Telemedicine Reimbursement

Telehealth Use Will Depend on Continuing Pay for Unpaid Provider Work

June 19, 2023 - Published in the American Journal of Accountable Care (AJMC), new research enabled researchers to identify three themes surrounding patient and provider opinions on telehealth costs and reimbursement that influenced virtual care use. During the COVID-19 pandemic, policies supporting telehealth use led to enhanced access to healthcare. To allow...


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Private Insurer Payment for Telehealth On Par with In-Person Care in 2020

by Anuja Vaidya

In 2020, private healthcare payers reimbursed providers similarly for telehealth and in-person claims, including mental healthcare claims, according to an analysis conducted by Kaiser Family...

Watchdog: Federal Healthcare Programs Vulnerable to Telehealth Billing Risks

by Anuja Vaidya

As telehealth use exploded across healthcare programs provided by federal agencies, a report by a watchdog committee shows several program integrity risks linked to telehealth billing, including...

Reimbursement, Patient Tech Issues Impede Telehealth Use, Health Execs Say

by Anuja Vaidya

Though healthcare leaders see telehealth as critical to boosting patient access, they believe that reimbursement and patient technology issues are hindering more widespread telehealth use, according to...

New Research Affirms Telehealth’s Efficacy, Role in Expanding Mental Healthcare

by Anuja Vaidya

Two new research papers published in NEJM Catalyst this week show that telehealth does not drive up healthcare utilization, is effective, and can be used to expand mental healthcare services to nursing...

Blue Cross NC to Expand Telehealth Coverage Following Spike in Use

by Anuja Vaidya

Based on a review of telehealth data from the past two years, Blue Cross Blue Shield of North Carolina (Blue Cross NC) is launching an expanded telehealth policy that will cover virtual care services...

Minority, Rural Urology Patients More Likely to Use Audio-Only Telehealth

by Anuja Vaidya

Nearly half of all telehealth visits at Michigan Medicine's department of urology were audio-only, indicating that care access may be hindered if audio-only options aren't available, according...

DOJ Files Criminal Charges in Telemedicine Fraud Schemes Totaling $1.2B  

by Anuja Vaidya

The Department of Justice (DOJ) has filed criminal charges against 36 defendants in telemedicine-enabled fraud schemes involving illegal kickbacks for genetic testing and durable medical equipment...

HHS, Providers View Audio-Only Telehealth as Key Health Equity Strategy

by Anuja Vaidya

As telehealth became a must-have in the age of COVID-19, the federal government responded by enacting regulatory flexibilities, providing funding for virtual care efforts, and supporting workforce education and technology implementation at...

How Telehealth Helped Keep ACOs Afloat During the Pandemic

by Anuja Vaidya

Telehealth has become a critical part of the care delivery mechanism at organizations across the country, including accountable care organizations (ACOs), which share savings accrued from coordinating care for patients. Like most...

New Senate Bill Aims to Extend Medicare Telehealth Waivers By 2 Years

by Anuja Vaidya

A new piece of bipartisan legislation has been introduced in the US Senate that aims to extend access to telehealth for Medicare beneficiaries after the COVID-19 pandemic has ended. Dubbed the...

New Toolkit Aims to Help Telehealth Programs Negotiate Payer Reimbursement

by Eric Wicklund

An organization focused on assisting healthcare providers with virtual care platforms has released a resource for negotiating third party payer reimbursement. The Payer-V1C Contracting Toolkit is...

Telehealth Advocates Try to Bring Congress’ Attention Back to Long-Term Policy

by Eric Wicklund

Support is growing for a bill before both chambers of Congress that would make permanent some very specific emergency measures that were designed to boost telehealth access and coverage in rural areas...

CMS Faces a Call to Improve Telehealth Coverage for Rural Health Providers

by Eric Wicklund

Several organizations are making an extra effort to lobby for expanded telehealth coverage for rural healthcare providers beyond the pandemic. While telehealth advocates have been lobbying the Centers...

Telehealth Groups Pressure CMS to Expand Coverage in 2022 Physician Fee Schedule

by Eric Wicklund

Telehealth advocates are asking the Centers for Medicare & Medicaid Services to amend the proposed 2022 Physician Fee Schedule to permanently extend emergency measures on telehealth access and...

American Academy of Pediatrics Targets Parity in Telehealth Policy Statement

by Eric Wicklund

The American Academy of Pediatrics has issued a policy statement on telehealth that calls for, among other things, payment parity and more efforts to address the social determinants of health....

FCC Launches 2nd Round of COVID-19 Telehealth Program With 62 Awards

by Eric Wicklund

The Federal Communications Commission has approved 62 projects for funding under the COVID-19 Telehealth Program. The projects are the first to be approved in the second round of the program, which...

Congress Gets Another Shot at Legislating Payment Parity for Telehealth

by Eric Wicklund

A pair of Congressmen are once again floating a bill that would mandate payment parity for telehealth services and require payers to cover the same telehealth services that Medicare covers. The...

Congress Again Eyes a Thorough Study of Telehealth During the Pandemic

by Eric Wicklund

Lawmakers are once again eyeing a thorough evaluation of telehealth services offered during the coronavirus pandemic through Medicare and Medicaid. That’s the gist of the Evaluating Disparities...

New Illinois Law Gives Patients the Right to Choose - or Reject -Telehealth

by Eric Wicklund

Illinois Governor JB Pritzker has signed one of the country’s most progressive telehealth bills, with provisions that establish payment parity for telemental health services and give patients the...

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