2025 Coding Updates Series – Understand Latest Changes In Telehealth, Behavioral Health, Care Management, Pathology & PECOS

Session 1: 2025 Telehealth Policy Changes
Available On-Demand

Since the end of the Public Health Emergency (PHE) in May 2023, Telehealth and Telemedicine services have undergone significant regulatory transformations, particularly affecting reimbursement rates. Many healthcare organizations are still navigating this evolving landscape. In this comprehensive session, a globally recognized digital health expert will guide you through the 2025 updates, focusing on practical strategies to optimize Telehealth use, ensure compliance, and secure appropriate reimbursement. Gain clarity on the foundational aspects, recent policy changes, and which payers are covering services in 2025.

Key Learning Points:

• Master the differences between Telehealth and Telemedicine
• Distinguish synchronous from asynchronous technologies
• Identify 2025 payer coverage and restrictions
• Understand required operational infrastructures
• Explore grant funding opportunities for Telehealth
• Review regulatory considerations for Telehealth providers
• Learn documentation, CPT/Place of Service codes, modifiers, and compliance best practices

Session 2: Behavioral Health Coding Updates for 2025
Available On-Demand

Annual updates to diagnosis and CPT codes greatly influence Behavioral Health billing and reimbursement. These changes take effect on October 1 and January 1, respectively. This session will address new clinical documentation standards, coding changes, and compliance practices required in 2025. Discover how to avoid missteps in a “pay-and-chase” reimbursement environment where payment is often made before documentation is reviewed.

Key Learning Points:

• Breakdown of major Behavioral Health coding changes for 2025
• Understanding new diagnosis code guidelines
• Review additions, deletions, and revisions in 2025 codes
• Identify required documentation updates and workflow adjustments
• Review clinical examples to ensure accurate application
• Best practice strategies to maintain compliance and maximize reimbursement

Session 3: Medicare Care Management Changes in 2025
Duration: 60 Minutes

CMS continues to enhance its support for care management services to improve health outcomes and reduce hospitalizations. In 2025, these services have undergone substantial billing and documentation updates. This session will examine time-based care coordination codes, discuss the distinctions between services, and offer actionable strategies to align with new Medicare requirements.

Key Learning Points:

• Review 2025 coding changes for Chronic Care Management (CCM) and Principal Care Management (PCM)
• Examine updates for Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM)
• Discuss necessary documentation and billing modifiers
• Clarify differences between PCM/CCM and RPM/RTM
• Equip your team for efficient care management operations and documentation

Session 4: 2025 PECOS Modernization and Enrollment Updates
Duration: 60 Minutes

Medicare’s Provider Enrollment Chain and Ownership System (PECOS) is undergoing its first major update in a decade. This session will help attendees understand the latest enhancements, enrollment types, documentation requirements, and compliance considerations critical for accurate and timely Medicare enrollment and revalidation.

Key Learning Points:

• Review new 2025 PECOS features and processes
• Understand individual and group enrollment procedures
• Navigate reassignments and revalidation workflows
• Learn to avoid common submission mistakes
• Discover documentation needs and compliance tips for smooth PECOS transactions

Session 5: 2025 Pathology Billing and Coding Update
Duration: 60 Minutes

Accurate coding for pathology services—spanning surgical, cytological, molecular, and anatomical procedures—is essential for proper reimbursement and compliance. This session provides detailed insights into the latest 2025 pathology coding changes, documentation requirements, and how to overcome common billing challenges.

Key Learning Points:

• Review major pathology coding changes for 2025
• Understand category-specific updates (surgical, molecular, cytopathology, etc.)
• Identify required documentation for each pathology type
• Troubleshoot common billing and compliance issues
• Implement best practices for accurate and efficient pathology coding

Target Audience:

• Medical Coders & Billers
• Credentialing & Enrollment Specialists
• Revenue Cycle Managers
• Practice Managers & Administrators
• Compliance Officers
• Contracting & Operations Leadership
• Healthcare Providers & Medical Societies