A few months ago I was looking into telemedicine. I believe you can just use the place of service code 02 with EM codes 99213, 99214 and the reimbursement would be the same. I looked into for Texas Medicaid, so I don't know about for private insurance. But I do know that for my personal BCBS insurance, they do not cover telemedicine unless it's through LiveMD.

The Updox videoconferencing service is $100/month. Updox had presented a webinar that I watched with two practices that use their service - one pediatrics, the other some kind of specialty I forget. It was very informative. I'm sure they have a recording.

We decided against it because I could not get a straight answer from all the Medicaid HMOs on whether it's covered or not. (Even though Texas HHSC says they cover it, I didn't want to deal with the HMOs if they were not aware or set up for it.) But now we are looking at doing it again, especially if the payers start to clarify their policies in light of all this interest in telemedicine.


Serene
Office Manager
General Pediatrics
Houston, Texas