Thursday, August 14, 2025

Telehealth and Remote Billing Practices: Navigating the 2025 Landscape


"The future of healthcare is not just digital; it's equitable, accessible, and patient-centered."


Introduction:

In 2025, telehealth has transitioned from a temporary solution to a permanent fixture in healthcare delivery. The Centers for Medicare & Medicaid Services (CMS) has extended telehealth flexibilities through September 30, 2025, allowing providers to offer services to Medicare beneficiaries regardless of their location, including their homes. However, starting October 1, 2025, most telehealth services will require patients to be in an office or medical facility located in a rural area.

This shift necessitates a comprehensive understanding of the latest billing practices, CPT codes, and insurance requirements to ensure compliance and optimize reimbursement.


Expert Opinions:

  1. Dr. Erin Solis, Manager, Practice & Payment, American Academy of Family Physicians:
    "The introduction of CPT code 98016 replaces the previous virtual check-in code G2012, streamlining the billing process for brief synchronous communications."
  2. Dr. John Cullen, President, American Academy of Family Physicians:
    "The extension of telehealth flexibilities through September 30, 2025, provides an opportunity for providers to adapt to new billing practices and ensure continued access to care for Medicare beneficiaries."
  3. Dr. Lisa Montgomery, Health Policy and Telemedicine Specialist:
    "Telehealth is reshaping how care is delivered, but success depends on understanding the evolving rules around billing and coding. Providers who stay informed can focus on patient care while optimizing reimbursement and compliance."

Key Billing Practices:

  • CPT Codes:
    • Synchronous audio-video: 98000–98007
    • Synchronous audio-only: 98008–98015
    • Brief synchronous communication technology service (CPT code 98016) replaces the CMS "virtual check-in" visit, which used the CMS Healthcare Common Procedure Coding System code G2012.
  • Place of Service (POS) Codes:
    • POS 10: Telehealth provided in patient's home
    • POS 02: Telehealth provided at any other location
  • Modifiers:
    • Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system
    • Modifier 93: Synchronous telemedicine service rendered via an audio-only telecommunications system

Insurance Requirements:

  • Medicare:
    • Continues to cover telehealth services through September 30, 2025, regardless of patient location.
    • Starting October 1, 2025, most telehealth services will require patients to be in an office or medical facility located in a rural area.
  • Medicare Advantage Plans:
    • May continue to offer expanded telehealth services regardless of traditional Medicare's temporary provisions.

Tips for Providers:

  1. Stay Updated:
    Regularly review CMS updates and payer policies to ensure compliance with the latest billing practices and coding requirements.
  2. Educate Staff:
    Provide training to administrative and billing staff on new CPT codes, POS codes, and modifiers to minimize billing errors.
  3. Implement Technology Solutions:
    Utilize electronic health record (EHR) systems with integrated coding and billing functionalities to streamline the documentation and billing process.
  4. Monitor Reimbursement Rates:
    Regularly assess reimbursement rates for telehealth services to ensure financial sustainability and identify any discrepancies or underpayments.
  5. Engage with Payers:
    Maintain open communication with insurance carriers to address any billing issues promptly and advocate for fair reimbursement rates for telehealth services.

FAQs:

  1. Q: Will telehealth services continue to be covered after September 30, 2025?
    • A: Coverage beyond this date will depend on legislative actions and payer policies. Providers should monitor updates from CMS and other relevant authorities.
  2. Q: Are there any new CPT codes for telehealth services in 2025?
    • A: Yes, new CPT codes have been introduced for various telehealth services, including synchronous audio-video and audio-only consultations.
  3. Q: How can I ensure proper reimbursement for telehealth services?
    • A: Ensure accurate coding, use appropriate POS codes, and stay informed about payer policies to facilitate proper reimbursement.

Myth Busters:

  • Myth: Telehealth services are not reimbursed at the same rate as in-person visits.
    • Fact: Reimbursement rates for telehealth services are comparable to in-person visits, provided that proper coding and documentation are maintained.
  • Myth: Telehealth is only suitable for certain specialties.
    • Fact: Many specialties can effectively deliver care through telehealth, expanding access to a broader patient population.
  • Myth: Telehealth services are not subject to the same regulatory requirements as in-person visits.
    • Fact: Telehealth services must comply with the same regulatory standards as in-person visits, including billing, coding, and documentation requirements.

Final Thoughts:

As telehealth continues to evolve, staying informed and adaptable is crucial for providers to navigate the changing landscape of billing and reimbursement. By embracing new coding practices, understanding insurance requirements, and implementing effective strategies, providers can ensure the sustainability and success of telehealth services in their practices.


Call to Action:

Stay engaged with the latest developments in telehealth by subscribing to industry newsletters, attending webinars, and participating in professional forums. Your proactive involvement will not only enhance your practice's efficiency but also contribute to the broader conversation shaping the future of healthcare delivery.


Hashtags:

#Telehealth2025 #MedicalBilling #CPTCodes #HealthcareInnovation #RemoteCare #MedicareUpdates #TelehealthCompliance #PhysicianPractice #HealthcarePolicy #Telemedicine


References:

  1. "New 2025 Telehealth CPT Codes," SMFM, April 24, 2025. Link
  2. "How the AMA Meets Need for New Telehealth CPT Codes," American Medical Association, February 4, 2025. Link
  3. "How to Code for Telehealth, Audio-Only, and Virtual-Digital Visits," American Academy of Family Physicians. Link

About the Author:

Dr. Daniel Cham is a physician and medical consultant with expertise in medical technology, healthcare management, and medical billing. He focuses on delivering practical insights that help professionals navigate complex challenges at the intersection of healthcare and medical practice. Connect with Dr. Cham on LinkedIn to learn more: linkedin.com/in/daniel-cham-md-669036285

  

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