telemedicine reimbursement for oregon. why is it important? telemedicine reimbursement encourages...
TRANSCRIPT
![Page 1: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/1.jpg)
Telemedicine ReimbursementFor Oregon
![Page 2: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/2.jpg)
Why is it important?
Telemedicine ReimbursementTelemedicine Reimbursement
Encourages use of telemedicine services
Provides mechanism to reimburse providers
One tool to ensure sustainability of program
![Page 3: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/3.jpg)
What is happening nationally?
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 4: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/4.jpg)
Telemedicine ReimbursementTelemedicine Reimbursement
Medicare
•First authorized in BBA of 1997
-Fee splitting-Limited CPT code reimbursement-Limited eligible presenters
![Page 5: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/5.jpg)
Telemedicine ReimbursementTelemedicine Reimbursement
Medicare
•BIPA of 2000-some improvements
-Eliminated fee sharing
-Eliminated need for “telepresenter”
-Expanded eligible services
-Included payment to distant site
physician only
![Page 6: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/6.jpg)
Medicare
•BIPA of 2000-some improvements
-Expanded definition of originating site
-Expanded eligible geographical regions
-Allowed originating site facility fee
-Permitted use of store and forward
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 7: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/7.jpg)
Medicare
•BIPA of 2000-some improvementsBut
Still substantial limitations:-Eligible geographic locations-Eligible originating sites-Eligible services-Eligible providers
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 8: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/8.jpg)
Medicare
Eligible Geographical Locations
-Must be a primary care Health Professional Shortage Area (HPSA)
-Cannot be a Metropolitan Statistical Area (MSA)
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 9: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/9.jpg)
Medicare
Eligible Geographical Locations
HPSA: Three Criteria
-Rational area for delivery of primary care
-<1 primary care physician per 3,500 people
-Insufficient capacity of providers
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 10: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/10.jpg)
MedicareEligible Geographical Locations
MSA: County or contiguous counties with:
-One city with population of 50,000 or more
-Census Bureau-defined urbanized area of at least 50,000 and metropolitan population of at least 100,000
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 11: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/11.jpg)
MSA December 2006Oregon
13460 Bend, OR 18700 Corvallis, OR 21660 Eugene-Springfield, OR 32780 Medford, OR 38900 Portland-Vancouver-Beaverton, 41420 Salem
Medicare
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 12: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/12.jpg)
MedicareEligible Originating Sites:
Medicare includes:
Office of a Physician
Hospital
Critical Access Hospital
Rural Health Clinic
Federally Qualified Health Center
Additions Needed:
Skilled Nursing Facilities
Community Mental Health Centers
County Mental Health Departments
Public Health Departments
Indian Health Service Sites
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 13: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/13.jpg)
Medicare
Eligible Medical Practitioners
Telemedicine ReimbursementTelemedicine Reimbursement
Medicare Includes:PhysicianNurse PractionerPhysician AssistantNurse MidwifeClinical Nurse SpecialistClinical PsychologistClinical Social WorkerNutrition Professional
Recommended
Additions:Dieticians
Genetics Counselors
Physical Therapists
Occupational Therapists
Speech Therapists
![Page 14: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/14.jpg)
Medicare
Eligible Services
Telemedicine ReimbursementTelemedicine Reimbursement
CoveredBIPA
- Consultations
- Office or other outpatient visits
- Individual psychotherapy
- Pharmacologic management
![Page 15: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/15.jpg)
Medicare
Eligible Services
Telemedicine ReimbursementTelemedicine Reimbursement
Covered
Added since BIPA
- ESRD services, 2-3, or 4 or more visits per month
- Individual nutritional therapy
![Page 16: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/16.jpg)
Medicare
Eligible Services
Telemedicine ReimbursementTelemedicine Reimbursement
Requested but not yet approved
- Nursing facility care
- Speech language pathology
- Audiology
- - Physical therapy services.
