June 2025 CCO CE Webinar - Is Telehealth Changing The Medical Landscape

June 2025 CCO CE Webinar – Is Telehealth Changing The Medical Landscape

welcome everyone Hey Alicia Hi everyone We were just saying in the pre room that everyone is so well trained They’re all telling us where they’re from So that’s right How exciting Yeah Cynthia from Georgia Elaine from Alabama Tina from Florida hello Hello Floridaian Kathleen from Washington San Diego California We get some really unique places I have to tell you Loren it’s been you know it’s fun Utah Gabriella Yeah And we like seeing names that we’re used to seeing again and again And we unlike you guys we can see where you’re coming in from as far as what platform So we are on LinkedIn Facebook YouTube Instagram and Instagram X Oh I didn’t know we had added X Okay Oh that’s fun So we have um using Streamyard the ability to see comments from three of the platforms YouTube um Facebook and what was the third one oh and Streamyard itself all the rest if you’re posting comments we will eventually see them but we might not see them tonight So um if that’s important to you I’m gonna I’ll put the link to um the Streamyard if you want to join us there Um it’s free for everybody to watch For those that are our CCO club members uh your CEU will be available in the club area You do have to log in and take the quiz Um so you can do it after the live event or you know whenever you’re ready in the next couple of days Um it’ll it’ll be there for you If you are not a club member and you are interested in getting that CEU and lots of other CEUs and all of the support that comes with being a club member um then you can go to uh CCO us and check it out It’s only about 25 bucks a month So it’s a very good value we think Yes lots of exciting stuff going on in the club It’s um it’s worth it to be in there great place to ask questions a good resource if you’re new to this arena or if you’re established and you just need uh some extra or a second pair of eyes uh to ask a question we’re able to help you with that Yeah And at the uh commercial break in the middle I’ll be showing you um a little bit um about the the club and um something new that we want to um alert you to that’s that’s coming and give you an opportunity to um get early access if you’d like Um so I’m going to be the the host tonight My name’s Loren if you this is your first time here And um Alicia is going to be the presenter tonight I’m going to be kind of monitoring the chat and helping answer your questions If you have any questions about CCO or you know coding in general or a career in medical coding or billing um please feel free to ask And we do this particular webinar for our club members once a month but we broadcast it publicly so everyone can benefit from the content But the CEU and the um support materials the we have handouts and uh full transcript of everything that’s available in in the club along with Tina Tina says “I just became an annual member and I’m so excited.” Congratulations Tina Great to have you Tina you’ve been with us for a long time haven’t you because I I had seen yours come through today because we’re we’re working on the new system everyone getting set up automatic I I said I know that name that name I think from like seven years ago it said Oh yeah Yeah Elizabeth it’s real easy to join the club Um you can get more information by going to cco usclub and we’ll have that um uh we’ll mention that a few times today Yeah So uh know that it’s it’s um we’ll give you a good resource to to check in Yeah Um all right Alicia let’s go ahead and pull up your slides We’re I am presenting I think So it may be on another one of your screens Is it if it’s not I’ll stop sharing and share again Um oh I know it’s a me issue Yeah Loren is uh she’s she’s uh she’s often with us but she’s usually doing some things in the background Today she is driving and um it is a lot of moving pieces to have to sit in that seat again Uh so you’ll have to be patient with her and I’m sure you’ll have to be patient with me because I tend to paddle on as you guys know We’re going to go ahead and get started Uh one of the things that Lorine already stated is that we have every month a CCO club webinar So I want you to know that you can tap into CCO and you can be alerted about those webinars every month if you’re a part of the CCO club And Lorine is putting that link in the chat for you guys Um I encourage you to do that and that way you’ll never miss one of our free webinars This month is June So June we are covering and I just realized it wasn’t on this slide it’s on the next one So see how patient you’ve got to be with me Um is tellaalth changing the medical landscape now I know you guys remember if you have been to a lot of our presentations we’ve talked about tellaalth quite a bit lately and just previously a few months back we had talked about the new teleaalth codes we are not going to do that tonight that’s not what this presentation is about however you can absolutely go on YouTube and um check out some of our previous webinars or in the club of course you’ll have easy access You’ll see that full presentation and you get the transcript and all the other uh perks that come with the club Today what our thought process is by mentioning this or doing another tellaalth video is to say that you know teaalth has changed the way a lot of doctors are practicing medicine It has opened the doors and given opportunities for patients to get specialty care and some unique scenarios that you may not have been aware of and I think it’s very important that you broaden your horizons look at what the options are in teleaalth because it’s not going away Now is it going to change absolutely It literally takes an act of Congress to get us uh to maintain what we’re able to do in teleaalth right now Uh and we always let our clinicians or providers and everybody know that right now we’re able to do teleaalth in the format that we have been doing it but that can change in the future and we’re hoping that it stays if either as it is being done now or broadened because it it is such a um it what it does is it allows us to have access to medicine in ways that we’ve never had before and it’s been so beneficial not only for the patients but also in addition for the clinicians So in my opinion it is truly impactful and one of the main impacts is that it has changed access Now I know that many of you think well you know first of all one of the the major reasons we don’t get to the doctor that often is because we have to find time We got to get to the office We’ve got to make an or we’ve got to make an appointment first And it’s usually kicked down the road if you have if you’re PCP is uh extremely busy If you live in a smaller town like I do uh you know almost every PCP is no longer taking patients because they are full However if you’re amunable to doing teleaalth what works great about that is it o allows