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You may have good reasons to wait on adopting telehealth, experts say, but if you’re prepared to take advantage of specific opportunities that can make telehealth cost-effective and even profitable, you should explore them now.
Establish a program to provide exercise therapy to patients with peripheral artery disease (PAD) and pay attention to billing specifics, such as supervision requirements and diagnosis codes, to take advantage of a new revenue opportunity that your Medicare administrative contractor (MAC) will soon be offering.
The information-blocking attestation required by the merit-based incentive payment system (MIPS) may seem like a gimme, but keep your eyes open — regulation changes and innocent adjustments made by you or your IT people may cause you trouble.
Question: I heard about a doctor who was in the U.S. on a green card and was detained by immigration authorities. Do I have to worry about my staff who are here on green cards or work visas getting taken away? Can I just decline to hire such people to avoid the problem?
The difficulties attached to getting Medicare to pay for telehealth services — the originating-site and sometimes geographical restrictions — are evident in the low utilization for the codes specifically dedicated to telehealth. But some of the denial rates are low and, if hints from CMS mean what they seem, the codes may see more use in years to come.


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