![Page 17: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/17.jpg)
Medicaid
Telemedicine ReimbursementTelemedicine Reimbursement
•State administered program, Federal Match
•Each state sets its Medicaid telemedicine reimbursement policy
![Page 18: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/18.jpg)
Medicaid
Telemedicine ReimbursementTelemedicine Reimbursement
Alabama, Alaska, Arizona, Arkansas, California,Colorado, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia,Wisconsin, Wyoming.
35 States Reimburse for Telemedicine
![Page 19: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/19.jpg)
Medicaid
Telemedicine ReimbursementTelemedicine Reimbursement
Reimbursement models vary among states:
-Internal agency decision-Legislative initiatives-Regulatory initiatives-Other: SCHIP, Waivers
![Page 20: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/20.jpg)
Medicaid
Telemedicine ReimbursementTelemedicine Reimbursement
Per 2004 Survey (Institute for Child Health Studies, U of Florida):
27 States have been reimbursed for telemedicine:-Medical consultations or treatments-22 states-Psychological consultations or treatment-12 states-Home health-2 states-Case management-2 states- Patient education (diabetes)-1 state
![Page 21: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/21.jpg)
Private Payers
-Less published information on private payer
reimbursement
-Progress is being made…..
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 22: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/22.jpg)
• States with government mandated legislation
- California, Louisiana, Texas, Oklahoma,
Kentucky
• All prohibit payers from excluding services
solely because they are delivered telemedically
Telemedicine ReimbursementTelemedicine Reimbursement
Private Payers
![Page 23: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/23.jpg)
Private Payers
Telemedicine ReimbursementTelemedicine Reimbursement
•Growing number of states enacting legislation:- Example: Kansas HB 2065: Private insurers should cover medical care
provided via telemedicine as they do for in-person
Coverage should include:-Office visits or consultations-Individual psychotherapy-Pharmacological management-Emergency services
If passed, effective in 2008
![Page 24: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/24.jpg)
Private Payers
Telemedicine ReimbursementTelemedicine Reimbursement
•2005 Survey:American (Telemedicine Association and AMD Telemedicine)
- Phone survey of 72 programs as offering potentially billable services
- 38 receiving reimbursement from private payers
-Payers reimbursing in at least 25 states
-Many are following lead of Blue Cross/Blue Shield
www.amdtelemedicine.com/private_payer
![Page 25: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/25.jpg)
Private Payers
Telemedicine ReimbursementTelemedicine Reimbursement
•2005 Survey (American Telemedicine Association and AMD Telemedicine)
- 3 programs receive reimbursement for store and forward
- 7 programs receive reimbursement for facility fees
- Over 100 private payers currently reimburse for telemedicine services
![Page 26: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/26.jpg)
What is happening in Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 27: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/27.jpg)
Telemedicine ReimbursementTelemedicine Reimbursement
Oregon
•Oregon’s Landscape
•HJR4
•What’s Next
![Page 28: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/28.jpg)
Oregon’s Landscape
![Page 29: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/29.jpg)
![Page 30: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/30.jpg)
![Page 31: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/31.jpg)
![Page 32: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/32.jpg)
![Page 33: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/33.jpg)
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
Oregon HJR4 passed in 2003 legislative session
Three major goals:– Quality health care should be available to all
Oregonians– To assure best access possible, Telehealth
should be an appropriate tool for delivery of service
– To reduce healthcare costs, Telehealth should be an appropriate tool for delivery of service
![Page 34: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/34.jpg)
HJR4: Key Points: Providers reimbursed for in-person services
