The Ultimate Guide To Telemedicine Reimbursements

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The Ultimate Guide To Telemedicine Reimbursements

• www.vozo.xyz

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Introduction

• The global COVID-19 pandemic has accelerated the
  need for secure healthcare delivery solutions.
  This gave a huge rise to telehealth services.
• Even though patients prefer telehealth for their
  convenience the adoption has been stalled by
  several regulatory challenges.
• Centers for Medicare and Medicaid Services (CMS)
  released the final rule allowing healthcare
  providers to be paid for an extended array of
  telehealth services.

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1. Telehealth Expansion to Medicare Patients

• The Centers for Medicare and Medicaid Services
  (CMS) added telehealth services as a feature of
  the final Physician Fee Schedule. That yearly
  guideline administering physicians' payments
  included payment changes following management
  visits.

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1. Telehealth Expansion to Medicare Patients

• Added services in category 1
• As a part of telehealth expansion, CMS said, it
  added few services to the first category which
  includes services very similar to office visits
  and consultations.
• The list of added services includes group
  psychotherapy, home visits, and psychological
  testing.

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1. Telehealth Expansion to Medicare Patients

• Added services in category 3
• The Medicare telehealth list of category three
  includes emergency department visits, therapy
  services, and hospital discharge day management.
• For COVID-19, CMS created a temporary category
  for adding telehealth services during the public
  health emergency for COVID-19, but it will remain
  in place after that emergency period ends.

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2. Public Health And Social Services Emergency
Fund

• As a feature of the principal wave of
  distribution under the PRF, on April 10, 2020,
  the Department of Health and Human Services
  (DHHS) conveyed 30 billion from the PRF as
  prompt relief funding to help healthcare
  suppliers and offices in their response to
  COVID-19.

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How can the funds be used?

• As Per the PRF Terms and Conditions, the funds
  may just be utilized to prevent, prepare for, and
  respond to corona virus or to repay the
  beneficiary for medical services related costs or
  lost incomes that are owing to COVID-19.
• The fund can be used for medical equipment,
  including personal protective equipment (PPE) and
  testing supplies, expanded workforce and
  training, emergency operation centers, and more.

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3. Expedited Medicare Reimbursements With APP
Program

• The Accelerated and Advance Payment (AAP) program
  serve as a source of income for Medicare
  suppliers and providers affected by public crises
  or debacles.
• The program has been extended to give payments to
  Medicare Part A suppliers and Part B providers
  during the COVID-19 public crisis.

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Who is eligible for APP?

• Supplier or provider has charged Medicare for
  claims in the 180 days preceding the date of the
  request.
• Supplier or provider isn't in insolvency
• Supplier or provider isn't at present under
  clinical audit or program integrity investigation
• Supplier or provider doesn't have extraordinary
  delinquent Medicare overpayments

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Conclusion

• The temporary administrative changes in Medicare
  and Medicaid health plans may serve during the
  interval time frameand are liable to changes on
  a lasting level post the normal pandemic's end.
• These advancements will contrast with the state
  policies and telemedicine suppliers need to look
  out for future changes in the health plan
  approaches to adjust to the regulatory
  guidelines.

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• To be successful with the telehealth platform,
  choosing the best telehealth software is
  important for quality healthcare delivery and
  increased practice productivity.

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