Telehealth Compliance in 2026: E/M Coding, Documentation & Audit Risks You Can’t Ignore

Course Description

Telehealth has evolved from a temporary pandemic-era solution into a permanent and increasingly technology-driven component of healthcare delivery. In 2026, organizations must navigate changing Medicare telehealth flexibilities, evolving compliance expectations, cross-state practice considerations, HIPAA requirements, and growing scrutiny of documentation and billing.
This webinar provides a practical update on the current telehealth compliance landscape while connecting those requirements directly to Evaluation and Management (E/M) coding, documentation, and reimbursement. Attendees will examine how place of service, modifier -95, medical decision making, time-based billing, and diagnosis coding can affect the defensibility of telehealth E/M claims.

The session will also explore emerging developments shaping the future of telehealth. Recent federal Rural Health Transformation Program investments—including $149.3 million announced for Arkansas—are expanding specialty telehealth, remote patient monitoring, emergency teleconsultation, advanced imaging, digital health infrastructure, and technology-enabled care in rural communities. These investments demonstrate how rapidly telehealth is moving beyond simple virtual visits toward integrated, technology-supported care delivery.

Through real-world examples, common denial scenarios, and audit-focused insights, participants will learn how to identify documentation gaps, coding risks, technology-related compliance concerns, and opportunities to strengthen telehealth workflows.
Attendees will leave with practical strategies and a compliance-focused checklist to evaluate telehealth E/M documentation, coding, billing, and operational practices for the remainder of 2026 and beyond.

• Identify key 2026 telehealth regulatory and Medicare updates.
• Understand current telehealth compliance requirements.
• Apply correct POS 02, POS 10, and modifier -95 usage.
• Evaluate E/M documentation for telehealth encounters.
• Apply MDM and time-based E/M billing rules.
• Recognize diagnosis coding and linkage risks.
• Identify common telehealth and E/M denial trends.
• Recognize audit red flags in telehealth documentation.
• Understand compliance considerations for remote monitoring and emerging telehealth technologies.
• Develop a practical telehealth E/M compliance audit checklist.
  
  

• 2026 Telehealth Regulatory Landscape
• Current Medicare telehealth flexibilities
• Key extension timelines and compliance considerations
• Medicare Telehealth Requirements
• Eligibility and covered services
• Current billing considerations
• Cross-State Telehealth Compliance
• State licensure requirements
• Interstate compacts
• Provider location vs. patient location
• HIPAA & Telehealth Technology
• Privacy and security requirements
• Technology and platform considerations
• Place of Service (POS) Coding
• POS 02 vs. POS 10
• Common POS errors
• Modifier -95 Usage
• When modifier -95 applies
• Common billing mistakes
• Telehealth E/M Coding
• Medical decision making
• Time-based E/M reporting
• Documentation requirements
• Diagnosis Coding & Claim Defensibility
• Specificity and accuracy
• Diagnosis-to-service linkage
• Documentation Requirements
• Essential telehealth encounter elements
• Provider documentation best practices
• Remote Patient Monitoring & Technology-Enabled Care
• Monitoring and connectivity considerations
• Documentation and billing implications
• Rural Telehealth Expansion
• Specialty telehealth
• Emergency teleconsultation
• Digital health infrastructure
• AI-Enabled & Advanced Telehealth Technology
• AI-enabled care environments
• Imaging, telemetry, and digital integration
• Common Denials & Billing Risks
• Frequent telehealth denial patterns
• Root causes and corrective actions
• Telehealth Audit Red Flags
• Documentation inconsistencies
• Coding and compliance risk indicators
• Building a Telehealth E/M Compliance Checklist
• Documentation review
• Coding and billing validation
• Provider education and corrective action
• Live Q&A Session
  
  

• Healthcare Providers & Physicians
• Telehealth Program Managers
• Medical Coders
• Certified Professional Coders (CPCs)
• Medical Billers
• Healthcare Compliance Officers
• Compliance Managers & Directors
• Clinical Documentation Improvement (CDI) Specialists
• Healthcare Auditors
• E/M Coding Auditors
• Revenue Cycle Management (RCM) Professionals
• Revenue Cycle Directors & Managers
• Practice Administrators
• Healthcare Administrators & Operations Managers
• Physician Practice Managers
• Health Information Management (HIM) Professionals
• Healthcare Legal & Regulatory Professionals
• Telehealth / Virtual Care Directors
• Rural Healthcare & Critical Access Hospital Leaders
• Hospital and Health System Compliance & Coding Teams
  
  

Keisha is the Founder and CEO of KW Advanced Consulting, Keisha is a published author, Minority Women-Owned Enterprise (M/WBE) and Small Business Administration (SBA) Certified professional with nearly 30 years of experience in healthcare. A seasoned leader and speaker at HEALTHCON National and Regional Conferences, Keisha’s career spans roles including outpatient coding specialist, CDI specialist, compliance operations manager, interim compliance director, and consultant.

An expert in Compliance and Revenue Cycle Management, Keisha specializes in risk-based audits, E/M auditing, multi-specialty coding, telehealth services, and Risk Adjustment/HCC education. She has developed and implemented comprehensive training programs for organizations of all sizes and is an approved instructor for KW Advanced Consulting, AAPC VILT, and NYC College of Technology.

Beyond her professional roles, Keisha serves on the Board of Directors for an outpatient mental health clinic and contributes to telehealth and compliance committees. She also serves as Chair of the HDDH Committee for the International Society for Telemedicine and eHealth (ISfTeH). Additionally, she serves on the Advisory Board for The Nurses Pub and the HIM Department at Southern New Hampshire University (SNHU). A published author, she writes regularly for KW Advanced Consulting and collaborates with AAPC on coding articles and industry updates.