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Telemedicine and Medicare: Requirements, Billing, Audits, and Pitfalls

https://youtu.be/c8yviaxSQio Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss telemedicine medicare requirements, billing, audits trends, and pitfalls, including: [00:00:00]: Medicare Paying for Telemedicine[00:02:29]: Medicare Location Requirements: Where Should a Physician Be?[00:05:04]: Medicare’s Audit of Telemedicine[00:07:41]: Proper Billing of Telemedicine Services[00:08:37]: Medicare’s Telemedicine Billing Rules[00:10:40]: Telemedicine Pitfalls: Third Party Billing[00:12:24]: Federal and State Telemedicine Law: Who Pays the Physician? Contact Frier Levitt today to speak to an attorney...

Parity Laws: How Physicians Can Be Reimbursed for Telemedicine

Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss telemedicine parity laws and how physicians can be reimbursed for telemedicine services, including: [00:00:00]: Payors Paying for Telemedicine Services[00:00:25]: What is a Parity Law?[00:01:49]: Physicians Getting Paid the Same for Telemedicine as They Do for In-office Visits [00:03:13]: Physicians Pushing Payors to Pay for Telemedicine Contact Frier Levitt today to speak to an attorney.

What is Telemedicine?

Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss what telemedicine is and requirements for telemedicine, including: [00:00:00]: What is Telemedicine?[00:00:46]: Does there have to be a pre-existing Doctor-Patient Relationship?[00:01:31]: What should a physician do to learn whether they can get paid for a telemedicine encounter?[00:02:25]: Rules for Telemedicine: State vs Federal Law[00:04:07]: Originating Sites[00:05:37]: Telemedicine Requirements: Secure Platforms[00:06:37]: Are there platforms generally available? Contact Frier Levitt today...

OIG Report Shows Physicians Fail to Appeal Payment Denials 99% of the Time

An extraordinary recent Office of Inspector General (OIG) report provides objective evidence that physician groups are owed billions. As Provider advocates, Frier Levitt challenges improper claim denials by Medicare Advantage Organizations (MAOs) in Medicare Advantage (MA) capitated plans. Frier Levitt has consistently written about how MAOs deny preauthorization and claims for payment in order to increase profits, all at the expense of beneficiaries and providers. Skeptics would say our pro-provider...

PBMs Targeting Manufacturer Coupons and Copay Assistance in Pharmacy Audits

PBMs have increasingly begun targeting the usage of manufacturer sponsored coupon programs and copayment assistance programs in both desktop and on-site audits of pharmacies. As a result of these audits, PBMs are alleging discrepancy findings, and recouping money from pharmacies, based on a number of different factors, including, but not limited to, the usage of a coupon on a non-FDA approved drug. Of course, there are certain limitations on when...