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Review
. 2020 Jul 27;20(10):60.
doi: 10.1007/s11882-020-00956-y.

Telemedicine Pays: Billing and Coding Update

Sakina S Bajowala  1 , Jacob Milosch  2 , Chandani Bansal  3
Affiliations
Review

Telemedicine Pays: Billing and Coding Update

Sakina S Bajowala et al. Curr Allergy Asthma Rep. .

Abstract

Purpose of review: Telemedicine is a rapidly growing healthcare sector that can improve access to care for underserved populations and offer flexibility and convenience to patients and clinicians alike. However, uncertainty about insurance coverage and reimbursement policies for telemedicine has historically been a major barrier to adoption, especially among physicians in private practice (the majority of practicing allergists).

Recent findings: The COVID-19 public health emergency has highlighted the importance of telehealth as a safe and effective healthcare delivery model, with governments and payers rapidly expanding coverage and payment in an effort to ensure public access to healthcare in the midst of an infectious pandemic. This comprehensive review of updated telemedicine coverage and payment policies will include a tabular guide on how to appropriately bill and optimize reimbursement for telemedicine services. This review of current trends in telemedicine coverage, billing, and reimbursement will outline the historical and current state of telemedicine payment policies in the USA, with special focus on recent policy changes implemented in light of COVID-19. The authors will also explore the potential future landscape of telehealth coverage and reimbursement beyond the resolution of the public health emergency.

Keywords: COVID-19; Payment parity; Reimbursement; Telehealth expansion; Telemedicine; Telemedicine billing.

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Conflict of interest statement

Dr. Bajowala reports that she serves on the AAAAI-ACAAI Joint Task Force on Technology and Telemedicine, the AAAAI Advocacy Committee, and the AAAAI Telemedicine Workgroup. Ms. Bansal and Mr. Milosch declare that they have no conflicts of interest relevant to this manuscript.

References

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