Small Hospitals Welcome Tele-NICU

Tele-NICU provides a highly experienced neonatologist at a moment’s notice 24/7/365. Anywhere in the U.S., any rural or suburban hospital can have the expertise of a neonatologist who can “beam in” via a high-tech audio-visual cart. Neonatal intensive care units (NICUs) generate considerable revenue for hospitals. But in small community hospitals, there often is no…

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Efficacy of Telemedicine Programs: Facts vs Fiction

Telemedicine programs may seem revolutionary. The concept of a physician “beaming” into a hospital room may seem like Star Trek Healthcare. You may wonder at the efficacy, when the physician is a face on a TV monitor. Truth is, telemedicine programs are proven effective in medical care — with highly skilled medical Specialists, advanced audio/video/sensory…

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Can Better Diagnoses, Prescriptions Help with Hospital Readmission Reduction Program Initiatives?

The Hospital Readmission Reduction Program (HRRP), which is managed by the Centers for Medicare and Medicaid Services (CMS), reduces payments to hospitals with excessive readmissions. High readmission rates can contribute to significant damage to a hospital’s financial health. What actions can hospitals take to lower readmissions? The Agency for Healthcare Research and Quality estimates patients…

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Allow Equal Billing for Virtual Care and Telehealth

Early in this series, we discussed the need to lift CMS virtual care and telehealth restrictions related to the patient’s originating site and attending physician. Today we focus on reimbursement parity for inpatient telemedicine. When the needs of patients suffering from the novel coronavirus triggered changes to CMS reimbursement policies, many private health insurers also…

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Doctor Shortage, CMS Telemedicine Reimbursement Limits Care

Even before the Centers for Medicare & Medicaid Services (CMS) waived site requirements for telemedicine reimbursement in response to the pandemic, rural hospitals benefited from telehealth-friendly legislation to maintain access to care despite the nationwide doctor shortage. Prior to the waivers related to COVID-19, CMS rules around telemedicine reimbursement didn’t apply to vulnerable urban hospitals.…

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DEA and Telemedicine: Slow Progress Demands Permanent Process

Before the COVID-19 pandemic, a number of regulatory restrictions, like registration for DEA telemedicine numbers,  limited a physician’s ability to practice across state lines. Many of these, such as instate licensure requirements, were waived to combat the public health emergency (PHE) by the Centers for Medicare and Medicaid Services (CMS). While the CMS changes marked…

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Medical Licensing Across State Lines: Is IMLC the Answer?

During the COVID-19 pandemic, many barriers to telemedicine and access to remote doctors were removed to meet emergency healthcare demand. Most states relaxed in-state licensing requirements for physicians and treatment and reimbursement restrictions were modified by the Centers for Medicare and Medicaid Services (CMS). These temporary changes opened doors to patient care and telemedicine. For…

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Diversified Care Improves Hospital Revenue and Patient Care

Over the past several years, hospital revenue has fallen while facilities have also been pushed to provide higher quality, lower cost care. In many states, hospitals joined regional health networks to offer more coordinated care using shared resources. Smaller hospitals, often in rural areas, struggled to serve their communities without that support system, losing physician…

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States must make access to telemedicine easier for Medicaid patients

Medicaid patients are among the country’s most vulnerable, as these millions of Americans include low-income adults, children, pregnant women, elderly adults and people with disabilities. They live in every corner of the US — in densely populated cities, remote rural regions, towns and cities of every size. In setting up the Medicaid system, the federal…

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