them to see more patients in a shorter amount of time Now we’ll talk about that briefly but uh think about it You make your appointment you’ve got to get there uh you have to maybe find child care or you’ve got to take a day off at work Um and because if you’re not sick sick and you just need routine chronic care management right and uh so you might be taking off for work and then you got to sit in the waiting room and sometimes you’re sitting in the waiting room with other sick people I was just in urgent care the other day with my son because he couldn’t get into the PCP and you know it took the entire day We were over two hours in the waiting room and everybody was sick So I had to be there with a bunch of sick people So what does that make you think right you’re going to get sick Well then you see the the doctor and then uh you have to uh worry about prescriptions and so on and so it it knocks out your entire day if you have to physically go in and see a provider However uh what if you don’t have reliable transportation what if you again don’t have the ability to take uh extra time off at work because you’re not sick at this time i hate it Every six months I have to go to the doctor because I have maintenance medication that I have to take So it just you know really gs me to think that I have to go to the doctor when I’m not sick But you know what my doctor won’t fill my prescriptions if I don’t come in and see him which is understandable in the way it should be But I complain about it a lot And uh and I have a relatively um free schedule My children are all adults I can’t imagine how hard it is for some people or I no longer remember how hard it is to have children and having to get them in and out of the doctor Remote monitoring uh is given us tools to in uh enhance patient care delivery Um think about the the the uh device the Dexcom and then there’s other um you know devices different uh companies but Dexcom is the one you see a lot is a digital device that you put on your arm when you’re diabetic that can remotely monitor your uh blood sugars And what a game changer that has been And because of that you can tap in to uh remote monitoring and and send that information all to your provider There’s hybrid care models that integrate both virtual and in-person visits that are wonderful And then we have uh the ability with teleaalth to to take care of that shortage of of providers uh there’s just not enough family practitioners uh that you know the family practitioner quite honestly doesn’t make as much money as going into a specialty and um they’re very very busy So you know it’s not always the avenue that new clinicians want to to go into So being able to use not only doctors but nurse practitioners and uh maybe have some more integrated uh clinicians fill in and do some of that process with the integration of virtual and in-person as well as cover uh when you aren’t necessarily a sick visit So because again rural areas are hard to find um doctors it also means that teleaalth opens up an avenue for specialists that might not be available in a rural area It really expands access and overcoming those geographic barriers And again I love seeing where everybody’s at when they log in That’s a lot of fun But um I don’t know how many of you guys see roads like this but I’m surrounded by roads that you you’re seeing in this image This is a very very common site where I live And it is true what they say Dr Gloffen Flecken I believe is the one that makes the funniest um remarks about rural offices and providers and how the uh farmers won’t go to the doctor right they’re probably more likely if they know that they can do tellaalth so there is some geographic barriers the rural areas uh for access to specialties we have a big university teaching hospital that is an hour away from where I’m at but they now um have all of the major PCPs in my area So not only do I get access to my uh PCP but if I need to go to a specialist a cardiologist endocrinology and I don’t need to physically be there I can have blood tests done at my local office and then I can have teleaalth done for these specialties and then they get all my lab work and everything right there Well that saves me from from a 2-hour drive an hour two and an hour back and again waiting and trying to get that time slot in to uh be able to travel and make those appointments when you have a a child uh as you guys probably remember some of you that I have a son um that has special needs and some unique diagnosis And so he sees a lot of specialists and this is brilliant especially when you have a child that doesn’t do well sitting in waiting rooms Homebased care reduces need for in-person visits That’s kind of a no-brainer Tellaalth right but the virtual appointments offer scheduling flexibility and I think that’s probably the best outcome for many of this Uh my son just had a telealth visit uh recently with an endocrinologist and I was able to do my routine visit that six months you know they make you go uh twice a year to get refills and via teleaalth So I was just able to schedule it during my lunch break It was absolutely wonderful I wanted to give you a little bit of history too to help you understand that tellaalth isn’t new Now when we think of teleaalth we think well you have to have a telephone but that’s not actually uh true We’ve been doing a the ability to do kind of remote monitoring for a very long time Uh actually in 1905 this particular uh scientist transmitted heart sounds from a hospital to his laboratory using the telephone Now that sounds like when you look at 1905 you think what what was going on back then Well 1904 was the world’s fair in St Lewis and it was amazing all the new technology that was being brought and shown at that time and this was a year after that So again technology was growing even back there beyond what we probably think of because we feel like we’re so advanced uh in 1910 just five years later the first American electroc cardiorgraph review described the successful transmission of ECGs through cables again 1910 they were still wearing corsets at this time and long flowing skirts and we were able to send um uh you know a heart rhythm uh that far Now in 1959 the University of Nebraska pioneered a two-way video communication for medical education considered the first realtime video use in tele medicine This is 1959 This is before I was born Isn’t that brilliant you know so uh again tellaalth is not a new concept and it uh was happening before we had uh the advanced technology that we think of today as sitting in front of commuters computers and um u cameras and things Now let’s go one more year into n the 1960s NASA and the Indian Health Services launched a large-scale tele medicine project such as the and I think this is StarPac is the way they say it initiative to provide health care to remote areas and astronauts Now you can’t get much more remote than some of the Indian