tci ED Coding & Reimbursement Alert - 2020 Issue Q3

Don't Miss These Points in Your Telehealth Documentation

If you want airtight confidence that your telehealth and phone visits stack up against provider audits, ensure that the following documentation points are include in your records, advises Scott Kraft, CPC, CPMA, senior compliance consultant with Doctors Management. For Audio-Only Visits (Where 99441-99443 Are Typically Reported): Documentation that the patient consented to an audio-only visit Documentation of the type of visit, and clear documentation that the visit was audio only Detail of what was discussed. Specific documentation of time spent. “If there’s no time documented for an audio encounter, there’s nothing to support because these are...

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