Telemedicine reimbursement policies differ from state to state. For instance, Alabama reimburses doctors for video conference calls for consultations, outpatient services, and psychiatric diagnostic services. Any practitioners looking to move into the telemedicine space should check their practicing state’s specific laws regarding telemedicine reimbursement.
Reimbursements may also depend on the service provider. Some companies have policies that cater to select CMS-recognized services, sites, and practitioners. Furthermore, reimbursements will be granted when proper documentation is given. The American Academy of Family Physicians (AAFP) states that documentation requirements for virtual care are similar to providing in-person care. This makes video conferencing a viable time-based documentation.
Checking your state’s CMS regulations for specific practices before shifting your setup will avoid unnecessary expenses and secure telemedicine reimbursement. In New Jersey, the state provides reimbursement for telepsychiatry practices only. Medicare will reimburse physicians for telemedicine services at an in-person visit rate for all diagnoses and not just health concerns relating to COVID-19.
While there is no perfect system, it is important that patients can see their money’s worth in a quality telemedicine videoconference. This will reduce losses and encourage clients to return to your telemedicine business.