health services that are out there Um if you guys have there’s some great movies and historical uh documentaries about how medicine was practiced in during that time and it’s pretty exciting So uh again and now we’re talking about NASA working uh and we do that today What we’re learning in their ability to do teleaalth is going to affect our uh going to the to Mars someday And then the late 20th century universities and hospitals expanded tele medicine for academic and clinical purposes transmitting excuse me transmitting medical data like X-rays and ECGs If you had a specialty that you wanted to go into but you didn’t want to say go to India or go to you know uh Papa New Guinea and you but you wanted to study this particular type of medicine as a um as an addition to what you were already studying uh and get that information it could be done through tea medicine and that transfer of information So that’s really really exciting and think about it in our lifetimes what we’ve gone through in the advances and the ability to be where we’re at today and the use of tele medicine and tele medicine is more than just being on a telephone whether it be a smartphone or not I a few years ago I was able to sit in on a lecture actually it was probably more than a few years ago I think it was about 10 years ago and it was in Texas and the uh it was talking about tele medicine I was blown away when I found out that they were using tele medicine in Texas prisons they were beta testing the ability to and what level they could provide services So again think about why this was the perfect way and u beta testing platform One it’s very expensive to a and uh uh not only for the taxpayer just expensive period uh to be able to take a patient that was incarcerated into the uh in a healthcare setting And uh because you have to you you need a minimum of two people Somebody has to stay with a patient you know uh at all times and uh what happened if that patient needed a specialist then you had to physically drive that patient to a university or city and when a person’s incarcerated all of their care is covered there you know it’s required by law to take uh care of them and so uh they it would be wrong you’re not allowed to withhold services just because there’s not a cardiologist a a cardiologist that works in a special type of valve replacement that the patient needs uh because they’re incarcerated Back in 1994 Texas Tech University Health Sciences Center began providing tele medicine service to inmates marking one of the earliest largescale implementations in correctional settings Now again this was about a decade ago when I was able to sit for this lecture and they gave a video of how it worked u HIPPA compliant and everything but they had what looked like a movie theater room all set up with an operating type room for procedures to be done Um and it was really science fictiony looking is if that’s a word Uh extremely high-tech And I don’t remember which um institution it was but I do know that it was connected with the University of Texas and Baylor Scott and White I believe And so uh what they were doing is remote monitoring They had an RN there and she would do all of the procedures or anything that needed to be done at the direction of the um uh physician and would be able to transmit all the information as well as having the the doctor on this big screen And this worked for specialists as well as regular uh visits and so on and so forth So now the specialist didn’t have to come to the institution and the uh patient didn’t need to be transferred for the institution especially when you’re monitoring chronic conditions It was brilliant and it saved a lot of money Um they found back when they were doing this that uh it was uh being again being beta tested but it was working so smoothly that more money got funneled into it and it got out of the beta testing phase and this was quite honestly before the rest of mainstream medicine realized that teleaalth was a thing to be quite honest So today they conduct over 4500 annual tele medicine consultations for approximately 32,000 inmates across 21 prison units And the University of Texas medical branch also partners with the state to deliver care via tele medicine A win-win situation across the board on many avenues And I think that um you know Texas is the one that I know about uh but I do believe that other states have implemented this You could probably do research to see if your state is using tele medicine in the correctional system and I suspect that they are One of the or a few of the key impacts that uh this work being done in the Texas prisons was it reduced costs and transportation The tele medicine really eliminated the need to transport inmates to an outside clinic or hospital and it saved thousands of taxpayer dollars per trip because it’s not just the transportation like I said it’s the staffing that’s involved and when um you take a person that is in the prison system into a hospital setting um that is a heightened uh uh alert for everybody at the hospital and it can slow things down uh in the process of care So the patient gets better care uh uh uh you know from the fact that they don’t have to be transported and um uh the care can arrive faster It you have to make special appointments when a person is incarcerated They improved safety and efficiency of course so you treat the imp uh the inmates within the secure prison and the environment reduces escape risks and public safety concerns Now I don’t know statistically how many people have escaped when they’re going to medical um institutions However they’ve made lots of movies about it So you you know and and uh you could see how easy it could be done access to specialists Like I mentioned before the inmates gain access to all of the specialists and it would be on a national level or it could be on a national level uh think about not just the specific specialties but what about psychiatry and psychological services that may not have been available or been able to be provided uh because there was no one to do that work in that particular area And if you’re not aware we just don’t have that many psychiatrists Um it is um I don’t know what the statistics are on that but if you go in and you look say look up your one of your local hospitals you may see one if there is even one on the list Uh standardization of care and legal benefits T tele medicine provided a high standard of care and it reduced the risk of litigation and discouraging false medical claims Um because I do know that happened frequently uh where false claims were filed when an inmate was brought into the hospital and usually it was um um oversight that that allowed that to be happening Real quick I want to take a break and just remind you again if you enjoy our content it’s really easy to maintain a connection with CCO by joining the CCO club You get the replay video you get the slide deck you also get transcripts