Category Archive
for: ‘Reimbursement’

House Bill Introduced to Promote Telehealth Through ACOs

Representatives Diane Black (R-TN) and Peter Welch (D-VT) introduced bipartisan legislation in the U.S. House of Representatives  to build upon the progress of Accountable Care Organizations (ACOs) in shifting the reimbursement of healthcare providers away from the traditional “fee for service” model to a focus on improving the health outcomes of patients. The ACO Improvement […]

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CMS Proposes New Telehealth Reimbursement Options

Last week, the Centers for Medicare and Medicaid Services released the agency’s proposed rule for the CY2015 Physician Fee Schedule.   The 609 page document contained proposals specifically related to CMS’s reimbursement of telemedicine services through Medicare. CMS proposes adding the following services and related reimbursement codes: Psychotherapy services  CPT codes 90845, 90846, and 90847 Prolonged […]

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Telehealth Parity in Hawaii: New Legislation Signed into Law

In what has been a busy year for telemedicine advocates in a number of states, a newly enacted Hawaii measure will now ensure that services provided via telemedicine are reimbursed at the same rate as those provided in person.  As reported by the governor’s office, Governor Neil Abercrombie (D) signed into law Senate Bill 2469 […]

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Question: Billing from Sites Owned by the Same Entity

We received this question from a member of The Robert J. Waters Center for Telehealth and e-Health Law (CTeL).  Because we received this question from time to time, we posed it to the Centers for Medicare and Medicaid Services for the definitive answer: Question:  A telemedicine encounter occurs between two facilities, owned by the same […]

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CMS Medicare Reimburses Nearly $11.8 million for Telemedicine in 2013

According to the Centers for Medicare & Medicaid Services (CMS), Medicare telemedicine reimbursement totaled $11.8 million in Calendar Year 2013.  This figure reflects payments of $10,689,962 for provider fees at the distant site (the location of the telemedicine provider) and $1,112,446 for originating site fees (the location of the patient). According to information provided by […]

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Ohio Medicaid Poised to Cover Telemedicine Care

The list of states whose Medicaid programs provide reimbursement for telehealth care is poised to grow yet again, with the likely addition of Ohio. As reported by EHR Intelligence, both houses of the Ohio legislature overwhelmingly approved a bill that would require more comprehensive coverage of telehealth services. “Medicaid providers in Ohio will able to […]

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What Drives Hospitals’ Telemedicine Policies? New study Explores Trends

It’s a well-documented fact that telehealth policy differs greatly from state to state.  And according to a recent study published in Health Affairs, telehealth policies—and the services offered—vary just as significantly among hospitals. As reported by Fierce Health IT, as part of the 2012 American Hospital Association Annual Survey of Hospitals, the study’s authors “examined […]

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Expanded Telehealth Coverage in Florida? State Weighing Options

For Florida patients seeking care through telemedicine, options for reimbursement are limited; the state’s Medicaid program, for example, only pays for a small number of services rendered through telehealth, and private insurers are not required by law to reimburse. However, the situation could change during the current legislative session, as Florida state lawmakers consider legislation […]

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Do You Have a Telemedicine Billing Question?

The Robert J. Waters Center for Telehealth and e-Health Law (CTeL) is inviting you to submit any telemedicine-related billing question you might have . . . that you haven’t been able to get answered. Our goal:  We are going to select 10-15 of these questions and present them in an upcoming webinar or report.  We […]

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CTeL 2014 Non Profit Members: gpTRAC, CCHMC, UPMC

The Robert J. Waters Center for Telehealth and e-Health Law (CTeL) is pleased to have the support of three prominent non profit organizations known for their expertise in the delivery of telemedicine as 2014 CTeL Non Profit Members: Great Plains Telehealth Resource & Assistance Center Cincinnati Childrens Hospital Medical Center-Center for Telehealth University of Pittsburgh […]

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