Telehealth Reimbursement and Billing Post-PHE: What You Need to Know

Course Description

Telehealth: A Post-Pandemic Pivot: Ensuring Compliance in the Evolving Landscape. This webinar, “Telehealth: A Post-Pandemic Pivot — Ensuring Compliance in the Evolving Landscape,” will equip healthcare professionals with the knowledge and tools necessary to maintain compliance in this rapidly changing environment.

We’ll explore:

• The end of the Public Health Emergency and post–Sept. 30, 2025 telehealth rules
• Implications of the Final Evaluation Rule (FER) and its impact on telehealth delivery
• Congressional extensions and government shutdown risks — what organizations should do if flexibilities lapse
• HIPAA, privacy, and security compliance in virtual care
• Documentation, coding, and billing strategies for telehealth encounters
• Informed consent, patient eligibility, and interstate practice considerations

Participants will gain clarity on how to adapt their compliance programs, protect reimbursement, and sustain patient access to telehealth services. The session concludes with an interactive Q&A, giving attendees the opportunity to discuss real-world challenges and solutions.

By the end, you’ll be well-prepared to navigate the regulatory, financial, and operational complexities of telehealth in a post-pandemic world.

Learning Objectives

• Regulatory Changes: Analyzing the regulatory shifts and waivers implemented during the PHE and their implications for telehealth services post September 30th 2025.
• Privacy and Security: Addressing compliance concerns related to patient data privacy, security protocols, and HIPAA requirements in telehealth encounters.
• Reimbursement Policies: Understanding changes in reimbursement policies for telehealth services and navigating billing and coding compliance to maximize reimbursement.
• Licensure and Credentialing: Exploring the complexities of licensure and credentialing requirements across state lines and ensuring compliance with telehealth licensing regulations.
• Quality of Care: Assessing compliance considerations for maintaining the quality and standards of care in telehealth consultations, including documentation practices and informed consent.
• Fraud and Abuse Risks: Identifying potential fraud and abuse risks associated with telehealth services and implementing compliance measures to mitigate such risks.
• Technology Integration: Integrating telehealth platforms while ensuring compliance with data protection laws, interoperability standards, and telemedicine best practices.

Areas Covered in the Session

• Telehealth During and Post- PHE
• Telehealth Post September 30th and beyond
• Regulatory Changes
• Privacy and Security
• Reimbursement Policies
• Licensure and Credentialing
• Quality of Care
• Fraud and Abuse Risks
• Technology Integration
• Patient Eligibility and Informed Consent
• Documentation Best Practices
• Telehealth Program Implementation
• Denial Management and Appeals
• Telehealth Policy Updates and Legislative Considerations
• Practical Case Studies and Real-World Scenarios
• Live Q&A Session

Suggested Attendees

• Physicians, Nurse Practitioners, and Physician Assistants
• Healthcare Providers Across Specialties
• Coders and Billers
• Auditors and Compliance Officers
• Clinical Documentation Improvement (CDI) Specialists
• Denial Resolution Teams
• Office Managers and Clinic Managers
• Administrative and Support Staff Involved in Telehealth Operations
• Insurance Company Claims Reviewers
• Telehealth Coordinators and Program Managers
• Clinical Social Workers and Other Licensed Behavioral Health Professionals Involved in Telehealth

About the Presenter

Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, AAPC Approved Instructor, the founder and CEO of KW Advanced Consulting, is a Minority Women-Owned Enterprise (M/WBE) and Economically Disadvantaged Women-Owned Small Business (EDWOSB) Certified professional with nearly 30 years of experience in healthcare. A seasoned leader and speaker at the HealthCon National and Regional Conference, Keisha’s career spans roles including outpatient coding specialist, CDI specialist, compliance operations manager, interim compliance director, and consultant.

An expert in Compliance and Revenue Cycle Management, Keisha specializes in risk-based audits, E/M auditing, multi-specialty coding, telehealth services, and Risk Adjustment/HCC education. She has developed and implemented comprehensive training programs for organizations of all sizes and is an approved instructor for KW Advanced Consulting, AAPC VILT, and NYC College of Technology.

Beyond her professional roles, Keisha serves on the Board of Directors for an outpatient mental health clinic and contributes to telehealth and compliance committees. She also sits on the HDDH Committee for the International Society for Telemedicine and eHealth (ISfTeH). She serves on the Advisory Board for The Nurses Pub and the HIM Department at South New Hampshire University (SNHU). A published author, she writes regularly for KW Advanced Consulting and collaborates with AAPC on coding articles and industry updates.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.