The American Telemedicine Association and its Business and Finance SIG offer “Reimbursement Central” to serves its membership, organizations, legislative staff, and all others who have a need for a comprehensive and accurate source for telemedicine reimbursement information.  Reimbursement Central is maintained and coordinated by the Business and Finance SIG for the purposes of providing up to date reimbursement information to members and outside interested parties. 

Reimbursement Central is maintained by a coordinator and a core group of individuals whose purpose is to identify important reimbursement references, review those references for relevance and accuracy, and to post those references on the Reimbursement Central web-page.  The Editorial Committee members are: 

  • Nina M. Antoniotti, RN, MBA, PhD – Coordinator
  • Debbie Voyles MBA (Texas Tech University, Asst. Director of Telemedicine)
  • Barb Robinson RN, MS, MBA (University of Wyoming, Research Scientist)
  • Deb LeMarche (Utah Telehealth, Director of Telemedicine)
  • Earl Ferguson MD, PhD, (Ridgecrest Regional Hospital, Special Assistant for Telemedicine, Outreach and Rural Health Dept.)
  • Hank Fanberg (CHRISTUS Health, Manager R&D)
  • Pam Kelly MBA (University of Missouri Health Care, Asst. Director)

Reimbursement Central will include:

  1. Federal legislation in the form of bills and regulatory rules and the corresponding Federal Register. 
  2. A layman’s interpretation of federal bills and corresponding Federal Registers.
  3. CMS publications or other HHS publications that reference reimbursement for telemedicine services and a corresponding layman’s interpretation.
  4. Any federal agency publication that references reimbursement for telemedicine and a corresponding layman’s interpretation.
  5. A section for state reimbursement issues to include:
         a. Actual legislated or regulatory language and corresponding interpretation.
  6. Insurance company policies and procedures related to reimbursement or submitting claims for reimbursement.
  7. Case studies on successful activities to gain reimbursement at the federal, state, or local levels.
  8. A list of persons willing to assist others with reimbursement questions or in developing solutions.
  9. CMS procedure for annual CPT code submissions.
  10. Other pertinent reimbursement information as determined by the web-page maintenance group, such as white papers, reference materials, etc.

If you have legislative documents, case studies, regulatory language, or other information that you think would be helpful to the larger telemedicine audience, please forward your items for submission to the Reimbursement Central Coordinator who will send the submission to the group for review.  Posting will be at the discretion of the Executive Director of ATA. 

 
 

Private Payer Reimbursement Information Directory
The purpose of this website is to provide a reference to support private payer reimbursement for telemedicine clinical consults. The information contained in this website is the result of a survey jointly sponsored by the American Telemedicine Association and AMD Telemedicine. The directory contains a listing of:

  • Telemedicine providers receiving private payer reimbursement
  • Private payers providing reimbursement
  • State legislation mandating private payer reimbursement of TM services
 

Medicare Reimbursement for Telemedicine
A report from ATA on Medicare's reimbursement of Telemedicine (05/2006)

 

Copyright © 2007 American Telemedicine Association