and in addition after all of that we have discussions about these topics So as I said maybe you’re interested in how tele medicine is different in your state compared to where I mentioned Texas or I’m in Missouri now You know you can we can discuss that and talk about the codes that are being used what payers are and are not accepting the new codes That discussion can be carried on through the CCO club and it’s really easy to find cco us Now Loren wants to break in here real quick Just take a few minutes to tell you before we proceed with the rest of the um lecture some really exciting news about what’s happening at CCL Yeah I wanted to show two things because um people were asking about you know the cost and you know what what do you get with the club besides the CEUs So I’m going to share the way if I need to stop sharing just let me know Uh no I think once I Oh maybe that is what it is Let’s see Okay Stop screen Oh I see I had to stop and share again Seeing Loren and I next to each other I’ve got to get a better screen saver behind me Right Doesn’t that look good behind her cuz my office has all those paintings and it just kind of looks even though it’s blurred it looks kind of cluttered All right Well I’m going to do two shares This first one is um this is the the community area So you can um be a free member you can be a club member you can be a student This is where we all kind of gather and come together What I wanted to show you is um what’s going on in the club area So this is where we get a lot of questions I was busy answering them before the um the meeting And let’s see if I can find one here Oops Oh great I’m not even signed in myself There we go Okay Okay so this is a question that came in today and uh Beverly was asking about um use of moderate or deep sedation and she’s basically wanting to know what are the exceptional circumstances to where um this could be you know coded So this is I went and I did research and vetted it and this is the type of response that we’re we’re giving very detailed um footnotes references So and I have one person let me see if I can find that one because that is like really they ask a lot of vascular VIR type questions and I go in she’s making me do my homework Let me see if I can find a good one here And you know that is one of the benefits is that all when you’re a club member you not only have the ability to ask questions but you can go back and look at previous questions by you know putting in some some Yeah the correct verbiage This it you what you’ve asked may have been asked before Yeah And we do have a free form area but where we’re going to step in Alicia and I and Darcy and and Sylvia we’re going to come in and um we’re going to answer the questions for the the club members first Um and normally all we ask is don’t have us do your coding for you Let us know what you’re thinking like what how you’re thinking it should be coded but you just want some clarification And Beverly is always like “Okay my provider’s putting this but I think it’s that.” and she’s often right and it makes her feel validated and she can go and give some of the rationale that we’ve provided So this is a very big um benefit of the club So I just wanted to show you that Now this is our current layout um with all of our courses and our our blitzes We we put the bat method in here for the bubble highlight annotate technique videos Um you know the club I showed you replays this this webinar will be on the replay list and you can go in and go into your um grade book and take your little quiz and get your CEU certificate So that’s all um baked into here But we’re going to be rolling out something new Forums are great but they’re not um as mobile friendly as we’d like and that we think that’s kind of important So we’ve been working very hard behind the scenes creating a new a app that we can all go to that will show up on our phones or the web You can still do the web So I just want to give you a preview of it And if you would like we’re we’re not probably going to launch it until mid July but if you’d like to get early access um we want to honor our club members that want early access and even the new ones who come and watch these these videos and enjoy the content and getting to know us you know um request that early access for the free area and we’ll we’ll go ahead and get you started and you know you can help give us your feedback and let us know that everything’s working Okay So let me stop sharing and I’m going to reshare a new one And we do appreciate your feedback There is a lot that goes into this but sometimes you just and Lorine is always saying this sometimes you just need to have that uh you know outside look have another pair of eyes look at it from a user standpoint and you get kind of nose blind when you’re when you’re looking at these and creating them So again we we are excited for you guys to try I’m so excited about this So this is our our pretty new app We’re going to be calling it CCO Academy So the the old site’s going to be called community but this is the the academy community So it’s where our students hang out where our club members hang out where you know people from the public hang out Like everyone is welcome to come in here Now I have it in dark mode I’m a fan of dark mode but you can um change it by just switching and you can have light mode So I’m going to keep it on dark mode because that’s what my eyeballs are used to And the way it works is right up on the top is the is the free area So we’ve got the open discussion area where um these are where all the the posts will show up It embeds video like a dream It’s wonderful You can you know it’s very it looks very similar to Instagram and those kind of things where you can do the little heart in the likes and the comments You just click on the comment bubble and you can you know start um right away So you can see we’ve we’ve really filled it up We’ve got lots of goodies waiting for you Um we have the ability now to put all of our calendar events in very easily So you know this is our club webinar but for you know the free webinars that we do they’ll they’ll show up here in this area And then the next grouping is our club area So we have um all of our topics and discussion We’re just getting started We’re not going to copy all the old stuff over So as new conversations start here this will this will build out And then you can come here and all of the replays are are listed here The and we separate them by the ones that are attached to a CU So as as soon as you watch the video you can click the link We are keeping our exam and grade book structure from the the um older site because it’s we it’s working really well and you get the nice uh pretty certificate that you can print out and and use with um either uh QPro or AAPC or AHEA And then this is where we’re putting all the club events like tonight’s event That’s what this is here So you’ll get all these