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Telehealth Reimbursement

WEDI Brief Outlines Challenges to Telehealth Reimbursement

January 11, 2017 - Healthcare providers face many challenges in launching and sustaining a telehealth program – including finding the right CPT codes, if they exist, for reimbursement. In many cases, a telehealth or telemedicine procedure is so new, a proper definition and guidelines haven’t been written for it yet, the Workgroup for Electronic Data Interchange (WEDI) reports in a new issue brief....


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WEDI Brief Outlines Challenges to Telehealth Reimbursement

by Eric Wicklund

Healthcare providers face many challenges in launching and sustaining a telehealth program – including finding the right CPT codes, if they exist, for reimbursement. In many cases, a telehealth or telemedicine procedure is so new, a proper...

Nebraska lawmakers eye telehealth parity, interstate licensure

by Eric Wicklund

Telehealth parity and interstate licensure are on the agenda in Nebraska, as state officials look to combat healthcare access problems in this decidedly rural state. Lawmakers have announced two separate bills that aim to make telehealth easier...

CMS Urged to Reimburse Telehealth for Stroke, Cardiac Care

by Eric Wicklund

The American Heart Association is calling on Medicare to support telehealth, saying the technology is “tragically underutilized” to treat stroke patients and those with heart disease and could save the country billions of dollars...

21st Century Cures Act to Boost Medicare Telehealth Use

by Jacqueline Belliveau

The 21st Century Cures Act, enacted earlier this week, may have been a win for drug approval process reform and additional scientific research funding advocates. But the legislation may also help to increase Medicare telehealth use, stated URAC...

Organization Vows to Tackle mHealth’s Murky Meanings

by Eric Wicklund

The organization that recently defined “store-and-forward” telehealth says this is the first salvo in an ongoing battle to make the industry meaningful. The healthcare landscape is littered with outdated or vague words and phrases,...

Strong Patient Demand for Telehealth Motivated by Convenience

by Jennifer Bresnick

The convenience factor is a major driver for patients investigating the use of telehealth to consult with their providers, according to a survey by the American Telemedicine Association and WEGO Health.  The poll of 429 patients, conducted...

ATA: Payment Reform Tops the List of Telemedicine Trends

by Eric Wicklund

New payment models are the top priority in telemedicine these days – and they’ll be the linchpin in the healthcare industry’s move to value-based care. That’s the viewpoint of the American Telemedicine Association, which...

New Report Charts Slow Progress for Telehealth Reimbursement

by Eric Wicklund

Telehealth is slowly becoming an accepted means of delivering healthcare, according to the latest state-by-state analysis of the Center for Connected Health Policy. An update of the CCHP’s fourth annual report, issued in March, finds that...

Survey: No Reimbursement, No Telehealth

by Eric Wicklund

Primary care physicians aren’t using telehealth because they aren’t reimbursed for it. That’s the gist of a survey of about 550 family physicians, conducted in 2014, which found doctors staying away from the technology because...

Using mHealth to Transition to Value-Based Care

by Eric Wicklund

North Carolina’s largest federally qualified health center is turning to mHealth to help patients manage their chronic conditions. By deploying Smartlink’s platform, officials at Goshen Medical Center also expect to align the clinic...

AAFP Criticizes CMS on Telemedicine Reimbursement Restrictions

by Eric Wicklund

The American Association of Family Physicians is taking CMS to task for elements of the 2017 Medicare physician fee schedule that hinder telemedicine reimbursements for store-and-forward, observational care and ED services. "In light of...

Telehealth Growth, Savings Tied to Parity Laws

by Eric Wicklund

Telehealth will only succeed if providers are reimbursed at the same rate as in-person care. That’s the conclusion drawn from a health policy brief developed by Health Affairs and the Robert Wood Johnson Foundation. It argues that the nation’s...

Telehealth in the Spotlight as HHS Expands Bundled Payment Models

by Eric Wicklund

The proposed expansion of a bundled payment program may be a sign that federal officials are placing more confidence in telehealth as a standard of care. Health and Human Services Secrtary Sylvia M. Burwell has announced that a bundled payment...

Medicare’s CCM Telehealth Program Gets a Bit of Good News

by Eric Wicklund

Medicare’s Chronic Care Management (CCM) telehealth program is a hit with patients, according to the first reported patient satisfaction survey conducted since the program was put in place at the beginning of 2015. A survey of more than...

CMS Gives Green Light to Digital Health Diabetes Prevention Program

by Eric Wicklund

A diabetes-based preventive health program that would reimburse providers who use digital health has received the full blessing of the Centers for Medicare & Medicaid Services. CMS is proposing to expand its Medicare Diabetes Prevention Program...

Massachusetts Drops Parity from Telemedicine Reimbursement Bill

by Eric Wicklund

Massachusetts legislators are debating telemedicine legislation that would, among other things, give insurers leeway to negotiate reimbursement rates - or not reimburse at all. A reworked bill recently issued by the commonwealth’s Joint...

CMS to Reimburse for Specialty Care Consults in Connecticut

by Eric Wicklund

Connecticut health centers are now being reimbursed for telemedicine consults with specialists, helping residents who would sometimes have to wait a year for an appointment. The announcement by the Centers for Medicare & Medicaid Services...

Can Telehealth Fill Health Insurer’s Provider Network Gaps?

by Sara Heath

Telehealth services may not be a cure-all for health insurance provider network growth, but it does hold many benefits to expand patient access to healthcare, recent research from the Robert Wood Johnson Foundation says. In a report published...

Survey: Telemedicine Helps the Patient More Than the Provider

by Eric Wicklund

Health systems across the country are turning to telemedicine to improve patient outcomes, access and satisfaction – but they’re still having trouble profiting from it. That’s one of the key takeaways of the “2016 U.S....

Telehealth Gains Favor in Florida

by Eric Wicklund

Count Florida among the states embracing telemedicine, though the move toward reimbursement parity may take a few years. The Sunshine State’s House and Senate recently passed legislation – almost unanimously in both chambers –...

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