Patient portal messages increase, yet billing remains rare: Survey

Since the pandemic, physicians have seen a 57% increase in online patient portal messages, yet few health systems bill for medical advice messages, a  survey released Feb. 25 from Vizient found.

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Vizient and the Association of American Medical Colleges surveyed 40 health systems across 24 states to examine how they are using patient portal communication, including medical advice messages and structured e-visits.

Here are five key findings from the survey:

  1. The majority of respondent said between 51% and 75% of patients are enrolled in portal access.
  2. Only 57% of respondents offer structured e-visits.
  3. Just 25% of health systems bill for medical advice messages, and only 0.05% to 3% of those messages qualify for billing (requiring at least five minutes of decision-making over a seven-day period).
  4. Sixty-five percent of health systems reported billing for structured e-visits, which involve questionnaire-based communications.
  5. Sixty-eight percent of respondents do not compensate staff for handling medical advice messages.
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