Alright I get that, but why should I do it?
We could just say ‘money’ but then there is the whole fuss about the humane angle. So here it is.
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Convenience
Patients in remote areas may not find it worth commuting to distant clinics, especially in a situation of post-discharge care. Telemedicine makes it easier.
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Choice
Telehealth, like e-commerce, unlocks the spectrum of choices of providers for patients whose choices are currently shackled by contextual constraints
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Money
Telehealth helps providers increase revenue & cut costs by allowing them to utilize their idle time, extend service hours, reduce no-shows and reach patients at inconvenient geographies.
As providers can benefit from it, there is a business opportunity to cater to this need through the necessary tool-set.
Who pays for it and who can get paid?
Telehealth being reimbursed by Federal, State and private plans, is a testament to its bright future. Telehealth services are reimbursed in these ways:
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Medicare
Covers live video and store & forward modalities.
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Medicaid
48 states and DC cover services given via Telehealth live video streaming.
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Commercial Payers
Parity laws oblige private payers to reimbursement for telehealth services.
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Out of Pocket
Patients are more than happy to pay for convenience and quick consultations.
What does telehealth payment entail?
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Patients
need to- Provide their consent for a telehealth encounter
- Be present at a qualified originating site at the time of encounter
- Follow necessary instructions during the encounter; especially when utilizing devices
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Providers
need to- Be present at a qualified distant location site
- Have the required license for cross-state consultations
- Provide the same level of service as that during a face-to-face consultation
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How to
bill- Medicare requires an addition of a qualifier “GT” along with the standard CPT code
- Medicaid and private payers’ requirements vary across states. Information on individual states
What do they need from such a solution?
- Registration, Scheduling/appointments
- Virtual Check-in, with digital form filling and signature
- Clinical documents – upload and share
- Provider search
- Location eligibility analyzer
- Digital payment gateway
- Authentication of providers and patients.
- Push super bills to PMS
- Real-Time and batch eligibility check
- Registration, Scheduling/appointments
- Virtual Check-in, with digital form filling and signature
- Clinical documents – upload and share
- Provider search
- Location eligibility analyzer
- Digital payment gateway
- Authentication of providers and patients.
- Push super bills to PMS
- Real-Time and batch eligibility check
- Real-time access to PHR
- Ability to create encounter notes
- Import and view patient information from wearables
- Capture and store images and documents
- eRx and lab/radiology ordering
- Access to latest coding standards – ICD, SNOMED, LOINC, CPT, HCPCS.
- Export of C-CCDA 2.1 templates – CCD, Referral Note, Care Plan, etc.
- Registration, Scheduling/appointments
- Virtual Check-in, with digital form filling and signature
- Clinical documents – upload and share
- Provider search
- Location eligibility analyzer
- Digital payment gateway
- Authentication of providers and patients.
- Push super bills to PMS
- Real-Time and batch eligibility check
