Since the outbreak of COVID, the usage of telehealth services has exploded as a viable means of accessing and delivering care. From expanding the types of cases, to a rapidly growing number of digital devices that cover multiple patient care needs, the telehealth business continues to extend its range of solutions. However, as telehealth services have grown in popularity, new problems have evolved in the fields of licensing reimbursement, acceptance, EMR integration, and accessibility of health and awareness.

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5 Common Telehealth Billing Challenges
Since the outbreak of COVID, the usage of telehealth services has exploded as a
viable means of accessing and delivering care. From expanding the types of
cases, to a rapidly growing number of digital devices that cover multiple patient
care needs, the telehealth business continues to extend its range of solutions.
However, as telehealth services have grown in popularity, new problems have
evolved in the fields of licensing reimbursement, acceptance, EMR integration,
and accessibility of health and awareness.

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3. Lack of Paperwork Checking
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1. Insurance does not cover this service
2. The person is not covered by the policy anymore
3. The provider is not in the network
4. A pre-authorization was necessary
Incorrect information, such as the person’s name, ID number, or date of birth
In a clinic or office, these are all fairly simple denials to avoid because front office
employees may check all of this data well before the patient visits. Patients are
frequently asked to fill out or double-check personal information, copy new insurance
cards, and complete insurance verifications over the phone or through computer
systems. When dealing with telemedicine, providers risk having most of these checks
undone. Instead, the patient could go to an online site and fill out their own information
before being examined by a therapist. Typos, confusion about the information, and
plain deception can all cause the payment to be delayed.

4. No Clarity on Coverage
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One of the most significant obstacles to reimbursement in telemedicine is that payers
have yet to catch up to the trend. Telemedicine visits are not covered by all commercial
insurance plans, and Medicaid coverage varies by state. Providers must utilize the
correct procedure code, a GT modifier to indicate that the service was provided via
interactive video conference, and the correct service code location.
Because one of the benefits of telemedicine is that businesses, clinics, and hospitals may
tap on the knowledge of doctors throughout the country, it may take some time to set up
billing systems that can handle many states.

5. Absence of Sufficient Data for Care
Continuity
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A failure of platform integration might also cause care to be
interrupted. If a patient is given telemedicine from one provider
but switches to another for the next e-visit, the other physician
may not have all of the information required to diagnose the
patient’s illness. This of course creates confusion in the billing
with incorrect information being fed in, and consequently failure
of full reimbursement.

6. EMR
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Integrating Electronic Medical Records (EMR) with telehealth technologies is typically
expensive and time-consuming. Due to a lack of integration, double documentation is
required, that is not only time intensive but also offers possibility for error and
unhappiness among employees.
To accomplish HIPAA compliance and ensure the security of sensitive data, the most
highly secure exchange methods must be implemented. As telehealth expands, new
systems of care must ensure that communication between physicians and patients is
maintained or improved, relationships are strengthened, and healthcare effectiveness
and efficiency are improved.

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Reimbursement
One of the most significant telehealth issues has been CMS and commercial payers’ restricted
reimbursement options and amounts, especially in comparison to conventional on-site
consultations. Payment parity rules have been established in 28 states, however there is no
enforcement mechanism in place. During the pandemic, the Centers for Medicaid and Medicare
Services increased reimbursement, but the longevity of this temporary modification is unknown.
It is reasonable to predict that advantages, insurance, and payment for Telehealth services will
continue to expand as consumerism takes centre stage and proof of the advantages of telehealth
services accumulates. CMS and other payers are expected to continue to make a growing number
of claimable codes available.
The advantages of telehealth greatly outweigh the challenges of implementing the technology. Info
Hub is built on enabling clinicians to overcome such obstacles and make easy, patient-centered
care more accessible. We have a team of professionals ready to assist in developing a successful
telehealth programme that puts you on the cutting edge of the healthcare industry’s future. Our
reimbursement experts at Info Hub can assist clients with reimbursement process for
telemedicine. Info Hub, a leading offshore medical billing company has a team of technical
professionals available to assist clients with the implementation of partial or complete integration
into their EMR systems, resulting in increased efficiencies and less work for our clients.

8. About Us
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Though there are several common benefits offered by offshore medical
billing companies, but choosing the right medical billing partner plays a
vital role. Info Hub is one of the leading offshore medical billing companies
in Coimbatore, India, with sophisticated infrastructure and skilled
manpower that is highly experienced in multiple aspects of medical billing
and coding, to support healthcare practices grow heights and develop
consistency in generating revenue.
If you are looking to outsource your medical billing and coding services to a
reliable outsourcing partner, Info Hub is your ideal choice. With more than a
decade experience in providing excellent medical billing and coding
services, Info Hub has earned high client value by building trust with its top-
notch services. For a quick appointment, make a call to +1-888-694-8634 /
+91-0422-4212455.

9. Contact Us
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Info Hub,
Sf No 558/2, Udayampalyam Rd, Nava
India,
Coimbatore,
Tamil Nadu 641028
Call Us: +91 829-745-6441
Email Us At: inquiry@infohubservices.com