Changes to federal and state regulations to address the ongoing transformation in how care is delivered make maintaining compliance for telehealth providers extraordinarily difficult—and bring severe risk such as fines, potential loss of ability to operate, and more.
Telehealth providers must navigate state licensing laws when delivering care across state lines, Anti-Kickback Statue and Stark Law risks associated with providing telehealth equipment as well as HIPPA technology requirements, false claim risks and liability if Medicare coverage or coding requirements aren’t met, and more.
Establish a compliance program—or enhance an existing one—that supports your goals by demonstrating how your organization meets or exceeds applicable legal requirements—protecting your investors, owners, employees, and patients in the process.
Develop key administrative infrastructure functions for effective and compliant recording of consent, documentation controls, coding, billing, and collections for telehealth health care services.
Guidance can include insight on how to structure and develop controls for your program, as well as to audit, monitor, and mentor your staff.
Key focus areas can include:
- Analysis of services, including consent process, operations, and key requirements for program delivery
- Assessment of revenue cycle management (RCM)
- Assistance with development of fee (CDM) schedules
- RCM workflow
- Provider enrollment
- Compliance officer mentoring and mentoring agreement reviews
- Coding documentation for accuracy assessment
- Policy and procedure development
- Centers for Medicare & Medicaid Services (CMS) regulation communications