reminders of of all the different webinars that are going on so you won’t lose track And then we’ve got um all of our ancillary courses listed our core courses and our review blitzes are all housed in here And you’ll notice some have a padlock and some have a a dot So this particular user is our demo user Uh and this demo user has signed up for medical coding physicianbased And then um she can see okay she’s completed eight of her 34 lessons And I’ll just go down to just like this module here And you’ll see we’ve got Alicia here doing chapter one And it tell here’s the slides you can click on and download you can read the transcripts It just tells you everything to do step by step and then at the very end you know taking your um your exam So it’s it’s very uh very very user friendly Now if you have a padlock it just means that’s something that you haven’t purchased So you know if you click on it it’ll it’ll tell you about it and say “Oh if you want to enroll click here.” So another way to access everything is you can click on events up on the top It’ll give it to you in a calendar view So this is what we’re doing tonight You know you can easily jump around if you want to see all of the courses that are available We have a ton in here Um you can decide well show me the advanced one We’ve got an advanced coding course We’ve got ancillary courses like um the pharmarmacology course pathophysiology We’ve got the um certified patient navigator course That’s the qpin one That’s um brand new fairly brand new We got our CEU replays our core courses So anyway we’re we’re very excited about this I’m going to turn it back over to Alicia so she can continue but I’ll also put a link up that if you go fill out the form we’ll put you on the early access to um invite you in and you can you know give us feedback see if there’s any bugs in it that we need to work out We’d really really appreciate it So thanks for letting me jump in Alicia Sure It is such exciting news So we do appreciate you letting us um um do that little sponsor ad Uh as we move on one of the things that I think is important for us to understand how Tela Health has changed the landscape um of medicine is that we can look and treat and maintain chronic diseases Uh think of how many people have hypertension You know hypertension for some is not something that is going to be uh severe However for many people especially if you have other diagnosis it’s very problematic And if you don’t keep hypertension under good control it starts affecting other body systems especially the kidneys That’s why when we code there’s a causal relationship between hypertension and CKD as an example Uh and uh as well as CHF So the ability to monitor and make sure that something that’s as common as hypertension is uh under good control with tele medicine that can be a gamecher for some people Um it’s been really effective with managing chronic conditions as well as hypertension like diabetes cardiovascular disease and COPD Now these are ones like hypertension that are game changers If they are not under good control then other body systems can um start to be affected and can crash on you What is um really important with diabetes making sure that your A1C is staying and maintaining at a good level it when it doesn’t then that’s when people end up in the ER and we don’t want hospitalization So if you’re able to use tele medicine to tap into that provider to go in and maybe get some lab work or now like I said with that Dexcom and other digital devices that can allow you to send that information to the clinician and they say “Hey do I need an appointment?” uh because these are what my numbers are running and they say yes okay let’s have a tea medicine let’s walk through this and it could be as simple as let’s talk about what you’re doing what you’ve changed you know what you just told me that you’ve been eating out a lot and that uh a lot of times eating out will be higher in sugar higher in carbohydrates of course but salt so that can affect your blood pressure what if you say you know say well you know I haven’t had a lot of time so I’ve been eating a lot of canned soup Canned soup has lots of sodium in it Something as simple as that that they can talk you through Or what if you just need to see a dietician to get back on track to maintain your eating goals not only for these different diseases that we’ve mentioned but also a good healthy weight uh patient satisfaction It’s been a gamecher for patient satisfaction as well It it shows uh as in the research that uh with teaalth they’re able to um maintain a higher level of satisfaction in-person vis versus in-person visits particularly when providers are familiar with the patient’s history So uh again you may not have been aware or you may not be aware that our providers are graded on patient satisfaction Some of the payers that that’s built in to the way contracts are written with them And so when they get bad reviews it affects them And um patient satisfaction is really really important and how better to maintain p patient satisfaction when chronic conditions are being uh monitored and stabilized Now since for about 20 years I would say uh mental and behavioral health has been in the forefront We’ve been making great strides to improve and take away that stigma that mental and behavioral health has With that being said one of the best ways to provide a visit and ongoing care in mental and behavioral health is to do it via teleaalth in a more uh which allows probably a more intimate um uh and uh quiet atmosphere in a place that a patient is comfortable versus having to go to another location and people seeing seeing you go in and out of a particular building that they know mental and behavioral health is being done Uh or that’s one of the stigmas but still just having the ability to tap in and say “Hey I need an appointment right now Can you get me in within an hour?” Yes because tellaalth allows that to happen So greater satisfaction with mental and behavioral health has statistically been going up Technology is improving Now we know technology changes the landscape of medicine and uh some of that’s based on the statistics that are gathered for uh uh p diagnosis and the therapies and treatments for those being linked So those CPT codes those ICD10 PCS codes being linked to the ICD codes which allows us to track the statistics of what therapies and what technologies happen uh and make improvement That’s how we know and you start seeing more and more say robotic surgeries versus laparoscopic and open surgeries Now you have the ability to do laparoscopic robotic you know hysterctomies or choleiccasectomies which makes the process more precise and goes faster quite honestly Uh so that’s benefit for a patient not having to be on the table as long So things like that technology we are well verssed in We know that that is changing the landscape of medicine But remote monitoring and the wearable