Digital Health Payment Guide
Welcome to the California Telehealth Resource Center Digital Health Payment Guide! Understanding how to get paid for digital health services can be an intricate and often frustrating task. This guide will clarify the process, starting with the essential principles to ensure you have a solid foundation.
Getting paid for your digital health services is an often complex process in which one needs to know the answer to the following questions:
What modality will be utilized?
What provider type are you?
What payer does your patient have?
What are the coverage requirements?
What are the codes?
What are the reimbursement amounts?
Begin with Door 1 by clicking the button below. Once you’ve mastered the basics, proceed to Door 2, which provides detailed information tailored to the specific modality of interest, your provider type, and the patient’s specific payer. If you’re already familiar with the basics, feel free to skip ahead to Door 2 directly.
Door 1 The Basics
Door 1 is intended for individuals who may be new to digital health payment or need a refresher on the fundamentals of payment, including:
- Provider types
- Digital health modalities
- Payers and government health programs
- The critical components of coverage, coding, and reimbursement
Door 2 The Specifics
In Door 2, you’ll find the detailed, specific information you need to ensure payment for the digital health services you provide. This section is for those who have already grasped the basics and are ready to dive into the particulars, such as:
- Your provider type
- The patient’s specific payer
- The coverage requirements you must adhere to
- The codes you must use
- The reimbursement amounts you will receive
