Ensuring Compliance with Evolving Federal and State Telehealth Billing and Reimbursement Requirements In the Wake of the COVID-19 Public Health

November 15, 2023 2:00pm

Jody Erdfarb
Partner
Wiggin & Dana LLP

Rebecca Simone
Partner
Nixon Peabody LLP

  • An overview of state reimbursement flexibilities for telehealth that were implemented during the pandemic
    • Understanding which flexibilities have ended, which are being temporarily extended and which have been permanently codified into law
  • Insight on proposed state legislative changes on telehealth billing and reimbursement that are coming down the pike; and navigating the risks posed by regulatory changes
  • Identifying the risks associated by the delivery of telehealth in states that currently cover (and do not cover) Medicaid and CHIP services
  • Examining current and future mandates for commercial payors and what they cover
  • Evaluating the potential permanency of the Centers for Medicare and Medicaid (CMS) telehealth flexibilities
  • Assessing whether Accountable Care Organizations (ACOs) will offer telehealth services in anticipation of the looming December 31, 2024 expiration date