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Webinar: Telemedicine - What You Need to Know to Properly Investigate
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This webinar is being presented by Aimee Wilcox, Adjunct Educator at NAMAS and Director of Content at Find-A-Code, LLC.

8/3/2018
When: 1:00 pm CT
Where: Online Webinar
N83 W13410 Leon Road
Menomonee Falls, Wisconsin  53051
United States
Contact: Greg Haag
414 375-2992 ext. 1118


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Telemedicine services have quickly become an integrated part of every medical practice and institution, are lawful in every state, and paid for by most payer types, including shared health plans, casualty, and workers compensation. This amazing technology offers realtime, audiovisual communication, evaluation, and treatment (by physicians and qualified healthcare professionals) in every specialty and in every state and expands the limited reach and capacity of our dwindling healthcare provider population, while at the same time facilitating access to quality medical care in remote and rural areas. 

As with any new technology, there is a learning curve and an adjustment period, wherein the service may be provided but guidelines and requirements may not have yet been adequately instituted to ensure fair and equitable access and reimbursement. Although payers like Medicare, Medicaid, and commercial plans may have determined coverage and guidelines, payers that may seem less affected (shared health plans, casualty, and workers compensation), may run into compliance issues with new technology that may be incorrectly interpreted as qualifying for reimbursement as a telemedicine service. As auditors and investigators, it is our privilege to ensure the guidelines and regulations, surrounding this new technology, are adhered to and that access to it is appropriately monitored to avoid abuse while still facilitating improved health outcomes. 

In this presentation, we will review the capabilities and limitations of Telemedicine, take a deeper dive into the various payer rules and regulations that govern its use, and review ways to audit and investigate services for compliance purposes for payer types. 

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