Telemedicine reimbursement challenges in 2018 and beyond

Michael D. Gorfinkle (mgorfinkle@nixonpeabody.com) is a healthcare attorney at Nixon Peabody, LLP in Providence, RI.

Telemedicine has rapidly become a massively popular offering by leading healthcare organizations due to its potential to generate revenue and reach patients beyond the geographic footprint of the healthcare system. The rapid rise in telehealth services is most evident in those healthcare services for which it seems to be tailor made, such as mental health services and online second opinions. As providers become more accepting of leveraging technology, telemedicine has become a way for healthcare institutions to expand their reach and generate additional revenue.

Federal and state regulators, as well as commercial payers, have begun to further clarify how they reimburse for telehealth services. As more providers seek to provide telehealth services, compliance professionals should make sure they are familiar with the rules for reimbursement.

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