Session 1: 2025 Telehealth Updates

Live - February 26, 2025

Time - 1:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Speaker - Toni Elhoms

There have been unprecedented changes to the rules and regulations for Telehealth and Telemedicine services since the Public Health Emergency (PHE) ended last year. When the PHE expired on May 11, 2023, MANY rules and regulations were impacted including reimbursement rates for Telehealth and Telemedicine services.  Many healthcare organizations continue to struggle with navigating the complex Digital Health reimbursement landscape. This session will provide you with the information needed to maximize Telehealth and Telemedicine services within your organization, compliantly report the services for reimbursement based on the 2025 updates with specific emphasis on the recent regulatory changes.  This session will be led by an internationally known and recognized digital health implementation expert.  This webinar will give you a deeper understanding of the fundamentals so that you can implement and operationalize Digital Health services post-PHE, understand various reimbursement pathways, and know which insurance companies provide reimbursement in 2025. 

Webinar Objectives

Navigating the complexities of Telehealth and Telemedicine reimbursement can be tedious and time-consuming because the rules and requirements are enormous.  CMS and commercial insurance payers regularly present policy changes and notice of material changes to their Telehealth and Telemedicine coverage and reimbursement policies.

Webinar Agenda

• Understand the differences between telehealth and telemedicine in 2025
• Recognize the difference between synchronous and asynchronous technology in 2025
• Recognize which payers cover telehealth and telemedicine in 2025
• Understand operational infrastructure requirements in 2025
• Understand Telehealth specific grant funding resources available in 2025
• Understand Regulatory Considerations for Telehealth providers in 2025

Webinar Highlights

• Discuss differences between telehealth and telemedicine services in 2025
• Define synchronous vs. asynchronous technology and provide examples of each
• Identify relevant CPT Codes and Place of Service codes applicable to telehealth and telemedicine services in 2025
• Discuss originating and distant site restrictions in 2025
• Outline which payers cover telehealth and telemedicine in 2025
• Discuss who can render telehealth and telemedicine services in 2025
• Outline operational telehealth and telemedicine infrastructure requirements in 2025
• Discuss relevant telehealth and telemedicine modifiers in 2025
• Review telehealth and telemedicine reimbursement rates in 2025
• Deconstruct telehealth and telemedicine clinical documentation requirements in 2025
• Discuss regulatory considerations for medical providers and practices in 2025
• Outline best practices for compliantly reporting Telehealth and Telemedicine services in 2025

Session 2: 2025 Coding Updates For Behavioral Health

Live - February 27, 2025

Time - 1:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Speaker - Toni Elhoms

Each year there are significant coding updates that affect Behavioral Health billing, coding, and reimbursement.  These changes can have a significant impact on behavioral health providers and organizations of all sizes.  Diagnosis code changes take effect on October 1st annually and CPT code changes take effect on January 1st of each year.  It is imperative that your organization understand what the behavioral health coding changes entail, the reimbursement impact, and the new clinical documentation requirements associated with these codes in 2025.  Understanding the many updates is critical to reporting behavioral health services compliantly and obtaining the proper reimbursement for your organization’s services.  This webinar will provide you with the latest information needed to successfully navigate Telehealth regulatory compliance in 2025, discuss strategies for maximizing reimbursement, unpack the many clinical documentation requirements, deconstruct Behavioral Health case studies, share best practice tips, and so much more.

Webinar Objectives

Navigating the complexities of Behavioral Health Telehealth coding, billing, reimbursement, and regulatory compliance can be tedious and overwhelming.  The current method for reimbursing Behavioral Health Providers operates as a pay-and-chase model, meaning you get paid for services under the presumption that the Provider represented the services they rendered accurately and in accordance with various regulatory requirements.  When Behavioral Health Providers bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported.  This pay-and-chase model creates a false sense of security for Behavioral Health Providers who mistakenly assume because they got paid for something means they are doing everything compliantly.  This assumption could not be further from the truth.  To make matters worse, many health insurance payers routinely implement policy changes to their Behavioral Health Telehealth service lines regarding coverage and reimbursement policies.  