devices that we’ve developed now like I mentioned uh more than once that Dexcom come and they’re not the only one that provides that It’s just the one I can remember off the top of my head You guys can mention what some of those are in the chat if you want Um or I tell you what what would be great is what are some of the other remote monitoring and wearable devices that you’re familiar with because uh some of us may not be aware of what’s available If you don’t have diabetes or know somebody that has diabetes you may not realize that you have the ability to put this little disc on your arm and your blood sugar is monitored you know uh as is right there Uh there is no delay and that is huge because there’s no more sticking of fingers So think about what that does for children right the technology but that remote monitoring for a child who has type 1 diabetes Wow Right Um halter monitors Absolutely Many of you may have already had testing done with a halter monitor Mobile EKGs And I’m sure you guys have seen those advertised on TV where you can just put two fingers uh from each hand on that little device and it costs less than $100 and you can get what they say is a medical grade EKG to see if you have an arhythmia issue happening That is huge and to be able to have that tap in directly to your provider Again real time monitoring both with remote monitoring and wearables And that has opened up the ability to offer uh other types of medical services that haven’t been available before Remote monitoring is a business in and of itself and it provides an excellent service not only to the patient but also to the clinician that wants real time uh readings from their patients Uh also AI integration Wow Now if you want to go back and look at some of the webinars that we’ve done on AI I’d encourage you to do so And uh again you can tap into the CCO club to see that But if you also uh even look at our free forum you’re going to be able to see some of the discussions on AI integration and the videos that we’ve done But what we’ve been able to do with AI is triage We’re able to do the diagnostics we are able to set up a workflow automation that we haven’t been able to do in the past and improve efficiency and enable uh early detection of health issues I have to tell you an example that we talk about in one of our more recent AI videos is a study that was done and I’m just going to kind of off the cough cuff tell you about it uh off the top of my head so forgive me if I get a few of the points wrong if you look into it but ultimately what they did is they had terminally ill patients and they were wanting to do these studies on uh you know how fast or or who was going to succumb first you know in or in what order based on the data and the information they were given And so they had your doctors there doing that and then they had the um a AI So they were plugging in the information to both real time you know and what the uh physicians had picked as the next person was not the same as what the AI was picking up Now this has this truly tells you what um remote monitoring does and uh and the ability to connect AI We always have um we have our platforms and our protocols and stuff like that but we also have parameters that we go by and it’s based on what we know what we’ve studied and everything Well we are looking at this box and we can think outside the box but AI was looking at something differently So they had picked the particular person that was going to succumb first or next And AI said “No it’s going to be this other person this other patient.” And they were saying “No everything is is their vital signs everything is fine with this patient in comparison who’s crashing faster.” What they didn’t know is AI was able to pick up the fact that this patient their vital signs simply their vital signs were going down at a slow steady rate that was still in the parameters right so they weren’t thinking over here that anything looked unusual for this particular patient but they but AI recognized that at this rate at this slow decline that this patient would come and it was right So being able to remote monitor and check these um uh and use those statistics to tap into the knowledge that AI can use at a much faster rate than we can We can change protocol in medicine and and tellaalth again that’s probably one of the biggest ways besides accessibility that tellaalth has changed landscapes of medicine There are some hybrid models that I want you to be aware of too Um and uh Cynthia just mentioned yeah diabetes monitors are expensive She has a 11-year-old type 1 diabetic and he pays 3K out of pocket for hers Wow Yeah Uh they are very very expensive I do know that And if you don’t have coverage that for new um uh the new technologies and sometimes there is a gap and having these now what that does though is that allows instant um information to be given on what’s probably type 1 and brittle diabetes and in a child you know it’s it’s a huge gamecher with our hybrid care models We have blended in-person and virtual care So that integration of teleaalth with traditional in-person and um the the hybrid model can be preferable for some patients and providers It allows flexibility and it maintains that continuity of care that sometimes we lose because we don’t have that connection with and that relationship built up with the uh provider Virtual nursing and support is and which can also be AIdriven with uh AIdriven assistants are helping to address staffing shortages which is across the board by handling routine check-ins medication reminders freeing up in-person staff for more complex cases And that’s where that triage happens that we talked about before Provider s shortages And it’s not just um the the doctors the NPs uh and and PAs but it’s also our nurses and the other ancillary staff that goes along in and working with medicine Um I was just talking to a group the other day and they were talking about the tumor registers that people aren’t going into to that arena like they had been in the past and they’re getting ready There’s a big group that has been getting ready to retire So um statistics and AI works really really well with tumor registry Uh that’s very involved and you don’t have tumor registry and oncologist I mean not everybody can go to Mayo Clinic or or uh MD Anderson when they have cancer Uh but via teleaalth you can tap in to those specialists the best of the best uh it allows providers to serve more patients efficiently addressing shortages and reducing the burden of health care systems and that specialty access you know if once you’re in the Mayo system then you can continue to be seen by that Mayo specialist which is huge or connecting uh your uh per your PCP with that specialist documentation has changed because of Tellah health Now there’s always templates and auto text and stuff that can be used but with tellaalth there’s standard documentation and things that have to