Summary
In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of these regulations to ensure compliance and optimal patient care.
Takeaways
<ul>
 <li>This is the last hashtag Terry Tuesday for 2024.</li>
 <li>We have spent quite a bit of time taking a look at the CMS final rule.</li>
 <li>Direct supervision means immediately available.</li>
 <li>Audio only is not sufficient for direct supervision.</li>
 <li>Behavioral health has gotten a huge leap in virtual care.</li>
 <li>You need to know that your commercial plans also update their language.</li>
 <li>The perfect example when UnitedHealthcare last year said, we're not going to pay for audio only anymore.</li>
 <li>You have to be careful because it's something you have to say, OK, this is why I did it.</li>
 <li>It's a gift. It is an add-on gift that says we respect and understand.</li>
 <li>I would still caution our audience to not use this as a blanket add-on code.</li>
</ul>

Summary In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of these regulations to ensure compliance and optimal patient care. Takeaways This is the last hashtag Terry Tuesday for 2024. We have spent quite a bit of time taking a look at the CMS final rule. Direct supervision means immediately available. Audio only is not sufficient for direct supervision. Behavioral health has gotten a huge leap in virtual care. You need to know that your commercial plans also update their language. The perfect example when UnitedHealthcare last year said, we're not going to pay for audio only anymore. You have to be careful because it's something you have to say, OK, this is why I did it. It's a gift. It is an add-on gift that says we respect and understand. I would still caution our audience to not use this as a blanket add-on code.

Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals.
The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape.
Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.


When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!


Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

Business

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals. The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape. Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency. When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”! Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

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Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"

Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"

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