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Public Sector Telehealth Reimbursement – Beg Forgiveness or Ask permission
Reimbursement is an essential element to measuring long term telehealth success. Our presentation will explore resources used for determining public sector policy and reimbursement with a particular focus on Medicaid. We will explore the pitfalls faced by programs who make incorrect assumptions or overly relied on single source information. The presentation will more deeply explore how Medicare, Medicaid and VA rules governing reimbursement for telehealth are rapidly changing and site examples where government payers reported services as being allowed without having established codes for reimbursement. We will show how rules governing reimbursement, specifically for Medicaid recipients are not only changing rapidly, but differ from state to state. Finally, we will provide insight into how Insurance companies with large statewide Medicaid contracts keep current with rapidly changing claim edits and offer suggestions that will help improve reimbursement and help build long term program success.
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