionable information to legally and ethically bill for telehealth sessions. This course is augmented with key handouts to help you answer your questions quickly and easily.

When & How

CME or CE: Credit hour 1
Duration: Approximately 1 hour to complete.
Format: Online Activity. Online readings, illustrative media, automatically graded post-test. All material for Telehealth.org training is provided at no extra cost, and is accessible through your computer or digital device. Available 24/7 as on-demand training (asynchronous).
When: Available 24/7 to review anytime for 6 months from registration date.
Where: 100% Online
How:
  • Access the power and interactivity of technology for learning (login is required)
  • All materials are included with this training
  • Passing grade is 80% or higher on post-tests
  • Printable course completion certificate are available for your licensing board
  • Access the Telehealth.org Community Forum to ask related questions
  • This program is approved for 1 CME or CE Hour, applicable toward state requirements for Legal/Ethical Continuing Medical Education or Continuing Education. Telehealth.org is approved by several CME or CE-approval-providing groups to sponsor CME or CE Hours. Please review our accreditation information. If unsure, communicate with your licensing board regarding their acceptance of our CME or CE provider status. If you have any questions, please contact us.
  • Receive full customer support
  • Good faith refunds are available within 14 days of purchase with a $15 refund fee.

  • PDFs of multi-media courses are available upon request for all participants.
  • Participants with special needs are invited to request accommodations by email to contact@telehealth.org. Please mention the type and brand of adaptive technology currently in your possession when making your request.

Audience

This quick overview of current billing issues is relevant to all behavioral professionals working with US citizens. It is designed to answer these telehealth CTP codes and other telehealth reimbursement questions. This program is for beginning and intermediate-level “telepractitioners” and “telesupervisors” wishing to deliver telemental health services in these disciplines:

  • Psychiatrists, Internists, Pediatricians, Gerontologists, Nurses, Physician Assistants, Nurse Practitioners
  • Psychologists, Counselors, Social Workers, Therapists, Marriage & Family Therapists
  • Behavioral Analysts, Substance Use Professionals
  • CEOs, COOs, Administrators, Billing & Coding Staff

Faculty

Dr. Marlene Maheu has been a pioneer in telemental health for almost three decades. With five textbooks, dozens of book chapters, and journal articles to her name and educated more than 66k clinicians from 109 countries, she is in a unique position to guide you or your organization in finding a maximally profitable niche in telehealth. She is the Founder and CEO of Telehealth.org (formerly Telebehavioral Health Institute, Telehealth.org). She is the CEO of the Coalition for Technology in Behavioral Science (CTiBS) and the Founder of the Journal for Technology in Behavioral Science (JTiBS).

She has assisted in writing standards and guidelines for multiple national associations and was the Chair of the CTiBS Competency Committee that published the first telebehavioral health competency framework. She has been interviewed by dozens of leading newspapers and magazines, keynoted, and taught hundreds of telehealth-related workshops internationally.

Dr. Maheu is a master at getting to the point and answering your questions with straightforward, actionable, evidence-based suggestions that quickly move you to your goal. She will delight you with her clinical acumen and make you smile at how simple many solutions can be when explained by a professional with decades of passionate telehealth training experience. Bring your notepad — you’ll leave with many practical to-do’s!

Reviews

Thank you, again, for the invaluable and inspiring telmental health seminars…I feel more confident in providing telemental health to clients in need.

Diane Nguyen, PsyD

Incredible! Worth the money and more!

Rev. Suzanne Cook, LCSW, MAR, Licensed Clinical Social Worker & Ordained Pastor California State Chapter, Vice President, National Association of Christians in Social Work

So convenient to find everything I need in one place.

Bonnie Johnson, LCP

CME & CE Accreditations & Approvals

Telehealth.org has been approved by the leading medical and behavioral accrediting and approval groups.

NJAOPS

NBCC

NAADAC

ASWB

APA

NY SW

NY MHC

NY MFT

NY PSY

Addiction

Addiction Professionals — The Association For Addiction Professionals (NAADAC)The Association For Addiction Professionals (NAADAC)

Telehealth.org is officially on file with NAADAC, The Association For Addiction Professionals (NAADAC) as an approved education provider. Telehealth.org has been approved as a NAADAC approved education provider. NAADAC provider #159459, Telehealth.org is responsible for all aspects of their programming.

