How does telehealth reimbursement work

How does Telehealth Reimbursement Work?

Telehealth has become an increasingly popular way for patients to receive healthcare services remotely. Since the onset of the COVID-19 pandemic, telehealth has become an even more vital tool for patients to access medical care without having to leave their homes. However, many patients and providers have questions about how reimbursement for telehealth services works.

In the United States, telehealth reimbursement is generally similar to in-person healthcare reimbursement, with some important differences. Many insurance companies and government programs such as Medicare and Medicaid reimburse telehealth services at the same rate as in-person services. However, there are often additional requirements that must be met in order for a telehealth visit to be reimbursed.

One of the most significant differences between telehealth reimbursement and in-person reimbursement is the technology that must be used. Many insurance companies require that telehealth visits be conducted using specific technology (such as video conferencing platforms) and that it is HIPAA compliant. Patients and providers should check with their insurance company to understand the specific technology requirements for telehealth reimbursement.

Another important difference is the location of the patient. In some cases, insurance companies may only reimburse telehealth services if the patient is located in a specific geographic area. This is because telehealth laws and regulations vary by state and insurance companies may not cover services that are not compliant with the regulations of the state where the patient is located.

Documentation is also an important aspect of telehealth reimbursement. Patients and providers should be aware that telehealth services may be subject to different billing codes and documentation requirements than in-person services. It’s important to check with your insurance company and healthcare provider to understand the specific documentation requirements for telehealth reimbursement.

Once the appropriate background research is done, telehealth can be an effective and convenient way for patients to access medical care remotely. Here at Beam Health, we strive to make this process easy and quick. As a healthcare provider, you can get up and running with a service that meets all the requirements within minutes. For more information, you can reach out to us at info@beamhealthgroup.com .