Webinar Agenda

• Discuss the major behavioral health billing and coding updates for 2025
• Dissect the important diagnosis coding guideline updates for behavioral health in 2025
• Highlight important code additions, deletions and revisions for behavioral health in 2025
• Discuss clinical documentation requirements for behavioral health services in 2025
• Discuss roles and workflows that may be impacted by the behavioral health in 2025
• Outline training and education required to comply with behavioral health billing, coding, and reimbursement updates in 2025
• Outline clinical documentation scenarios to demonstrate proper application of new requirements for behavioral health services in 2025
• Discuss best practice tips for behavioural health billing and coding in 2025

Webinar Highlights

• Recall the major behavioral health billing and coding updates for 2025
• Recognize clinical documentation requirements for behavioral health services in 2025
• Understand roles and workflows that may be impacted by the behavioral health in 2025
• Recognize clinical documentation scenarios to demonstrate proper application of new requirements for behavioral health services in 2025
• Recall best practice tips for behavioral health billing and coding in 2025

Session 3: Navigating the 2025 Medicare Care Management Updates

Live - March 12, 2025

Time - 1:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Speaker - Toni Elhoms

Care Management services allow healthcare providers to monitor and manage their patients in real-time leveraging technology and communication tools at a distance.  The CMS (Centers for Medicare & Medicaid Services) continues to invest and promote care management programs in healthcare.  The underlying objective for care management services is to improve quality of care, increase positive outcomes, and reduce hospital readmission rates.  The overall goal for these services is to improve quality of care, increase positive outcomes, reduce hospitalization and readmission rates.  Reimbursement and reporting rules for these services are enormously complex including significant updates in 2025.  Since many of the care coordination and care management services are time based, tracking service time is critical for compliant revenue cycle operations.  This webinar will drill down into the 2025 Medicare Updates for care management services extensively, highlight the key differences between the various care coordination services available to providers, and provide you with tangible information that can be put into action immediately.

Webinar Objectives

Care Management billing and coding rules and clinical documentation requirements are complex and require ongoing education, monitoring, and oversight.  Robust clinical documentation and a solid operational infrastructure are paramount to the vitality of care management programs in healthcare organizations.

Webinar Agenda

• Recall the relevant Medicare Chronic Care Management (CCM) coding updates in 2025
• Understand the relevant Medicare Principal Care Management (PCM) coding updates in 2025
• Recall the relevant Medicare Remote Patient Monitoring (RPM) coding updates in 2025
• Understand the relevant Medicare Remote Therapeutic Monitoring (RTM) coding updates in 2025
• Recognize the clinical documentation requirements for care management services in 2025
• Know the pertinent billing modifiers for care management services in 2025

Webinar Highlights

• Review the 2025 Medicare Chronic Care Management (CCM) coding updates
• Discuss CCM clinical documentation service requirements
• Review the 2025 Medicare Principal Care Management (PCM) coding updates
• Discuss PCM clinical documentation service requirements
• Outline the key differences between CCM and PCM services
• Review the 2025 Medicare Remote Patient Monitoring (RPM) coding updates
• Discuss RPM clinical documentation service requirements
• Review the 2025 Medicare Remote Therapeutic Monitoring (RTM) coding updates
• Discuss RTM clinical documentation service requirements
• Outline the key differences between RPM and RTM services for 2025
• Discuss pertinent care management service modifiers for 2025

Session 4: 2025 PECOS Updates

Live - March 26, 2025

Time - 1:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Speaker - Toni Elhoms

The process of enrolling and revalidating with Medicare as a provider/organization can be confusing and overwhelming.  The cost of getting your Medicare enrollment/revalidation wrong or missing a deadline can have systemic consequences on an organization, including credentialing issues, coding issues, denial issues, patient satisfaction, and even impact quality scores.  Medicare is revamping their Provider Enrollment Chain and Operation System (PECOS) portal to streamline provider enrollment and revalidation, ensure faster processing of Medicare applications, simplify group management, allow for application tracking, and so much more.  In this webinar, we discuss the brand-new Provider Enrollment Chain and Operation System (PECOS) updates, unpack the different enrolment types and how to know which type is appropriate for you, and know what ancillary documentation is needed with PECOS submission, applicable fees, common errors, and best practice tips for 2025.