be covered that you don’t think of in regular visits One you have to have in informed consent and best practice would to have that put in a template Patients location you need to let in the documentation uh know where that patient is Are they in their house are they in a skilled facility are they in the doctor’s office seeing a specialist in another state um where’s the provider located what type of equipment and modalities being used are you using your cell phone are you using an iPad are you using a laptop uh total time best practice is not required However I know for a fact doing audits that especially a lot of NPs that do teleaalth they end up with a lot of level fives because they spend so much time with those individual patients and so not only the regular documentation but the documentation of time uh because we get to pick with ENM which is most beneficial to the clinician uh identifying participants Is this a child and the mother is there is this a person that has a guardian with them uh is there a person that’s translating because they don’t speak English verification of patients identity has to be stated Reason for the teleaalth just like you know the what’s the chief complaint why is the person having teleaalth versus say go to their office visit clinical documentation just standard like you would do a normal uh visit But you also need to put and document limitations These are all best practices and things that needs to be in a teleaalth note And these are things that some of these items are things that we didn’t put in notes before It wasn’t required It wasn’t necessary So a great example of a template that I was able to pull um was uh where it says established patient because we need to know uh with a call-in today for an acute uh signs and symptoms of sinus infection She was worked in uh as teleaalth at her request and she’s aware of the limitations of teleaalth platform She’s located at her home in blank and um uh blank and I am located in my office at blank We utilize the hippaco compliant blank system There’s some standard programs that’s used for tellahalth Um it’s a telealth platform and we are doing audiovisisual uh tellahalth because you got to know if it’s audio only or audiovisisual So again documentation has changed and that has kind of uh changed the landscape Now uh HIPPA compliant platform is necessary uh for tellaalth and we you don’t just pick up the telephone and call your patient We do not know how long the coverage is going to last for tellahalth It literally like I said it goes through Congress and they they now I think we’re into September of 95 uh with the standard right now If it reverts back then you would have to go and have like teleaalth for example at the doctor’s office but you’d be able to do a telealth visit versus um but you have to go in to the doctor’s office And state regulations can vary So be very mindful of that If if for example you’re talking on the club and somebody says “Well we do this for telealth.” Realize that they may be in a different state than you are What does the future look like well as we start to wrap up market growth and adapt uh adoption of teleaalth there is rapid expansion There is devices It has changed the way medicine is practiced by just having these uh programs written You remember when the EMRs were launched and everybody and their brother came out with a new EMR system right and well they still do that Well that’s happening also with platforms to deliver teleaalth and so you want to be mindful of that and not and get one that’s adaptable and works well with your practice future growth Uh we know that analysts are projecting uh the future growth and they’re saying that uh with the teleaalth market expected to expand by 24% annually through 2030 That’s huge And um you know we we say that if you know if we always look at the try to look at the bright side what positive came out of co well tellahalth like I said it’s been out there but it wasn’t utilized to its potential until the pandemic and then we realized we have this tool that we’re not accessing that changes medicine and so therefore uh you know by the time we do get to Mars and can do tellaalth it’s going to be an everyday word that we’re used to So what’s next well it’s fundamentally changing Things are happening very quickly in teleaalth and the medical landscape by improving both access enhancing patient outcomes and driving innovation in care delivery It’s a gamecher and its integration with advanced technologies and hybrid care models position tellahalth as a cornerstone of modern healthcare It is not going away Different ways that it’s covered the different modalities may change However I really don’t think that we’re going to see it go away And it’s capable of addressing a longstanding challenge and shaping the future of medicine in ways we probably still can’t even imagine Thank you guys We really really appreciate you joining us tonight Now I do want to give you a heads up that one of our latest new courses was our Q pin course which stands for qualified patient illness navigator This really goes in with teleaalth because a lot of what’s done as a QIN is done virtually And so this allows uh our clinicians to use G0023 which was a relatively new code that’s been added that um is um an ancillary or an auxiliary personnel can help uh maintain that patient relationship between the the clinician and the patient And um if you want to know more about this course it’s very exciting pretty easy to get through Uh looks great on your alphabet soup with your name Just go to cco usqiny-c course I’m so excited to tell you about it But we’ve got other new things that are happening Loren do you want to talk about some of the the things on this slide and I’ll give us Sure Absolutely Um yeah we have um our internship program is open again Sometimes we get too many and we have to um close the doors but um they’re open We’ve got a lot of exciting um projects that we’re working on So um if you are someone that would like to to join our internship feel free Um lot you do have to be certified Yes Yes The the whole idea is that you um like with the AAPC yet you get that apprentice thing and you um you want to work your A off you can you can uh do an internship with us but we we don’t give you like you know grunt work We give you work where you’re really looking at coding Um sometimes it might be reviewing a transcript like from one of these webinars to make sure that everything was spelled correctly or we got the codes you know correct might be helping uh write the CEU quiz to because you know with all of these webinars with you know CEUs attached you have to have like I think it’s 10 questions for every hour of content so up to a certain amount So uh the coders help with that the the interns help with that Um when we get coding changes we’ll ask them to vet certain exams make sure they’re still current with the latest changes So it’s