Telehealth and Telemedicine Updates for 2025: Coding, Billing and Compliance


Reporting of telehealth/telemedicine services exploded during the PHE.  It became very popular with both providers and patients and has now been accepted and expanded by most health care payers as a way to provide enhanced care to patients as well as improve access to providers. In 2025 Telehealth services have continued to evolve since their beginning with the AMA revising the EM section of CPT with a specific category for telehealth services including telephone calls.  . We will explore the advances in telemedicine, necessary documentation and look at planned changes for the future of telemedicine services including telemedicine for FQHCs and RHCs. 

Learning Objectives:

  • Identify required documentation to report telehealth services?
  • Discuss the major differences between telephone calls versus telehealth 
  • Identify CMS’s newly added telehealth services effective 1/1/25 with review of previously allowable telehealth services
  • Review modifiers for telehealth and their correct usage
  • Discuss the limitations of billing for new versus established patients
  • Identify which offices and providers may continue to bill for telehealth services including telephone calls and how that will affect your daily operations after the pandemic
  • Discuss CMS focus for ongoing quality care 

Areas covered in the session:

  • Discuss the current time frame for ending or continuing telehealth services.
  • Review permanent telehealth services available versus temporary telehealth services allowed by CMS
  • CMS guidelines regarding new AMA telehealth codes
  • Reporting new AMA audio only/telephone codes versus G2012, G2252  
  • Documentation that must be in every telehealth and telephone call notes 
  • Review appropriate providers for specific services  
  • Expansion of supervision guidelines during and after the pandemic
  • How to determine a level of service for telehealth
  • Appropriate modifiers for telehealth and telephone services
  • Telehealth service guidelines for RHC and FQHC clinics
  • Private payer payment for telehealth and telephone services

Who should attend this:

  • Providers
  • Coders 
  • Auditors 
  • Denial resolution teams
  • Office managers

 

 

Jan Rasmussen, PCS, CPC, ACS-OB. Jan is an independent consultant and President of Professional Coding Solutions.  She has been involved in coding and reimbursement for over 40 years, specializing in physician billing and documentation issues. Jan was previously employed with the State Medical Society of WI as a coding education consultant. In her role as an educator, she has developed and presented CPT, ICD, primary care, surgical specialty, and audit process seminars. Jan previously served on the Board for Advanced Medical Coding with Decision Health in Rockville, Maryland, publishers of Part B News and was a technical editor of the OB/GYN monthly specialty focused “Pink Sheet.”

She has been teaching E/M since 1992 to both physician and coding audiences.  As an auditor, she has been involved in government PATH audits, Champus and compliance documentation assessments.  Jan has been a CPC since 1993 and previously served on the AAPC Advisory Board as the laison to the AMA.  In 1994, Jan was honored by AAPC as Networker of the Year.  She was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS). 

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