September 01, 2018

CMS Proposes to Expand Telehealth Reimbursement under Medicare

Jeremy Sherer and Amy Joseph, Hooper Lundy, & Bookman, PC Boston, MA and David Vernon, Hooper Lundy, & Bookman, PC, Washington, DC

While many state Medicaid programs and commercial payors across the country are covering services delivered via telehealth (albeit to varying degrees), obtaining Medicare reimbursement for such services remains a significant challenge to the telehealth industry.  Historically, Medicare has covered certain enumerated telehealth services provided from approved originating sites, such as hospitals and other healthcare provider facilities, to beneficiaries located in rural areas.1 Throughout 2018, however, the Centers for Medicare & Medicaid Services (CMS) has issued a number of proposed rules that suggest its perspective on the role of telehealth is evolving. 

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