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Billing

The History of Telemedicine Reimbursement

1997: Medicare only covered patients living in HPSA's
2000: Medicare approved orginiating sites that were participating in Federal Telemedicine Demonstration Projects
2001: Medicare expands the coverage to include Non-Metropolitans Statistical Areas

Current: "Medicare beneficiaries are elgibile for Telehealth services only if they are presented from an originating site located in a rural Health Professional Shortage Area or in a county outside of a Metropolitan Statistical Area."

TELEMEDICINE REIMBURSEMENT LINKS

Medicaid     

WV Medicaid        

Medicare     

CMS Telehealth Fact Sheet

WV CMS Telehealth Reimbursement Overview (printable version)

Medicare Checklist- Originating Site Facility Fee

Medicare Checklist- Professional Fee

Eligibility      

CMS Eligibility for Reimbursement by Location

WV Primary Care HPSA's (pg. 206-209)

WV Dental Care HPSA's (pg. 175-177)

WV Mental Health HPSA's (pg.191-194)

WV MSA Map

 

Center for Telehealth & e-Health Law