Reimbursement

Telepsychiatry reimbursement is not universal among all payer sources, so we recommend that your billing department contact your primary payers to understand their reimbursement policies relative to telemedicine.

When applicable, there are typically two billable events within a telepsychiatry encounter: a professional fee and a facility fee to help offset infrastructure costs. Telepsychiatry providers can panel with up to 2 major commercial payers as well as Medicare and Medicaid, if beneficial to the program.

For information on the most up-to-date reimbursement guidelines for private payers and Medicaid visit the Center for Telehealth and e-Health Law (CTeL) or the American Telemedicine Association (ATA).

Medicare will reimburse for telepsychiatry services when a community is considered rural. Use the Rural Assistance Center’s “Am I Rural?” tool to determine the status of your community.

For a more in-depth look on coverage by Medicare, please read Will Medicare Cover my Telehealth?