Frequently Asked Questions
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Medicare Telehealth Reimbursement Changes
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- Are our emergency TeleStroke consults still reimbursable?
- What about emergency psychiatry in the ED/Inpatient settings?
- Are emergency neurology consults for seizures, TBI, or other non-stroke cases covered?
- What about outpatient clinic visits (TeleNeuro and TelePsych)?
- Does this affect audio-only telehealth?
- What about Medicaid and commercial plans?
- How are other hospitals handling this change?
- What is the status of claims payments right now?
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Service Lines
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Additional Services
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Physician and Medical Team
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- About Our Physicians
- Do your neurologists view PACS images or radiology reads?
- Does your company provide tail coverage for the medical liability of your individual physicians?
- How often do your physicians utilize alteplase (tPA)?
- Physician Experience and Certifications
- Physician Training and Education
- Where are your physicians located?
- Will your providers document directly into our EMR/CPOE?
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Quality
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Operations
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- Are your physicians still able to provide care during system outages?
- Do specific carts or software need to be purchased by a hospital to use your services?
- Do your neurologists view PACS images or radiology reads?
- EMR, Carts and other Technologies
- Will your providers document directly into our EMR/CPOE?
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About
What is the status of claims payments right now?
Due to the government shutdown that began October 1, 2025, CMS has directed MACs to implement a temporary hold on telehealth claims payments. Providers should continue submitting claims as usual, but payments will not be released until the hold is lifted. This hold was implemented to avoid having to reprocess large volumes of claims should Congress reinstate the telehealth flexibilities.
CMS recommends providers consider issuing Advance Beneficiary Notices of Noncoverage (ABNs) when delivering telehealth services that may no longer be covered by Medicare.
If the shutdown is resolved quickly (typically within 14 days) and Congress passes legislation with retroactive effect, claims will be processed and reimbursed as normal. If the shutdown continues longer, reimbursement timelines and coverage rules may change.