decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 6 (June)
Use telehealth to complement your revenue stream as coverage widens
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Article Overview
This article discusses how telehealth reimbursement is changing across state and federal policy channels, with attention to parity laws, Medicare coverage trends, and broader payment reform initiatives. It is aimed at physicians, practice leaders, coders, and reimbursement professionals who want to understand the evolving administrative and financial landscape for telehealth services. The article also places these changes in the context of alternative payment models and quality reporting programs.
Why This Topic Matters
Telehealth payment rules are shifting, and providers need a clear view of where reimbursement opportunities may expand and how policy changes could affect practice revenue and care delivery planning.
Article Sections
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State telehealth parity and reimbursement
Explains how state parity laws are broadening telehealth payment coverage and discusses the role of originating-site and distant-site reimbursement in practice operations.
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Medicare expansion looms under H.R. 2
Summarizes federal telehealth coverage trends, including Medicare service counts over recent years and the impact of payment reform under H.R. 2 for certain provider models.
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MIPS and care coordination
Describes how telehealth may fit into quality reporting and practice improvement activities under the Medicare payment system.
What You Will Learn
- How state telehealth parity laws can affect reimbursement coverage
- How Medicare telehealth coverage has changed over time
- How alternative payment models relate to telehealth payment policy
- How telehealth may be relevant within quality reporting and practice improvement programs
Who Should Read This
- Physicians
- Practice administrators
- Medical coders
- Reimbursement specialists
- Telehealth program planners
Codes Discussed
Code Ranges Discussed
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