decisionhealth Newsletters, Part B News - 2025 Issue 1 (January)
Billing for e-visits proves tough climb; more training needed?
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Article Overview
This article examines challenges surrounding billing for patient portal e-visits in a large health system and places those challenges in the context of national utilization and denial data. It discusses provider training, workflow burden, patient notice changes, and how digital evaluation and management services fit into broader telehealth and revenue cycle operations. The piece is relevant to coders, billers, revenue cycle leaders, clinicians, and telehealth administrators who work with asynchronous patient messaging services.
Why This Topic Matters
E-visit billing can affect reimbursement, clinician workload, and patient access, so understanding implementation barriers and utilization patterns is important for organizations that offer portal-based care. The article helps readers gauge whether the service is likely to be operationally viable and what operational issues commonly interfere with billing.
Article Sections
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Billing
Introduces the topic and summarizes the reported experience of billing patient portal messages as e-visits in a large health system.
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What makes it tough?
Discusses operational and workflow barriers, provider training issues, and the broader reimbursement context for asynchronous digital encounters.
What You Will Learn
- How e-visit billing was studied in a large integrated health system
- What types of operational and workflow issues can affect portal-message billing
- How utilization and denial trends are described in relation to digital E/M services
- Which stakeholders are involved in implementing and supporting e-visit billing
Who Should Read This
- Medical coders
- Professional billers
- Revenue cycle managers
- Telehealth program administrators
- Clinicians
- Health system operations staff
Codes Discussed
Code Ranges Discussed
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