Kareo's presentation from HBMA 2019 Healthcare Revenue Cycle Conference hosted in Las Vegas from September 12-14.

1. Telemedicine and Your Bottom Line
Michelle Arendas and Jenny Leake September 13, 2019

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Agenda
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Agenda
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• Current State of Telemedicine
• Understanding Rules, Regulations and
Reimbursement
• Overcoming Telemedicine Objections
• Questions

3. Current State of Telemedicine
And where it’s going

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Telemedicine Overview
Telemedicine allows healthcare providers to evaluate, diagnose
and treat patients over video visits.
Types of Telemedicine:
• Store and Forward
• On-demand telemedicine
• Practice-based HIPAA compliant video visits

5. Changing
Shape
of Care
VIRTUAL VISITS
PHYSICAL VISITS
Virtual visits are projected to
overtake physical visits soon

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Why Offer Video Visits
1. Generate incremental revenue
• Convert unpaid patient phone calls into fully billable video visits
• Cut no-shows in half (we see that our no-shows are typically under
5%)
2. Improve clinical outcomes
• Easier access = better compliance with treatment plans
3. Increase patient satisfaction & retention
• No time off work, battling traffic, finding parking, and sitting in a
waiting room full of sick people

7. 4. Creates work-from-
home flexibility!

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Minimize Lost Revenue to Urgent Care
5. Cut Down Lost Revenue to Urgent Care and Keep it With Your Providers
66% of urgent care centers have wait times of less than 20 minutes1
Only 29% of primary care practices offer after-hours coverage2
Approximately 9,000 urgent care centers in the U.S. today3
Expected to grow to 15,000 by 20194
1 Urgent Care Association of America. 2 JAMA Pediatrics, 2013 3 Urgent Care Association of America. 4 IBIS World “Urgent Care Centers Market Research Report, July 2015.

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Increased Patient Retention
Payers are even encouraging your
patients to see other doctors online
Patient EOBs
►90% of large employers said they plan to make telehealth
services available to employees in states where it is allowed
Patients are increasingly getting pulled away from their existing doctors and
are turning to on-demand telemedicine services offered by employers

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Patient Satisfaction… by the Numbers
96.2%
Overall, how would you rate your
telemedicine follow-up
experience?
of patients rated good
or excellent
95.0%
I received the same quality of
care as I do for in-person
visits.
of patients agree or
strongly agree
90.3%
How would you rate the
quality of the video?
of patients rated good
or excellent

11. Understanding Rules, Regulations
and Reimbursement

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Private Payer Reimbursement and Coding
• Many plans cover telemedicine regardless of parity law
• Telemedicine program checks eligibility before each appointment
• Common CPT Codes: 99213 – 99214
- Same coding for telemedicine as your standard office visit
- Typical reimbursement = $70 – 100
- Some plans require modifiers – Telemedicine eligibility check informs
billing staff
• Center for Connected Health Policy

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Reimbursement Landscape

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Payer Landscape
Government Payers
Medicare & Medicaid do not typically
reimburse for telemedicine when the
patient is located at home
Private Payers
Many private payers reimburse
for telemedicine visits exactly
like in-person visits
Video is reimbursable when the patient is located at a qualified facility – e.g., nursing home

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Ideal Candidates for Telemedicine Visit
• It’s great for everyone, but can particularly beneficial for:
• Geriatrics
• Mental Health
• Parents with small children
• Those with disabilities
• Patients in rural areas
• College students that are away from home
• Please make sure to check your state’s regulations before making
recommendations to clients

16. Overcoming Telemedicine Objections

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Top Telemedicine Myths
02
It’s difficult to get
reimbursed
05
Telemedicine is too
complicated
01
It doesn’t work with
EHR/ PM software
04
You can’t see new
patients
03
You must do a physical
exam
06
Telemedicine isn’t
secure or compliant
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02
It’s difficult to get
reimbursed
05
Telemedicine is too
complicated
01
It doesn’t work with
EHR/ PM software
04
You can’t see new
patients
03
You must do a physical
exam
06
Telemedicine isn’t
secure or compliant

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Why Kareo Telemedicine?
1) Integrated solution
• Easily schedule, conduct, chart, and bill for video visits directly
in the Kareo platform
2) In-house support team
• Support staff ready to assist via chat and phone (Monday- Friday
5AM – 5PM PT)
3) Pricing
• Simple, pay-per-visit pricing ($7 per visit)

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Questions?
Stop by Booth 200 at 10:30 am for a live demonstration
of the Kareo Telemedicine Solution

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Connect with Kareo
Billing.Companies@kareo.com
Kareo @GoKareo GoKareo
3353 Michelson Drive, Suite 400
Irvine, CA 92612
(888) 775-2736