With Red Tape Lifted, Dr. Zoom Will See You Now

Northeast Agent

Guru
1000 Post Club
2,120
Pennsylvania
With Red Tape Lifted, Dr. Zoom Will See You Now

The pandemic pushed Medicare to make telemedicine more financially attractive. Now doctors, patients and regulators will see if they want to stick with it.

But in March, citing the need for flexibility in face of the coronavirus pandemic, the Centers for Medicare and Medicaid Services removed those barriers. It also added scores of new telehealth services it would cover, including emergency-room visits, initial and discharge visits at nursing homes and remote monitoring for chronic conditions. And it agreed to pay the same rates as for in-person care.

It maintained a lower rate, at first, for audio-only phone visits. Professional associations objected, arguing that this policy reinforced the so-called digital divide, depriving older adults of remote care if they lacked computers, smartphones or broadband. “People who rely on a landline cannot do video visits,” Dr. McLean said.

On April 30, that obstacle fell, too, as Medicare agreed to reimburse equally for visits in person, by video or by phone.

And another major hurdle was removed by the Department of Health and Human Services, which, in March, temporarily relaxed enforcement of HIPAA, the federal patient privacy law. It will waive penalties when providers use everyday platforms like FaceTime or Skype, which aren’t HIPAA-compliant.
 
With Red Tape Lifted, Dr. Zoom Will See You Now

The pandemic pushed Medicare to make telemedicine more financially attractive. Now doctors, patients and regulators will see if they want to stick with it.

But in March, citing the need for flexibility in face of the coronavirus pandemic, the Centers for Medicare and Medicaid Services removed those barriers. It also added scores of new telehealth services it would cover, including emergency-room visits, initial and discharge visits at nursing homes and remote monitoring for chronic conditions. And it agreed to pay the same rates as for in-person care.

It maintained a lower rate, at first, for audio-only phone visits. Professional associations objected, arguing that this policy reinforced the so-called digital divide, depriving older adults of remote care if they lacked computers, smartphones or broadband. “People who rely on a landline cannot do video visits,” Dr. McLean said.

On April 30, that obstacle fell, too, as Medicare agreed to reimburse equally for visits in person, by video or by phone.

And another major hurdle was removed by the Department of Health and Human Services, which, in March, temporarily relaxed enforcement of HIPAA, the federal patient privacy law. It will waive penalties when providers use everyday platforms like FaceTime or Skype, which aren’t HIPAA-compliant.
My wife had a doctor's appointment on Face Time last month. I had a phone appointment with a Neurologist last month and have a phone appointment next week with my regular Dr. What other choice do you have if it's not an emergency?
 
I had a telephone appointment with my new PCP last month to go over lab results. F2F I pay $50 copay. Telephone he charged me $163 for 10 minutes. Florida Blue wouldn't cover it.
 
I had a telephone appointment with my new PCP last month to go over lab results. F2F I pay $50 copay. Telephone he charged me $163 for 10 minutes. Florida Blue wouldn't cover it.
That sucks. I'd appeal it. Seems most insurance companies are covering the telephone appointments during the Wuhan mess. Even if you wanted to go in, they aren't seeing people face to face in many states.
 
I had a telephone appointment with my new PCP last month to go over lab results. F2F I pay $50 copay. Telephone he charged me $163 for 10 minutes. Florida Blue wouldn't cover it.
Wow, really? I agree, you should appeal it. Seems quick telehealth "check-ins" are covered for Medicare patients at least due to the new rules, but not sure otherwise. That fee seems pretty ridiculous.
The New Telehealth Guidelines For COVID-19 - EZ.Insure
 
This new doctor I am going to doesn't bill like I am used to. First visit billed FB $300 and then another $250. They approved $122 of the $300 and $77 of the $250. I called and asked why 2 charges for the same day and to let them know that no doctor I have ever been to charged me $550. I was told to pay $77 and I would be paid in full. After I received the $163 bill for the phone appointment I called again. Was told to pay $40 and I would be paid in full. If FB paid these outrageous bills I am sure he would accept it, but he gives me a break when they don't.
 
Back
Top