Services

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Keep patients healthy

Prevent hospitalizations and ER visits by providing convenient access to care, reduce risk in value-based contracts.

Ensure compliance

We do not provide a review of payer contracts and plans to ensure compliance and maximize reimbursement, however, we give you the power to properly inform payees as to what you provide through our platform and how it is rendered to patients to ensure your revenue growth.

Reduce overhead

Conduct routine follows up appointments remotely; reserve space in clinics for sick or new patients, acute care and procedures.

Increase staff efficiency

Staff physician extenders on routine video follow-ups; reserve physician time for more complex encounters.

Retain & attract additional patients

Patients demand convenience, give them them high-quality care they deserve.

Custom practice branding

Ensure your brand’s continuity and patient loyalty with a fully white-labeled telemedicine solution.


We know that your medical needs don't stop when office hours are over. Using our help line and our email service, you can get a message to your health team when it is convenient for you.

Wellness Support

Our team will support you in building a healthier outcome for all your patient needs. No matter what your health needs are, having a team support you will keep you on the path to meeting them. We work together to connect you with the services you need.

A Healthy Community

When you choose us, you join a community. We work not just with you but with other members of our community to build a network of people working together for a healthier world. 

Medicare Reimbursement

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Medicare reimbursement for telemedicine


The Medicare Chronic Care Management Program

The national Medicare Chronic Care Management Program (CCM), which went into effect January 1, 2015, reimburses for telemedicine services provided by licensed professionals to patients with two or more chronic conditions. It is the first time the national government has made an exception to the originating site rule which mandates Medicare patients must live in rural and physician shortage areas. Visit our Medicare Chronic Care Management page to learn more about incorporating it into your care delivery.


Reimbursable methods of care delivery

With the exceptions of services provided through the Medicare CCM program, videoconferencing is the only service that is reimbursable through Medicare. Store-and-forward technologies, such as email, will not be reimbursed by Medicare unless delivered to patients through the Medicare CCM program.


Reimbursable telemedicine services

CMS currently decides to approve a submitted Current Procedural Terminology (CPT) code based on the type of service that was provided over telehealth. There are certain services for which they will reimburse and others for which they will not. Essentially, Medicare attempts to determine two things:

  • If the service was accurately described by the corresponding CPT code when delivered via telehealth
  • Whether the use of telemedicine to deliver telemedicine to deliver the service revealed a clinical benefit to the patient

In addition to limiting services and methods of telemedicine care delivery, Medicare has several other requirements that patients and providers must meet in order to be reimbursed through Medicare for telemedicine.


Private payer reimbursement for telemedicine

Currently, 37 states have parity laws that mandate private payer reimbursement for telemedicine. Typically, these mandates only cover real-time video conferencing, but there are few states that cover store-and-forward technology. Let's discuss how reembursementwill work for your organization to learn more about the patient and provider requirements that determine reimbursement. Additionally, the Center for Connected Health Policy provides in-depth information on legislation for both public and private healthcare programs and is a fantastic resource for those looking to dive deep into individual state policy.


Getting reimbursed for telemedicine is easy with MDVCare


Medicaid reimbursement for telemedicine

Overview

CCHP’s most recent fifty-state survey of state telehealth laws and Medicaid program policies was completed in Spring 2018. The full PDF report is available, as is an interactive map of existing and pending telehealth-related policies by state. Below are some key findings:

  • 49 state Medicaid programs reimburse for some form of live video
  • 15 state Medicaid programs offer some reimbursement for store-and-forward, not counting states that only reimbursed for tele-radiology
  • 20 state Medicaid programs offer reimbursement for remote patient monitoring
  • 9 state Medicaid programs (Alaska, Hawaii, Illinois, Minnesota, Mississippi, Missouri and Washington) reimburse for all three
  • 32 states will reimburse either a transmission, facility fee, or both


Licensing

Only those practitioners who are allowed to provide telemedicine care as outlined in the state legislation will be reimbursed for these services.


Medicaid telemedicine reimbursement

Currently, 49 states have some form of reimbursement legislation outline in their public healthcare program. The state that contains absolutely no mention of telemedicine or telehealth in their public program is Massachusetts.


Reimbursable telehealth services

Each state’s public program determines the services that may or may not qualify as reimbursable. For example, one public program may reimburse for store-and-forward while another state’s program may only reimburse for video conferencing.


Exceptions

Per state telemedicine reimbursement through the public program is extremely nuanced. Programs may place patient location requirements, specifically prohibiting reimbursement for services provided to a patient who is not at an established medical site when receiving telemedicine care. They may require practitioners to document that a patient has a barrier to receiving in-person care in order to receive reimbursement for delivery of remote care.


Big news

MDVCare launches full-scale deployment of its Telemedicine platform.