Advantages

Better clinical data

  Peripheral devices provide vitals data

Better documentation

Via video archiving, speech recognition transcription and later auto-scribing

Less liability vs. EMR alone

A video is worth a million words

Better reimbursement

Easier reporting and more patients seen

Blends into background

Less tech intense - Clinicians can be clinicians

No upfront costs

Pay as you go. Lower overhead

Pricing

Pricing is per provider on a monthly usage basis. While audio/video calls to patients are priced at $3 per call, remote patient monitoring of diet, vitals, and medication adherence is set at $1 per patient per month

Audio & Video Calls

$ 3 /Call

Patient Monitoring

$ 1 /Patient

Per Month

>Volume Pricing

> 100 Calls or
> 100 Patients monitored
/ month

Contact us

Features

Features Description
Real-time video calling As easy as facetiming from anywhere you are to a doctor you trust.
Measure patient vitals Get accurate patient data using peripheral devices that connect directly to the app by bluetooth after a one-time easy setup.
Encrypted and archived video of patient encounter Secure reviewable videos and patient data available anywhere, anytime.
Transcribed text of patient encounter Convenient summation of entire video call automatically done by voice recognition.
Scheduling Convenient and easy as usual by portal, by phone or by message through the app.
Automated appointment reminders Never miss your doctor's calls
Labs, Prescriptions, Specialist referrals, and Radiology orders Get all the orders conveniently throught the app
Medical Assistant Medical assistants can provide chronic care management services through the app.
HIPAA compliant Private and secure

Trial

No contracts needed. First threes months are free. So, use as much as you want to get comfortable with the platform. After three months, you will pay as you go. There are no upfront costs.

Onboarding

Download the free app from the AppStore and register for an account. Once registered, our team will configure your account. From the time you receive an email confirming activation, you will have 90 days to try our platform at no cost. At the end of the trial period you will be charged a tiered pricing on a monthly basis. You only pay as per your usage. There is no additional subscription fees

Workflow

1. Download the app

1-doctor-fields

Download the doctor app from the AppStore

2. Lookup your name

2-doctor-search

For ease of registration, lookup your name and practice information from a database of 1.6M providers

3. Register an account

3-doctor-fields

Complete registration by providing license and liability information along with your phone and email address

4. Validate Credentials

4-doctor-verification

Receive a call from our dedicated support team to validate your credentials and enable access to the app

5. Request Appointment

5-new-appointments-detail

Once enabled, send or receive connection requests from your patients

6. Confirm Appointment

6-Patient-request

Receive requests for appointments from your patients via the platform or conventional methods of an EMR portal or staff at the front-desk

7. Communicate

7-chat

Perform additional schedule coordination via messages or traditional means

8. Visit

8-video-call

Video call patients at the scheduled appointment window to discuss and evaluate patient condition

9. Review History

9-referrels

Review patient's uploaded docs, measure vitals, order prescriptions, place lab or radiology orders, and refer out to specialists as needed

10. Transcribe

10-video-transcribe

Upon completion of the visit, review video of the entire encounter and print/attach the transcript to the patient's chart within your EHR of choice

11. Record Encounter

10-video-transcribe

Review the recorded encouter, and input CPT or ICD codes into conventional billing system to payors

Telehealth Visits

Telehealer is an app which allows patients to visit doctors remotely through a private and secure video call. The app can collect patient vitals and record the interactions. It gives an easy, convenient and flexible option to get timely care at a lower cost to both the doctor and patient.

