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FCC Announces $100M Connected Care Pilot Telemedicine Program

The Federal Communications Commission (FCC) has announced an $100 million telehealth program, which the FCC will vote on in August. The Connected Care Pilot Program will issue grants to providers to aid in securing broadband connectivity with the intention of assisting rural, low income beneficiaries gain access to telemedicine services. Access to telehealth services can enhance patient outcomes while reducing cost for both healthcare programs and providers. Over the course...

Teladoc Inc. Drops Antitrust Suit After Texas Expands Telemedicine

Last week, Teladoc Inc. dropped its federal antitrust lawsuit against the Texas Medical Board related to the Board's requirement that a face-to-face encounter occurs prior to a telemedicine encounter in the state. In the lawsuit which began in 2015, Teladoc alleged that the Board's rules were intended to stifle competition, particularly with respect to the in-person contact requirements of practitioners and patients, which favored and protected brick-and-mortar physicians while limiting...

Telehealth Expands to Medicare Advantage Plans

Last month, a federal bill was introduced and passed by the Senate that enables Medicare Advantage (MA) plans to reimburse for telehealth services at comparable rates to in-person services beginning in 2020. Currently, MA plans offer telehealth coverage for an additional premium; a supplemental benefit. The new bill requires Medicare Advantage plans to reimburse for telehealth services at the same rate as Medicare fee-for-service. While the adoption of this bill...

New Jersey Significantly Expands Telemedicine

Pursuant to Senate Bill 291 (S291), approved on July 21, 2017, New Jersey has expanded the potential for physicians expand their practices through telemedicine. Engaging in this practice of remote, virtual healthcare allows providers to reach more patients and develop their practice by providing health care services, such as primary and specialty care and remote patient monitoring, via videoconference rather than requiring all patients to travel to an office or...

What You Need to Know About the Medicare Appeals Process

One: Administrative Law is extremely complex and difficult to navigate Medicare rules in general, and the appeals process in particular, are codified in a complex body of regulations known as administrative law. However, many healthcare providers rely on non-lawyers, typically billing professionals, to file their Medicare appeals. This approach to tackling appeals often creates substantial risks for many providers, as the foundation of any successful appeal is a thorough understanding...