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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Not only has Medicaid ensured care access for enrollees during the pandemic, but its coverage of telehealth services has proved a boon to Medicaid providers in California. Increased use of telehealth services by Medicaid beneficiaries in California is leading to positive financial outcomes for providers in the state. CLOSEDLOOP.AI TOPS EPIC, CERNER FOR AI PLATFORM […]
States like New York, California, and Washington have laws that block interstate telehealth, while only three states allow all providers to easily practice telehealth across state lines. Though telehealth use reached new heights during the COVID-19 pandemic, a new report shows that some of the states that were hit the hardest by the novel coronavirus […]
Telehealth policies vary from state to state but in the past few months there have been some common regulation changes across the country. Specifically, states modified their Medicaid reimbursement policies for telehealth services, the Center for Connected Health Policy’s (CCHP) State Telehealth Laws and Reimbursement Policies Fall 2021 report revealed. CCHP gathered data from state […]
About 41% of primary care clinicians say going back to pre-pandemic telehealth reimbursement rules would kill virtual care at their practices and exacerbate staffing issues. The survey conducted in mid-August by the Larry A. Green Center, in collaboration with the Primary Care Collaborative (PCC), found that primary care practices have come to rely on […]