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Learn about reimbursement

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State laws and payer policies about telemedicine reimbursement vary widely. Most are becoming more progressive and embracing telehealth as an important tool for meeting the healthcare needs of the public.

To that end, 26 states have what are known as “parity” laws, requiring reimbursement for remote video visits. Unfortunately, there is not a consistent approach, so it makes sense to make yourself familiar with the regulations where you practice. 

Telehealth billing and reimbursement, much like all medical billing, is a confusing topic. Constantly changing  state regulations  make it difficult to stay up to date on new policies. The good news is that many states now have parity laws that require private insurance payers to reimburse telemedicine visits the same way as in-person visits. 

You can learn more about your specific reimbursement policies and what you should expect in terms of reimbursement using this resource.  

Even after reading up on state reimbursement policies,  you should always check with the payer before submitting claims. Insurance companies have specific requirements when it comes to accepting telehealth claims. For example, Medicare only reimburses for the time spent while the video is streaming. Knowing payer-specific policy helps ensure you get paid promptly for the services you provide.