Tag: Telehealth Reimbursement

telehealth billing strategies

Telehealth Billing Strategies: Maximizing Revenue

Telehealth revenue can be a lifeline for many healthcare organizations struggling financially due to cancellations of elective and non-urgent procedures. However, maximizing this revenue stream requires effective Telehealth Billing Strategies. This includes accurate coding, timely claim submissions, and navigating the complexities of payer reimbursement policies for virtual services. Understanding Telehealth Billing: A Few Key Concepts […]
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Impact of Healthcare Reform on RCM

Healthcare Reform Update: How New Regulations Affect RCM

Health care in the United States is constantly changing, with new regulations and policies being developed to improve patient outcomes, increase access to care, and reduce costs. Impact of Healthcare Reform on RCM, keeping up with these changes is essential for Revenue Cycle Management (RCM) professionals. New regulations can impact everything from billing and coding […]
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Telehealth Billing: What You Need to Know for Success

Telehealth Billing: What You Need to Know for Success

Telehealth billing, the process of submitting claims for telehealth services, is an essential component of this virtual care model. Efficient and accurate telehealth billing ensures that providers are reimbursed for their services and that patients are not overbilled. The healthcare landscape has undeniably shifted towards a more virtual model. Telehealth, the utilization of telecommunications technology […]
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Master Telehealth Coding: A Guide to Reimbursement and Avoiding Denials

Master Telehealth Coding: A Guide to Reimbursement and Avoiding Denials

Navigating the complexities of telehealth coding is crucial for ensuring that services are properly reimbursed. This guide provides essential information and tips for coding telehealth services accurately, helping physicians avoid denials and recoupments. 1. Telephone Services: Use Cases: Suitable for straightforward problems like simple rashes, asymptomatic coughs, and medication refills. Requires a minimum of five […]
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Four Common Forms of Virtual Care Reimbursed in Half of US States

Four Common Forms of Virtual Care Reimbursed in Half of US States

According to a recent report, 25 states now provide reimbursement for video, store-and-forward, and audio-only telehealth, as well as remote patient monitoring through Medicaid. Although every state and Washington, D.C. include some form of live video-based telehealth in their Medicaid programs, only 25 of them also offer Medicaid reimbursement for live video, store-and-forward telehealth, remote […]
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Transparent e-Visit Billing: Essential Tips for Primary Care Physicians

Transparent e-Visit Billing: Essential Tips for Primary Care Physicians

In an era where digital progress is transforming every facet of the economy, healthcare is no different. Breakthroughs, particularly in telehealth and e-visits, offer the potential to make healthcare more accessible than ever. While these advancements bring significant promise, they also bring about fresh challenges, particularly in the realm of billing. A growing number of […]
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How telehealth can help inpatient care, and what a hybrid future looks like

How telehealth can help inpatient care, and what a hybrid future looks like

Healthcare provider organizations and clinicians are fortunate that telehealth has gone mainstream as a result of the COVID-19 pandemic. Telehealth opens up many new avenues to expand access to care, streamline the delivery of care, create new workflows and improve patient outcomes. Hopefully the Congress and state legislatures will act soon to ensure the temporary […]
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2021 Telehealth Reimbursement

CMS Outlines Telehealth Reimbursement for 2020-21 eCQM Programs

  The documents released earlier this month offer details on 42 eCQMs for telehealth services during the 2020 performance period and 39 eCQMs for telehealth services during the 2021 performance period. The Centers for Medicare & Medicaid Services has released additional details on telehealth reimbursement through quality reporting programs for the 2020 and 2021 performance […]
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Providers Want Equal Telehealth Reimbursement Beyond COVID-19

With telehealth reimbursement flexibilities set to expire following the public health emergency period, providers are calling on HHS and policymakers to continue payment parity beyond COVID-19. Telehealth use has increased dramatically in a matter of weeks, enabling providers to continue seeing patients despite social distancing and shelter-at-home restrictions due to COVID-19. But these advancements could […]
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