Reimbursement for Telehealth services is facilitating adoption by physicians. State Medicaid programs, private insurance and most notably Medicare will reimburse telehealth services. As of January 1, 2015, the Centers for Medicaid and Medicare (CMS) began reimbursing for a number of telehealth services that the Agency hasn’t covered before.
CMS rule changes and current procedural terminology (“CPT”) codes significantly broaden coverage for chronic care telehealth services. CMS now includes a provision that would cover remote chronic care management using a new current procedural terminology (“CPT”) code, 99490. The final rule also included a provision to cover remote-patient monitoring of chronic conditions using existing CPT code 99091. This means that physician offices may be able to earn as much as $100 per qualifying patient, per month for providing these services.
What is a qualifying patient?
• A patient with at least 2 chronic conditions that are expected to last at least 12 months
• Patient is at risk of death, acute exacerbation/decompression of functional decline
What are the scope of services that comprise Medicare’s reimbursable telehealth?
• 24/7 access to physician/staff services
• Access to electronic patient records
• Continuity of care with health care professional
• Care for medical, functional, psychosocial needs
• Medication management
• Enhanced messaging with patient through various HIPAA compliant media
• 20 minutes per month of care by qualifying clinical staff
Teleheatlhcare, Inc. can provide all the tools to need to build your program for a small per patient per month charge!
Contact us today to schedule a demo and learn more about Telehealthcare!