CCM ( Chronic care management )

Telehealer is an app which allows staff to connect with patients remotely through a private and secure video call. The app can collect patient vitals and record the interactions. It gives an easy, convenient and flexible option to get timely care for chronic conditions. The app allows practices to capture additional revenues and give better care

  • CPT code 99490 - once monthly for 20 minutes of non face to face service
  • CPT code G0506 - One time for helping to initiate CCM services face to face as an additional charge to regular visit
  • Patients with two or more chronic conditions which may lead to death and may last at least 12 months (like HTN, HD, DM, CHOL, etc)
  • Any clinical staff including certified MA my perform this service
  • Provider bills place of service code 11
  • Only PCP provider allowed to bill monthly
  • Billing PCP must create a plan of care initially and an agreement with current patient
  • Services performed may include lab order/review, radiology order/ review, Rx refill/review, preventative services order/ review, consultant referral/ note review, coordination of care with family or friends
  • $40-$120 monthly reimbursement from CMS, patient responsible for co insurance
  • Not subject to Medicare patient location rules

BHI ( Behavioral health integration )

  • CPT code 99484 - Once monthly for 20 minutes of non face to face service
  • Patient must have a behavioral health condition such as depression, anxiety, ADHD, Bipolar disorder, substance abuse disorder, PTSD
  • Initial or follow up monitoring may include use of applicable validated rating scales
  • There must be continuity of care by same team member, no psych consult required
  • $48 monthly reimbursement from CMS, patient responsible for co insurance
  • Not subject to Medicare patient location rules

RPM ( Remote patient monitoring )

  • CPT code 99453 - One time for initiation / setup of assisting patients to start RPM.
    • $21 reimbursement from CMS, patient responsible for co-insurance
  • CPT code 99454 - Monthly reimbursement for initiation / setup of patient data transmission.
    • $69 monthly reimbursement from CMS, patient responsible for co-insurance
  • CPT code 99457 - Once monthly for 20 minutes of collection and interpretation of physiologic data ( Blood pressure, pulse, blood sugar, weight, fev1 ) digitally stored and or transmitted by patient or caregiver.
    • $54 monthly reimbursement from CMS, patient responsible for co-insurance
  • Does not include data from hospital or clinical lab or radiology suite.
  • Improves performance on MACRAS QPP for clinical practice improvement activity and advancing care information performance categories. (10% bonus)
  • $51 monthly reimbursement from CMS, patient responsible for co-insurance
  • Not subject to Medicare patient location rules
Chronic care management Behavioral health integration Remote patient monitoring Total
Avg. Practice 100 pt. 30 pt. 100 pt. 230 Calls
MCR Pays/td> $40 $48 $51 $146 per pt
PCP Earns $4,000 $1,440 $5,100 $11,240
Annually $48,000 * $17,280 $61,200 * $134,880 *
Monthly

* Not counting initiation of service reimbursements

Reimbursements

Certain payors will reimburse for tele-health services equal to office visits while others may not or have certain requirements.

Currently, there are 33 states that have parity laws that mandate private payer reimbursement for telemedicine services. Typically, these mandates only cover real-time videoconferencing, but there are few states that cover store-and-forward technology.

In addition to limiting services and methods of telemedicine care delivery, Medicare has several other requirements that patients and providers must meet in order to be reimbursed through Medicare for telemedicine. To learn more about these requirements, visit the American Telemedicine Association

You may also visit the Center for Connected Health Policy to learn more about patient and provider requirements that determine reimbursement. Additionally, they provide in-depth information on legislation for both public and private healthcare programs and is a fantastic resource for those looking to dive deep into individual state policy.

Medicare

Medicare currently pays for telehealth services, but with a major asterisk. They are required to be provided only in rural or in provider shortage areas and must be provided at certain types of facilities. Medicare does allow telehealth services for CCM (chronic care management) and RPM (remote patient monitoring) to be paid for regardless of patient or provider location. And now they are also allowing demonstration projects for ESRD (end stage renal disease) patients to provide telehealth services irrespective of their location

Medicaid

Medicaid allows for all tele-health services in 49 states. Refer to the CCHP website for state-specific details

Private Pay

Parity laws allow for providers to be paid at the same rate irrespective of whether services are provided by telehealth or in-person. Parity laws are equalizing payments with traditional practice. Each provider must review their private payor contracts to determine what services are eligible for telehealth.

Footnote: A map of state parity law status around the country.

Capitated Pay

Telehealth is a very useful tool to decrease cost of care for capitated providers while still providing significant improvement for access to care of patients.

Self Pay

Direct pay providers may charge patients their own custom rates for concierge care.