Toni Elhoms
Session 1: 2025 Telehealth Updates
Live - February 26, 2025
Time - 1:00 PM ET
Duration - 60 Mins
There have been unprecedented changes to the rules and regulations for Telehealth and Telemedicine services since the Public Health Emergency (PHE) ended last year. When the PHE expired on May 11, 2023, MANY rules and regulations were impacted including reimbursement rates for Telehealth and Telemedicine services. Many healthcare organizations continue to struggle with navigating the complex Digital Health reimbursement landscape. This session will provide you with the information needed to maximize Telehealth and Telemedicine services within your organization, compliantly report the services for reimbursement based on the 2025 updates with specific emphasis on the recent regulatory changes. This session will be led by an internationally known and recognized digital health implementation expert. This webinar will give you a deeper understanding of the fundamentals so that you can implement and operationalize Digital Health services post-PHE, understand various reimbursement pathways, and know which insurance companies provide reimbursement in 2025.
Webinar Objectives:
Navigating the complexities of Telehealth and Telemedicine reimbursement can be tedious and time-consuming because the rules and requirements are enormous. CMS and commercial insurance payers regularly present policy changes and notice of material changes to their Telehealth and Telemedicine coverage and reimbursement policies.
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Session 2: 2025 Coding Updates for Behavioral Health
Live - February 28, 2025
Time - 1:00 PM ET
Duration - 60 Mins
Each year there are significant coding updates that affect Behavioral Health billing, coding, and reimbursement. These changes can have a significant impact on behavioral health providers and organizations of all sizes. Diagnosis code changes take effect on October 1st annually and CPT code changes take effect on January 1st of each year. It is imperative that your organization understand what the behavioral health coding changes entail, the reimbursement impact, and the new clinical documentation requirements associated with these codes in 2025. Understanding the many updates is critical to reporting behavioral health services compliantly and obtaining the proper reimbursement for your organization’s services. This webinar will provide you with the latest information needed to successfully navigate Telehealth regulatory compliance in 2025, discuss strategies for maximizing reimbursement, unpack the many clinical documentation requirements, deconstruct Behavioral Health case studies, share best practice tips, and so much more.
Webinar Objectives:
Navigating the complexities of Behavioral Health Telehealth coding, billing, reimbursement, and regulatory compliance can be tedious and overwhelming. The current method for reimbursing Behavioral Health Providers operates as a pay-and-chase model, meaning you get paid for services under the presumption that the Provider represented the services they rendered accurately and in accordance with various regulatory requirements. When Behavioral Health Providers bill for services, they are reimbursed on a good-faith basis with the expectation that clinical documentation supports the services reported. This pay-and-chase model creates a false sense of security for Behavioral Health Providers who mistakenly assume because they got paid for something means they are doing everything compliantly. This assumption could not be further from the truth. To make matters worse, many health insurance payers routinely implement policy changes to their Behavioral Health Telehealth service lines regarding coverage and reimbursement policies.
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Session 3: Navigating the 2025 Medicare Care Management Updates
Live - March 03, 2025
Time - 1:00 PM ET
Duration - 60 Mins
Care Management services allow healthcare providers to monitor and manage their patients in real-time leveraging technology and communication tools at a distance. The CMS (Centers for Medicare & Medicaid Services) continues to invest and promote care management programs in healthcare. The underlying objective for care management services is to improve quality of care, increase positive outcomes, and reduce hospital readmission rates. The overall goal for these services is to improve quality of care, increase positive outcomes, reduce hospitalization and readmission rates. Reimbursement and reporting rules for these services are enormously complex including significant updates in 2025. Since many of the care coordination and care management services are time based, tracking service time is critical for compliant revenue cycle operations. This webinar will drill down into the 2025 Medicare Updates for care management services extensively, highlight the key differences between the various care coordination services available to providers, and provide you with tangible information that can be put into action immediately.
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Care Management billing and coding rules and clinical documentation requirements are complex and require ongoing education, monitoring, and oversight. Robust clinical documentation and a solid operational infrastructure are paramount to the vitality of care management programs in healthcare organizations.
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Session 4: 2025 PECOS Updates
Live - March 05, 2025
Time - 1:00 PM ET
Duration - 60 Mins
The process of enrolling and revalidating with Medicare as a provider/organization can be confusing and overwhelming. The cost of getting your Medicare enrollment/revalidation wrong or missing a deadline can have systemic consequences on an organization, including credentialing issues, coding issues, denial issues, patient satisfaction, and even impact quality scores. Medicare is revamping their Provider Enrollment Chain and Operation System (PECOS) portal to streamline provider enrollment and revalidation, ensure faster processing of Medicare applications, simplify group management, allow for application tracking, and so much more. In this webinar, we discuss the brand-new Provider Enrollment Chain and Operation System (PECOS) updates, unpack the different enrolment types and how to know which type is appropriate for you, and know what ancillary documentation is needed with PECOS submission, applicable fees, common errors, and best practice tips for 2025.
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Medicare is revamping their enrollment portal PECOS for the first time in over ten years. Understanding how to navigate these complex changes can make all the difference in your organization’s cashflow. In this session we will discuss the various enrollment types, supplemental documentation to include with PECOS submission, applicable fees, challenges, and so much more!
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Who Should Attend?
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer, is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She is frequently an expert and consulting witness in civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosted the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.
