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

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