Counseling

Counselors — National Board For Certified Counselors (NBCC)National Board For Certified Counselors (NBCC)

Telehealth.org has been approved by National Board For Certified Counselors (NBCC) as an approved Continuing Education Provider. ACEP No. 6708. Programs that do not qualify for NBCC credit are clearly identified. Telehealth.org is solely responsible for all aspects of the program.

New York State Education Department's State Board for Mental Health Counselor (NY MHC)New York State Education Department’s State Board for Mental Health Counseler (NY MHC)

Telehealth.org is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0237.

Medicine

Physicians, Nurses, Nurse Practitioners & Physician’s Assistants - NJAOPSPhysicians, Nurses, Nurse Practitioners & Physician’s Assistants

Purpose: NJAOPS is dedicated to reminding and enhancing physicians’ knowledge to manage the changing needs of the healthcare system. These evidence-based educational lectures are structured to augment physician expertise with current guidelines, materials, and recommendations, as well as up-to-date advances in medical treatment on specific topics. Accreditation: New Jersey Association of Osteopathic Physicians and Surgeons is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing education for DO Physicians. NJAOPS designates these educational activities for category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

Physician (AMA) accreditation statement: NJAOPS Is accredited by the Medical Society of New Jersey to provide Continuing Medical Education for physicians. NJAOPS designates live or online activity for AMA PRA Category 1 Credits™. Health Professionals: participants may claim hours to receive a Certificate of Participation for an activity designated for AMA PRA Category 1 Credits™. Method of Participation: for successful completion of activity and subsequent awarding of credits, individuals are required to participate in the entire activity and complete an attestation form, as well as an activity evaluation form. Send questions: contact@telehealth.org.

Marriage and Family Therapy

New York State Education Department's State Board for Marriage & Family Therapist (NY MFT)New York State Education Department’s State Board for Marriage & Family Therapist (NY MFT)

Telehealth.org is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0104.

Other States. Many states do not require pre-approval of continuing education offerings for MFTs. Many states also accept courses that are offered by providers who have formally been approved by ACCME (physicians) APA (psychologists), ASWB (social workers) and NBCC (counselors), such as Telehealth.org. Please send the URL to this page to our licensing Board to ask if they will approve our course(s) to meet your requirements. Write to us if you need our help.

Psychology

Psychologists — American Psychological Association (APA)American Psychological Association (APA)

Telehealth.org is approved by the American Psychological Association to sponsor Continuing Education for psychologists. Telehealth.org maintains responsibility for this program and its content.

New York State Education Department's State Board for Licensed Psychologists (NY PSY)New York State Education Department’s State Board for Licensed Psychologists (NY PSY)

Telehealth.org is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0193.

Social Work

Social Workers — Association Of Social Work Boards (ASWB)Association Of Social Work Boards (ASWB)

Telehealth.org, Provider #1328, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Telehealth.org maintains responsibility for the program. ASWB approval period: 11/18/2022 – 11/18/2025. Social workers should contact their regulatory board to determine course approval for continuing education credits. Please note that ASWB does not award CE hours for training related to marketing.

New York State Education Department’s State Board For Social Work (NY SWB)Canadian Social Workers

Social workers registered in Canadian provinces may accept activities approved by ASWB for ongoing professional development. Please check with your college or Board and send them to this webpage along with the course description of the course(s) you are considering. Ask for a review to determine if our training is acceptable for your registration.

New York State Education Department’s State Board For Social Work (NY SWB)New York State Education Department’s State Board For Social Work (NY SWB)

Telehealth.org, LLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of Continuing Education for Licensed Social Workers #SW-0752.

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All of your training, right here at Telehealth.org!
Pay once for a full year of unlimited multi-modal training, accessible 24/7

√ All OnDemand Training
√ All LIVE, Interactive Webinars
√ Supporting Documents
√ 24-Hour Access
√ 12 LIVE, Interactive Group Tele-Consults

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Access all training, your BCTP-III Certificate & 12 LIVE, interactive, group Tele-Consults for one year!

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