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Improving Your Urology Practice

Neil H. Baum, MD, is a Clinical Professor of Urology at Tulane Medical School in New Orleans, Louisiana. In this series, Dr. Baum presents quick tips on a variety of timely, relevant topics for the practicing urologist.

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UPDATED – Billing and Regulations for Telehealth During COVID-19

Mark N. Painter, CPMA, managing partner of PRS Consulting, LLC, CEO of PRS Urology Service Corporation and the Vice President of Coding and Reimbursement Information for Physician Reimbursement Systems, Inc. (PRS), and CEO of Relative Value Studies, Inc., gives an in-depth guide for how to bill for telehealth visits as they increase during the COVID-19 crisis. He gives background information on current telehealth and telemedicine regulations and billing, including CMS (Medicare & Medicaid), as well as detailing temporary changes to the Stafford Act that have been enacted during the current coronavirus pandemic to accommodate the increased number of remote visits. Mr. Painter further details relevant billing codes and requirements for getting them approved, circumstances where co-pays may be waived, as well as requirements for treating new patients. He also covers the current situation and possible changes to multi-state practitioning as it relates to distance treatment.

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