Telehealth and telemedicine are great, but in the process of offering advice to patients via video calls, doctors can have problems with reimbursements. To tackle this problem, Chiron Health has released what it says is the industry’s most advanced set of telemedicine software billing and reimbursement tools, designed to get physicians paid faster.
“Video-based telemedicine is a rapidly emerging standard of care for many types of routine consultations, yet reimbursement complexity has remained the largest obstacle to broader telehealth adoption by physician practices,” Andrew O’Hara, Founder and CEO of Chiron Health, said in a statement.
Chiron Rules Engine gets smarter with each eligibility check performed.With the new offering, called Chiron Rules Engine, the company hopes to remove the burden from office staff to manually check telemedicine eligibility nuances and exceptions. The solution initiates a telemedicine insurance eligibility check each time a video visit is scheduled by automatically pulling the patient’s insurance information from the clinic’s practice management system. The solution also includes checking the patient’s insurance information against a database of state telemedicine reimbursement mandates and payer-specific nuances to make an accurate determination of the patient’s eligibility for telemedicine reimbursement.
Furthermore, the Chiron Rules Engine gets smarter with each eligibility check performed, pushing new rules to all clients through its cloud-based technology.
Chiron is confident in its Engine that it’s willing to put the money behind the technology, adding that if a checked claim is later denied, it will go as far as to reimburse the claim itself.