On May 2, 2011 CMS issued its final rule on credentialing and privileging for telemedicine. As expected, the rule now provides for “privileging by proxy” between facilities, wherein one hospital can accept the privileging decisions of another for purposes of the provision of clinical services to patients by practitioners from a distance via electronic communications [...]
In a study published in The Journal of the American Medical Association, telehealth services used in intensive care units are associated with lower mortality rates and shorter hospital stays. EA TeleHealth is particularly gratified and not surprised by these findings, as one of our clients provides these same services with similar results.
Presenters at the IHT2 Health IT Summit in Fort Lauderdale discussed a number of business models in use to sustain the provision of telehealth services. As fee for service reimbursement, particularly outside of a rural heath area, continues to be challenging, alternative models are emerging.
In a case of two steps forward, three steps back, the recently proposed standards for ACOs include significant restrictions on the provision of reimbursable care via telemedicine. The ATA has sent a letter to CMS administrator Dr. Donald Berwick requesting that five specific proposed requirements be waived.
Provided by CMS as part of the Medicare Learning Network, this fact sheet is designed to provide education on services furnished to eligible Medicare beneficiaries via a telecommunications system including originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth, and billing and payment for the originating site facility [...]
This report updated in April 2011 and found on the AMA website presents an analysis of current trends in physician licensure. With the advent of telemedicine and its potential to solve physician shortages and deliver care over wide geographic areas, the current state-based medical licensure system is challenged.
Effective January 1, 2011, CMS has added a number of telehealth services to those reimbursed by Medicare (in a rural HPSA or in a county outside of an MSA). Notably, subsequent hospital care services (codes 99231, 99232, 99233) are now payable (once every 3 days by admitting physician), and the originating site facility fee was [...]