Reimbursement for out of office patient support and care?

Yes!

 

GI OnDEMAND is created to integrate with a provider’s patient workflow with easy scheduling and documentation of virtual patient appointments. Similar to in-office visits, providers can submit for reimbursement for the telehealth patient care services they provide, according to Jordan J. Karlitz, MD, FACG, Chief Medical Officer and Director of Clinical Operations, Gastro Girl.

“When one considers that GIs may provide multiple hours of patient care services per week in between in person office visits, frequently by telephone or email, GI OnDemand is a game changer. It can enhance continuity of care, provide HIPAA-compliant provider-patient communication and can allow reimbursement for out of office encounters.”

Guidelines for reimbursement vary by state. To access the latest laws and regulations in your state, please refer to the interactive map by Center for Connected Health Policy.

Fast Facts

  • Forty states and DC currently have a law that governs private payer telehealth reimbursement policy.  Although Georgia passed a private payer law, it does not become effective until Jan. 1, 2020
  • The Centers for Medicare and Medicaid Services finalized a rule this spring allowing Medicare Advantage plans to offer additional telehealth services as basic benefits.
  • Fifty states and Washington, DC provide reimbursement for some form of live video in Medicaid fee-for-service.  
  • The majority of states have no restrictions around eligible provider types; ten states have authorized six or more types of providers to treat patients through telehealth.

Sources: The Center for Connected Health Policy (CCHP)American Telemedicine Association (ATA); Center for Medicare and Medicaid Services (CMS)

Resources

American Telemedicine Association (ATA);
The Center for Connected Health Policy (CCHP)
Center for Medicare and Medicaid Services (CMS)
The Interstate Medical Licensure Compact 
Medicare Learning Network (MLN)