Is There a Challenge Getting Reimbursed for Telemedicine by Medicare?

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That's true for a medicare beneficiary who is in an urban area, and the definition of urban versus rural doesn't totally align with the distribution of Specialty Care Providers, we have communities in [xx], Virginia that have perhaps in an entire county one or two medical practices and no hospital and yet they're considered an urban area by federal designation because of their proximity to a city in another state.

We face some significant challenges but the American Telemedicine Association has been very proactive in working on these issues but we still have a ways to go.