Reimbursement Guide for California Telemedicine
Allie Clark | 1 min read | September 20, 2019
The telehealth community is often heard clamoring for more comprehensive guides to help practices and providers navigate the confusing and murky waters of reimbursement. The California Telehealth Resource Center has stepped up in a big way this month with the publication of their Telehealth Reimbursement Guide for California.
While about half of the guide is limited to plans currently operating in CA, it’s a great overview of the type of reimbursement policies that exist for payers that have policies nationwide, as well as a great example of the type of details you will need when you call the payers you are contracted with to enquire what they cover (best practice when starting up and running a telehealth program). Also included in this guide are sections on definitions and general telehealth information, and a thorough section on Medicare reimbursement and policies. At the end, there is a set of scenarios surrounding virtual care delivery and Federally Qualified Health Clinics or Rural Health Clinics. The first three describe reimbursement policies under Medicare.
While this guide is gold for California providers, it is also immensely helpful for any involved in the telehealth industry. California has a relatively progressive take on telehealth reimbursement, and could be a good benchmark for those advocating for policy advancements in their own states. The inclusion of the Medicare section really makes this a must-read for anyone involved in or interested in delivering telehealth services.
One of the main reasons providers steer clear of telehealth is the lack of reimbursement or clear information on whether reimbursement from insurance payers is even possible. Guides like this attempt to meet that need in order to increase the number of providers able and willing to engage in this form of healthcare delivery. Telehealth, when used correctly, solves so many access-to-care problems, as well as saves money for both providers and patients. It is the responsibility of the telehealth champions to reduce and remove as many barriers to providers wanting to use telehealth as possible. SimpleVisit applauds the CTRC for what they are doing to aid in that effort.
To download and read the guide, click here.
To see California Telehealth Resource Center’s full range of resources, or to contact them with your California-policy-related questions, click here.
Allie is the Industry Analyst and Content Manager for SimpleVisit. Her educational background is diverse with Administrative Medical Assisting and Psychology as a focus with a dash of Business Communication and Theater. Events in her life have led to a passion for improving access to healthcare and a particular talent for research, which she is quickly turning into a career. Allie is able to use her combined experience to write and develop resources for SimpleVisit, and is fulfilled by the opportunity to contribute to innovation and progress in the healthcare industry as a whole.
Allie Clark | 10 min read | December 2, 2020It is time for some kindness. The holiday season can be a rough time for many among us. A report from the National Alliance on Mental Illness shows that this time of the year negatively affects a majority of people suffering...
Allie Clark | 10 min read | November 13, 2020In the midst of an unprecedented healthcare crisis, it’s important to be mindful of some of the most vulnerable members in our communities: our seniors. This particular season has been uniquely challenging for older...
Allie Clark | 10 min read | October 28, 2020The lingering uncertainty of the pandemic in America is causing consumers and practitioners to adjust and re-adjust expectations for healthcare delivery. Regulators are changing their stance on privacy and coverage...