(Recorded Training) Telehealth Looking Forward: Payment and Financial Considerations
This course is closed to new enrollments.
During the COVID-19 pandemic, health centers have experienced a rapid expansion of telehealth. From full visits, to “virtual check-ins,” to care management services that rely heavily on technology, telehealth has impacted patient service delivery. Focusing on Medicare/Medicaid payments, this training will examine the most prominent forms of telehealth along with the policy issues relevant to the financial aspects of telehealth services, including scope of project under Section 330 of the Public Health Service Act and coverage under the Federal Tort Claims Act.
As technology requirements evolve, including the prevalence of audio-only telehealth services during the pandemic, health centers have experienced and can expect Medicare/Medicaid coverage and payment issues associated with the different technologies. This program will explore and explain the waivers and flexibilities that Medicare and State Medicaid programs have used to facilitate telehealth during the telehealth pandemic, and address what we know so far about what telehealth may look like in the Medicare and Medicaid programs after the COVID-19 public health emergency is over. Additionally, relevant legal considerations in using vendors to furnish telehealth or care management services will be discussed.
- C Suite (CEOs, CFOs, COOs)
- Billing or Revenue Cycle Managers
- Health Center Personnel Involved in Quality and Service Delivery Issues
After this training, participants will be better able to:
- Identify the primary modes of telehealth services covered under the Medicare program, and payment rules associated with each
- Understand the legal framework for Medicaid telehealth and the extent of states’ discretion in covering telehealth in that program
- Understand the 1135 emergency waiver authority as it relates to Medicare telehealth, and identify various emergency policy changes state Medicaid programs have made
- Describe HRSA scope of project and FTCA considerations as relevant to telehealth
- Explain legal considerations in using vendors to provide telehealth services
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SUSANNAH VANCE GOPALAN
A Partner in the firm’s health law practice group, Susannah focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. Susannah has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
Carrie Riley is a Partner in the health law, non-profit and corporate law, and federal grants law practice groups. She counsels a wide variety of health care clients, including Federally Qualified Health Centers and other private and public health care providers, on contracting, regulatory compliance, fraud and abuse, and reimbursement matters. Carrie also provides counsel on transactional matters, including formation and agreements for multi-provider affiliations/joint ventures, general contracting, and residency training arrangements. [Full Bio]
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- 6.00 Certificate of Attendance
This course is closed to new enrollments.
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