YourCare Telehealth wants to provide a service to American Expats living overseas to allow them to have access to quality western medicine. The owners and investors have provided the company with capital. Smart management will allow YourCare to establish and grow their customer base throughout China, eventually reaching past the SouthEast Asia RIm to Europe. The financial information presented should be able to provide information regarding the break-even point and return on investment to show the long term sustainability of YourCare Telehealth as a business.
YourCare Telehealth should include revenue in the following major categories:
-Clinical Revenue.Clinical revenue will need to be broken down into professional services and facility fees, contract revenue and other clinical revenue generated from the telemedicine activities. Professional services and facility fees will include reimbursements from Medicare, Medicaid and commercial insurances. Contract revenue will include …show more content…
Not only must one understand CPT codes but also medical reimbursement and the Stark law as it relates to anti kickback to an entity for which they work. Placing telehealth equipment in facilities into a site with the anticipation of receiving referrals could violate these laws (Burgess, 2006). There are so many different points to be aware of that starting, even writing a business plan, for this has made me a well read individual about more medical law and telehealth than I ever thought possible. I have learned that I may not be able to find a lot of the information needed to create long term projections since there are so many differences based on insurance carriers, Medicare and Medicaid. I have learned to better respect the medical billers and coders I work with because this stuff is beyond
YourCare Telehealth should include revenue in the following major categories:
-Clinical Revenue.Clinical revenue will need to be broken down into professional services and facility fees, contract revenue and other clinical revenue generated from the telemedicine activities. Professional services and facility fees will include reimbursements from Medicare, Medicaid and commercial insurances. Contract revenue will include …show more content…
Not only must one understand CPT codes but also medical reimbursement and the Stark law as it relates to anti kickback to an entity for which they work. Placing telehealth equipment in facilities into a site with the anticipation of receiving referrals could violate these laws (Burgess, 2006). There are so many different points to be aware of that starting, even writing a business plan, for this has made me a well read individual about more medical law and telehealth than I ever thought possible. I have learned that I may not be able to find a lot of the information needed to create long term projections since there are so many differences based on insurance carriers, Medicare and Medicaid. I have learned to better respect the medical billers and coders I work with because this stuff is beyond