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Telehealth Billing and Coding

You'll be able to select correct telehealth CPT/E&M codes, apply the right modifiers and place-of-service codes, and document visits to withstand payer review.

What this track covers

This track covers the coding and documentation mechanics specific to virtual visits: service-specific CPT and E/M selection, telehealth modifiers, place-of-service requirements, and how Medicare, Medicaid, and commercial payer rules diverge. It's built for clinicians who deliver care remotely and need their documentation and coding to hold up to payer scrutiny.

What you will practice

  • Choosing the correct CPT/E&M code level for a given telehealth encounter type
  • Applying telehealth modifiers correctly for the payer and service
  • Selecting the right place-of-service code for virtual visits
  • Structuring documentation to support the billed service and reduce denial risk
  • Distinguishing Medicare, Medicaid, and commercial payer telehealth requirements

Simulator scenario

A returning patient requests a virtual follow-up for a chronic condition, and the clinician must choose the visit type, modifier, and documentation approach that matches the payer's telehealth policy.

Board question topics

  • Telehealth modifier selection
  • Place-of-service coding for virtual visits
  • Medicare vs. commercial payer telehealth policy differences
  • Documentation requirements for telehealth E/M levels

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