How to Bill for Telemedicine Visit

During the COVID 19 pandemic, the country has had to reevaluate how health care works. Technology and healthcare have taken big strides due to recent events.  A major component has been the emergence of telemedicine. Serving as a critical conduit between provider and patient, telemedicine has allowed conversations to happen that otherwise would have been impossible. 

The Centers for Medicare and Medicaid Services have broadened access to telehealth. With the 1135 Waiver, CMS allows a Medicare beneficiary to get a wide range of services through telehealth covered,  decreasing the need for a patient to make an office visit. This interaction must use a real-time, audio and video telecommunications service to make a virtual visit, like Beam Health’s HD platform. While this is a fantastic step forward that allows care to continue during challenging times like the COVID 19 pandemic, it does leave one to ponder on questions such as how to bill for telemedicine visit?

Below is a graphic of HCPCS code and CPT code that health care professionals can use to bill for telehealth billing:

(From the Centers for Medicare and Medicaid Services)

It is important to note that virtual care check in-services can only be reported when the practitioner or physician that is billing the patient has a previously established relationship. 

Beam Health provides the health care industry standard for a real-time, HIPAA compliant telemedicine platform. While most other offerings take two to three weeks to be operational, the majority of providers are able to use Beam’s telemedicine service in under 24 hours. To learn more about the best telemedicine visit platform available, please contact a Beam team member to schedule a free demo.

For more information on how to bill for a telemedicine visit, please visit our reimbursement page to find out about billing for Medicaid and private insurance requirements. Also, be sure to visit our state by state guide to find out your state’s laws on covered  telehealth service.