I hate to sound like a broken record, but I guess every state is different.
1. We do most (well all) virtual visits by telephone. 2. It is now state law that EVERY insurance must pay for virtual visits (telehealth or whatever) and pay at the same rate.
Given that they don't have to be video, it is simple to just put them in the schedule and tell them I will call them. I can call them right then or three hours later.
It is sooooo much like concierge medicine. As I stated earlier, it is fun to be a doctor again. Like you said, you are on the phone for five minutes, diagnose a cold and it is a 99213. I document it like crazy.
I don't feel bad, because when you think about it when you do them by telephone, it is like what you do on a page. And, my guess is Wendell has done arouind 100,000 free pages in his career. And, how many phone messages with your MA.
You are right the video. That has to be more coordinated and scheduled and you have to sometimes teach them. That is why we only use Facetime, Most people have Facebook and most have used Facetime.