Article February 6, 2019

Navigating telemedicine reimbursement guidelines

Telemedicine reimbursement guidelines vary greatly based on the payer, and with the industry and legislation constantly evolving, navigating the unchartered waters of reimbursement can be tricky!

Since 2014, telemedicine services have displayed an annual growth rate of nearly 20 per cent. During that time, The Centers for Medicare & Medicaid Services (CMS) have also expanded reimbursement codes for telehealth and remote patient monitoring services, and thanks to the Opioid Crisis Response Act of 2018, payers are now more closely scrutinizing the administration of medications. As a result, allegations of billing fraud and abuse are only set to increase.