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Medicare has about 7,500 specific tasks it pays doctors to perform.  E-mail is not among them.  Ditto for most Blue Cross plans, all the employer plans and most commercial insurers.  But wait…..are Aetna and CIGNA really entering the 21st century?  (DMN story)

Reimbursable e-mail is not like garden-variety e-mail, however.  It has to have a CPT code, a diagnosis, a record of time spent - in short, all the same forms, activities, categories and even payment rates as 20th century, face-to-face consultations.  It's sort of like constructing a state of the art operating room so that shamans can practice bloodletting with leeches.

4 Responses to “Aetna/CIGNA Discover the Internet”
  1. Phil Pfeiffer Says:

    It’s about time, I use only fax and e-mail with my physician( eliminates secretary and nurse), I’m sure the clinic does not seek reimbursement! My past, RN, CRNA, Hospital Administrator, Geriatric Nurse and now retired. Phil

  2. Jerry Keller Says:

    I want to follow this from the cost/benefit analysis after one year. Must be less expensive to converse with an MD who knows me prior to seeing an ER doc who does not! Sounds like a new “covered service” in the making!

  3. Pam S. Says:

    Okay. So how should email consultations be compensated?

  4. john goodman Says:

    Reply to Pam: Obviously you need to read the vignettes in our state health care reform handbook
    at http://www.ncpa.org/email/State_HC_Reform_Book_conclusion.pdf

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