Telehealth insurance coverage event
Telehealth Coverage and Billing in a Post-COVID Future
with Barbara Griswold, LMFT
The advice from colleagues can be misleading and costly. Listen to insurance expert and author Barbara Griswold, LMFT address common telehealth billing myths, to help you avoid reimbursement problems, and give you all the information you need to ethically bill for these sessions. This webinar is applicable nationwide.
1.5 CE credit hours approved for attendees whose licensing boards accept trainings on insurance for continuing education credit
On Demand Self Study
As temporary COVID coverage rules relax, navigating the world of billing for these sessions has become more complex
Whether you work directly with insurance or not, this essential presentation will give you the latest updates on what you need to know about billing insurance for video and phone psychotherapy sessions — both now and post-COVID-19.
We will address your questions, including:
- How is coding different for telehealth sessions?
- Are insurance plans waiving copays? Will I get paid less if they do?
- Are out-of-network providers being covered, and will this continue?
- Will phone sessions continue to be covered, and if so, how are they coded?
- What’s the best way to get the latest coverage information?
- How is documentation for telehealth different?
- Are reimbursement rates different than in-person?
- Must I now use a HIPAA-compatible telehealth platform?
- Can I provide therapy to an out-of-state client? What if I travel out of state?
- How are insurance plans reacting to providers giving up their offices? What address do I put on my claim/superbill?
Course Details
This presentation for Counselors, Clinical Social Workers, Marriage and Family Therapists, and Psychologists in clinical practice will provide helpful links to great resources, and downloadable handouts from the presentation.
Title: Telehealth Coverage and Billing in a Post-COVID Future
Authors/Presenters: Barbara Griswold, LMFT
CE Length: 1.5 CE credit hours approved for attendees whose licensing boards accept trainings on insurance for continuing education credit
Educational Objectives:
- Understand how to ethically code and bill for telehealth sessions, in order to avoid claim denials and treatment interruption
- Name two things clinicians may be required to document for each telehealth session
- Identify legal considerations before providing insurance-funded therapy across state lines
Syllabus:
- The Mechanics of Billing Insurance for Telehealth
- What CPT code, Place of Service Codes and Modifier to use
- How to Verify Benefits, and What to Ask the Plan
- Insurance Coverage for Telehealth
- Trends in Insurance Coverage of Video Sessions
- Trends in Coverage of Phone Sessions
- Trends in Coverage of Out-of-Network Providers
- Payment/Coverage Parity for Telehealth vs. Office Visits
- Legal and Ethical
- Considerations When Seeing an Insurance Client in Another State
- Current Expectations About Using a HIPAA-Compatible Platform
- Insurance Billing for All-Telehealth Practitioners
- Will Insurance Plans Require an Office Address?
Meet Our Presenters
Presented by Barbara Griswold, LMFT
Barbara Griswold, LMFT is a private practice consultant and coach, and the author of Navigating the Insurance Maze: The Therapist’s Complete Guide to Working with Insurance — And Whether You Should, now out in its 8th edition. In private practice in San Jose, CA, she has been interviewed on NPR’s “Morning Edition,” and her articles on insurance and documentation have appeared in Psychotherapy Networker and The Therapist magazines. She writes the e-newsletter “What EVERY Therapist Should Know About Insurance.” Her passion is helping therapists nationwide to feel as confident about their businesses as they do about their therapy. She invites PCT listeners to contact her at theinsurancemaze.com.
Additional Information
Citations:
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50-State Teletherapy Practice Rules Survey for Counselors, MFTs, Psychologists, and Clinical Social Workers, Person-Centered Tech, https://personcenteredtech.com/50-state-emergency-teletherapy-practice-rules-counselors-mfts-psychologists-social-workers/
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CCHP, How COVID has impacted telehealth laws (state by state): https://tinyurl.com/stateactions
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Renewal of Determination that A Public Health Emergency Exists, US Dept Health and Human Services, https://www.phe.gov/emergency/news/healthactions/phe/Pages/COVID-15April2021.aspx
Accuracy, Utility, and Risks Statement: None.
Conflicts of Interest: None reported.
Commercial Support: Person Centered Tech Inc. is sponsoring this event and will give a brief commercial presentation during the break.