Navigating New Rules, Maximizing Reimbursement, and Avoiding Costly Pitfalls
The 2025 Medicare Telehealth policy changes will significantly impact billing, reimbursement, and compliance for providers across the country. With critical waivers set to expire on March 31, 2025, and new coding policies affecting both audio-only and video services, failing to stay ahead of these changes could lead to claim denials, revenue loss, and compliance risks.
Are you prepared for these changes?
Join renowned telehealth expert Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA, as she unpacks the latest CMS rulings, CPT & HCPCS coding updates, and commercial payer policy shifts that will directly affect your telehealth services and reimbursements.
Webinar Objectives
- Medicare’s 2025 Telehealth Waiver Expirations – What Stays & What Goes
- Critical CPT & HCPCS Code Changes – Audio-Only vs. Video Services
- Modifier Requirements for Telehealth Claims (Including ‘93’ and ‘FQ’)
- Billing & Documentation Best Practices to Avoid Denials and Audits
- Originating & Distant Site Rules – How They Affect Your Billing
- Commercial Payer Updates & Policy Restrictions for Telehealth Services
- Teaching Physician Supervision & Direct Supervision via Telehealth
- How to Future-Proof Your Telehealth Program in a Post-PHE Landscape
Webinar Agenda
- Understand the differences between telehealth and telemedicine in 2025
- Recognize the difference between synchronous and asynchronous technology in 2025
- Recognize which payers cover telehealth and telemedicine in 2025
- Understand operational infrastructure requirements in 2025
- Understand Telehealth specific grant funding resources available in 2025
- Understand Regulatory Considerations for Telehealth providers in 2025
Webinar Highlights
- Without congressional action, key Medicare Telehealth waivers will expire on March 31, 2025.
- CMS has finalized a 2025 Conversion Factor cut of 2.83% – understand the impact on your reimbursements.
- Medicare will no longer recognize 16 out of 17 newly added telehealth CPT codes – know what’s covered and what’s not.
- Many commercial payers are implementing stricter telehealth policies – be prepared for network limitations.
- Documentation requirements have changed – avoid compliance pitfalls and audit risks.
Who Should Attend
- Medical Coding Specialists
- Medical Billing Specialists
- Medical Auditing Specialists
- Private Practice Physicians
- Managed Care Professionals
- Operations Leadership
- Practice Administrators
- Office Managers
- Compliance Officers/Committees
- Chief Medical Officer
- Medical Practices, Accountable Care Organizations, Medical Societies, Medical Associations
