The Compliance Guy

Episode 376 - #TerryTuesday - Navigating Telehealth Changes for October 1, 2025


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Summary

In this conversation, Sean and Terry discuss the latest updates in telehealth regulations, focusing on new Medicare codes, changes in billing practices, and the implications for healthcare providers. They emphasize the importance of understanding these changes to ensure compliance and effective patient care.

Takeaways

  • Telehealth services will revert to pre-COVID regulations after 2025.
  • New codes for chronic pain management have been introduced.
  • Behavioral health services will continue to be covered under telehealth.
  • Hospital outpatient visits now have specific billing requirements.
  • Providers must be aware of the limitations on telehealth services.
  • Documentation is crucial for billing outpatient services.
  • Telehealth regulations are evolving, and providers need to adapt.
  • The importance of reading updates thoroughly to catch key changes.
  • Changes in telehealth may affect patient access to care.
  • Healthcare providers should prepare for the upcoming regulatory landscape.

Link to MLN Booklet https://www.cms.gov/files/document/mln006764-evaluation-management-services.pdf

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The Compliance GuyBy Sean M. Weiss

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