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Resource Overview

Patient portals, sometimes also referred to as personal health record systems (PHR) are web-based portals commonly attached to electronic health record systems (EHRs). These patient-centered portals provide patients with the ability to login and review health information related to their care. Common patient portal services include ways in which to schedule appointments, send messages to their care providers, review test results and refill prescriptions.

Outside of the benefits to the patient, implementation of patient portals had come to the attention of healthcare providers due to the inclusion of Meaningful Use of objectives centered on the use of patient portals and electronic engagement with patients.  Stage 3 requirements are still being explored and the impact it will have on Health Centers is unknown. Therefore, it is a challenge for small practices and Health Centers to determine how to best derive value from Patient Portals and effectively implement them into their workflow.

The tools and articles posted below are meant to provide examples, templates and strategies that can assist Health Centers in understanding how patient portals can better engage their patients in self-management of their care, and after an initial investment in time and money can decrease the burden on their clinical and administrative staff.

Patient Portal Resources
Event date: 4/2/2020 2:00 PM - 3:00 PM Export event
Telehealth During COVID-19: Ensuring Reimbursement Webinar
Alyssa Carlisle
/ Categories: Telehealth, Webinars, Archived

Telehealth During COVID-19: Ensuring Reimbursement Webinar

Telligen, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Colorado, Iowa, Illinois, and Oklahoma, in partnership with the University of Colorado Practice Innovation Program, hosted a webinar and question and answer session during which expert speakers provided an overview of the CMS waiver 1135 rules as well as recommendations for coding and documentation for use of telehealth during COVID-19, so that patients can be cared for without leaving the safety of their homes.

Objectives:

  • Understand the telehealth benefit under the CMS 1135 waiver, a temporary and emergency measure
  • Learn about telehealth benefits for Medicaid and commercial payers
  • Identify qualified and non-qualified providers eligible to bill telehealth codes
  • Identify proper coding for telehealth services and when to use telehealth modifiers
  • Describe proper documentation for telehealth visits

HITEQ Webinar Takeaways:

  • Non-clinical eligible providers who receive portal or email questions and respond over a specified time period are able to bill to certain codes. 
  • Reviewed telehealth, virtual check in, e-visits, and physician and non-physician telephone only (no video) visit coding and billing. 
  • Provided ICD-10 and CPT codes for COVID-19. Should check with labs about codes to use. 
  • Provided update that 3/31 guidance on place of service (POS) changed (e.g., 02 vs. 11).
  • Waiver 1135 states that HHS will not conduct audits to ensure that a prior relationship existed.
  • Commercial payer current policies vary by payer and are still in development. See the Center for Connected Health Policy website for guidance.
  • Verbal consent is currently approved and should be properly documented. Advised that health centers should contact healthcare attorney to confirm best practices.
  • “Patient-initiated” visits/communication can be difficult. Providers or health systems can outreach to patients to provide information about requesting telehealth visits. 
  • How to bill uninsured patients for telehealth? No restrictions but must meet requirements of code. Can bill a straight fee for the visit. 
  • Advised not to record telehealth visits at this time as there is no way to safely store recordings. 

Documents to download

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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