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Reimbursement obstacles

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Getting reimbursed for telemedicine services can prove problematic for physicians and other healthcare providers. Medicare, for example, offers telemedicine reimbursement coverage, but with limitations. Reimbursement is possible for services covered under the Medicare Chronic Management Program, such as services for patients who have at least two or more chronic health conditions. These conditions must persist at least one or more years or until death to be considered for reimbursement claims.  

However, the Centers for Medicare and Medicaid Services (CMS) is proposing coverage for 2019 and beyond, including prolonged preventative services and virtual check-ins. Moreover, telemedicine services are not always covered by private insurance companies.  To overcome reimbursement obstacles, it helps to have a reimbursement plan that includes using technology to track expenses for reimbursement claims. You can employ a platform that keeps track of these expenses so you can properly document receipts required by payers while keeping up to date on insurers’ allowable reimbursements.