Webinar Objectives

Medicare is revamping their enrollment portal PECOS for the first time in over ten years.  Understanding how to navigate these complex changes can make all the difference in your organization’s cashflow.  In this session we will discuss the various enrollment types, supplemental documentation to include with PECOS submission, applicable fees, challenges, and so much more!

Webinar Agenda

• Recall the key PECOS Updates for 2025
• Understand the PECOS enrollment process for group medical practices for 2025
• Recognize the PECOS enrollment process for individual providers for 2025
• Understand the PECOS revalidation process for 2025
• Identify complicated sections of PECOS portal for 2025
• Understand common challenges with PECOS portal for 2025

Webinar Highlights

• Identify the key new PECOS Updates for 2025
• Discuss the new PECOS enrollment process for group medical practices for 2025
• Discuss the new PECOS revalidation process for group medical practices for 2025
• Discuss the new PECOS enrollment process for individual providers for 2025
• Discuss the new PECOS enrollment process for reassignments for 2025
• Discuss the new PECOS revalidation process for individual providers and reassignments for 2025
• Discuss complicated sections of PECOS enrollment portal for 2025
• Outline ancillary documentation required with PECOS enrollment submission for 2025
• Discuss common errors with PECOS portal for 2025
• Discuss useful compliance best practice tips for the new PECOS portal for 2025

Session 5: Pathology Coding Updates

Live - March 27, 2025

Time - 1:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Speaker - Toni Elhoms

Pathology coding and billing rules can be confusing and tedious to understand.  Pathology services play a major role in the diagnosis and management of many common medical conditions.  It is imperative that proper coding and billing practices be followed to ensure your organization receives appropriate reimbursement and maintains compliance with healthcare regulatory requirements.  Pathology services from a billing and coding perspective fall into 4 main categories: Surgical Pathology, Cytopathology, Molecular Pathology, and Anatomic Pathology Consultations.  In today’s webinar, we take a deeper dive into the current pathology coding and billing updates, discuss the proper application of the 2025 code set for pathology services, clinical documentation requirements for pathology services, and common pathology clinical documentation scenarios to code and bill for to gain real-world insights and context for the pathology billing and coding rules.

Webinar Objectives

By understanding and correctly coding for pathology services, providers can accurately represent the services they rendered, facilitate data collection and research, and support quality improvement and research efforts. Ongoing education and adherence to the regulatory requirements are crucial for maintaining accurate and compliant pathology billing processes.

Webinar Agenda

• Recall the major pathology billing and coding updates in 2025
• Reference important clinical documentation requirements for pathology services in 2025
• Understand common challenges with pathology billing and coding in 2025
• Recognize solutions to common challenges with pathology billing and coding in 2025
• Recall best practice tips for pathology billing and coding in 2025

Webinar Highlights

• Discuss the key 2025 pathology billing and coding updates
• Identify the 2025 surgical pathology billing and coding updates
• Outline the 2025 cytopathology billing and coding updates
• Review the 2025 molecular pathology billing and coding updates
• Discuss the 2025 anatomic pathology billing and coding updates
• Outline the 2025 pathology specific clinical documentation requirements
• Discuss common challenges with pathology billing and coding in 2025
• Identify solutions to common challenges for pathology billing and coding
• Share best practice tips for pathology billing and coding in 2025

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees 
• Chief Medical Officer
• Medical Practices
• Accountable Care Organizations
• Medical Societies
• Medical Associations
• Credentialing Specialists
• Enrollment Specialists
• Contracting Specialists
• Operations Leadership
• Practice Administrators
• Office Managers
• Medical Practices
• Accountable Care Organizations
• Medical Societies
• Medical Associations