it’s a lot of interesting stuff like that and um even working on ICD11 stuff which is very exciting because that’s that’s new knowledge So at any rate that’s it for the intern stuff and we still have a monthly webinar um that’s always the last Thursday of every month at 8:00 PM Eastern time Don’t forget that you um you can watch these club webinars free We are educationbased We’ve always been educationbased and we stay in our wheelhouse very well Uh but uh if you do want CEUs then that’s through the CCO club where you get all those extra perks like the the uh transcript and handouts and stuff like that Um you can look at the live uh anytime and we’d encourage you to share with your peers We are um pretty much word of mouth We’ve always been word of mouth and that’s gotten us really well uh uh through the years very well Uh next month in July we’re going to be talking about summertime skill building essentials for a hot career What a great title And again we do have um specific intent coding or documentation uh uh uh disease process We talk about all of those but we also try to help you before you get a job you know while you’re a student and then after you’re a um working in the industry We try to cover all of the bases so that um you find us essential in your career path Yep Very good Um one question is uh is there a CEU quiz available for this course yes in the club You got to be a CCO club member and um if you’re a club member you know how to get the CEUs already but basically you go to the exams and um click on the CEU quiz you answer the the I think five to 10 questions and when you’re when you I think get over 70% then you get your your certificate Yeah And u this is a good time to mention too guys that if you have a burning question or a topic that has always you know or or that is maybe uh working through your office or just something in the industry that you need more information and you want us to unpack that know that you can submit your request Now we always take priority to our club members of course but we do listen to your suggestions and uh because if we didn’t all of our presentations would be ICD10 and disease process because that’s what I love And Lorine said no So topic requests are important It’s really easy to do that at um just go to cco ustopic request or topic request and you could do that I think we’re not sharing the screen again If you want to show on that screen Uh at least when I’m looking I’m just looking at it You and I’s beautiful face Okay there you go So there uh real quick you can see topic requests Um and and then if it’s something that’s already been done we’ll absolutely refer you and say “Hey you know we did this um uh nine months ago It’s out there in the club or it’s on YouTube and nothing’s changed.” you know uh um jump out there and or uh fill us in and say no this has changed I need to know about XYZ now uh we think learning is fun when you’re a coder and learning is fun period like I mentioned before we have always been educationbased and uh we want to help you get educated we want to help you uh also continue to stay at the top level in your career career path We’re here to help you with that All right guys Thank you so much We had a question Oh good Hitis is not part of teleaalth coding correct his no it is not Yeah Yeah Uh uh that is another whole ball game That’s a really good question And you know what there is a lot of requests for heat education If that’s something you want more information on absolutely we can provide that It is unique Um it is more involved with inpatient but we can absolutely get get that for you We are full of resources Yes Well thank you very much everyone and um yeah again I mean you weren’t here in the beginning The CEU is for club members Um we once in a while like kind of at the end of the year when we do the CT CPT update or the ICD update we’ll have a free CEU for everybody but um the the CEUs are for the club members We got to make some money guys And that means there’s no phrase for this webinar No this is different So thank you Christopher for asking Um that’s a good point that that you brought up Um so you just jump in you know it’s free to everybody to get the knowledge watch Yes But um if you want the C CEU you go into the club become a member if you’re not already and then just like Lorine showed you you just click on the webinar and all the information is there and uh on that preview that she gave you Yeah And let’s see early access So I’m going to show that one more time for the um early access for the the new CCO Academy app that’s going to be launched hopefully in July And um but if people want to get in early and start you know using it we would love to have some um people go in and stress test it and let us know how it’s working And then we’ll do a big launch So we’re going to get all of our existing members moved in and then we’re going to open it up to the public for everyone to come join And I I think it’ll be really cool to have it all on our phones and get the little notifications and you know really get a lot of engagement We’re we’re very um excited about about it Yes If if you want Lorine and I to become Instagram um stars we could do it Oh by the way our Instagram they won tonight Yeah we had like I think 12 people on Instagram so we’ll have to definitely um do that Wow that’s brilliant A couple people on X a couple people on Facebook You know normally we do the best on YouTube so it’s it’s quite spread out So it’s kind of nice being able to simoc cast like this but well and it and it may be you know this this allows you to use the platform you’re more comfortable with right and and stuff So yeah Lorine and I might have to start posting little uh more Instagram stuff on from our cars Yeah I mean I think that’s how the influencers do it right yeah and and that is exactly how you can help us too is just spread the word you know let people know about us and they can um take advantage of these these webinars as well So thank you for being here and for um registering and your comments and your energy We really appreciate you and we’ll see you again soon Bye guys Looking for medical coding medical billing and risk adjustment education learn more at cco us

Join industry expert Alicia Scott for an in-depth discussion on how telehealth is impacting medical coding, billing practices, compliance standards, provider workflows, and patient access. Telehealth is no longer just a temporary solution—it’s a transformative force reshaping how care is delivered, coded, and reimbursed.

Whether you’re a coder, compliance officer, billing manager, or healthcare administrator, this session will give you the clarity and strategies you need to stay compliant and competitive in the evolving telehealth environment.

This live event is approved for 1 QPro and AAPC CEU exclusive to CCO Club members.

Requirements to Claim the CEU:

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