should receive same reimbursement for services delivered via telemedicine
Any service reimbursed on an in-person basis should be reimbursed if delivered via telemedicine
With exception of “store-and-forward”, reimbursable services should include clinician to patient services (not clinician to clinician)
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 35: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/35.jpg)
HJR4: Key Points: Informed consent document specific to
telemedicine should be signed by patient prior to services
Patient should have the right to choose telemedicine or in-person services when both are available
Payers should consider reimbursing transmissions costs
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 36: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/36.jpg)
Recommended contract language: Matches existing Medicare language, with the
following exceptions:Originating sites are not specific to
geographic locationsEligible originating sites:
Medicare includes:
Office of a Physician
Hospital
Critical Access Hospital
Rural Health Clinic
Federally Qualified Health Center
Additions:
Skilled Nursing Facilities
Community Mental Health Centers
County Mental Health Departments
Public Health Departments
Indian Health Service Sites
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 37: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/37.jpg)
Recommended Contract Language: Matches existing Medicare language, with the
following exceptions:Payment is permitted for asynchronous
“store and forward” technologyEligible Medical Practitioners:
Medicare Includes:PhysicianNurse PractionerPhysician AssistantNurse MidwifeClinical Nurse SpecialistClinical PsychologistClinical Social Worker
Recommended Additions:DieticiansGenetics CounselorsPhysical TherapistsOccupational TherapistsSpeech Therapists
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
![Page 38: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/38.jpg)
Telemedicine Reimbursement Criteria Medicare
Oregon Medicaid (Fee For Service)
Oregon Medicaid (Managed Care) See sheet 2 (Not Yet Developed)
Regence Blue Cross
Providence Health Services Lifewise Comments
Geographic Locations HPSA: Health Professional
HPSA (Eligible) Y Y ? Y Y Y Shortage Area
MSA (Not Eligible) N Y ? N N Y MSA: Metropolitan
Any Originating Location N Y ? N N Y Statistical Area
Covered Org Sites ? Y
Physician Office Y ? Y Y
Hospital Y ? Y Y
Critical Access Hosp Y ? Y Y
Rural Health Clinic Y Language not ? Y Y See coment
Federally Qualified Health Center Y specific ? Y Y Below
Skilled Nursing Facility See Comment ? Y Y
Comm Mental Health Centers Below ? Y Y
County Mental Health Dept ? Y Y
Public Health Dept ? Y YIndian Health Svc Site ? Y Y
Covered Providers Y Y
Physician Y ? Y Y
Nurse Practioner Y ? Y Y
Physician Assistant Y ? Y Y
Nurse Midwife Y ? Y Y
Clinical Nurse Specialist Y Language not ? Y Y
Clinical Psychologist (Excludes CPT Codes 90805,90807 and 90809) Y specific ? Y Y See CommentClinical Social Worker (Excludes CPT Codes 90805,90807 and 90809) Y See Comment ? Y Y Below
Dieticians N Below ? N N
Genetics Counselor N ? N N
Physical Therapist N ? N N
Occupational Therapist N ? N NSpeech Therapist N ? N N
Covered ServicesConsultations (CPT codes 99241-99275) Y Language not ? Y YOffice or other outpatient visits (CPT codes 99201-99215) Y specific ? Y Y See CommentIndividual psychotherapy (CPT codes 90804-90809) Y See Comment ? Y Y BelowPharmacologic Management (CPT code 90862) Y Below ? Y Y
Telemedicine Reimbursement Criteria By Payer
![Page 39: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/39.jpg)
Telemedicine Reimbursement Criteria Medicare
Oregon Medicaid (Fee For Service)
Oregon Medicaid (Managed Care) See sheet 2 (Not Yet Developed)
Regence Blue Cross
Providence Health Services Lifewise Comments
Other
Facility Fee Y Y ? Y Y ?
Interactive Video Required Y Y ? Y Y ?
Patient Must be Present Y Y ? Y Y ?
Physician to Physician Consult N N ? N N ?
Patient to Physician e-mail consult N N ? N Y ?Asychnchronous Store and Forward * N ? * * ? *Allowed only in the case
of Federally funded demonstration projects in Hawaii and Alaska
Comments Medicare currently reimburses.
Reimburse for sites, care providers, and services as if patient is see in person. Fee for Service Medicaid will begin reimbursing in April,05
. Negotiation with OMAP Managed Care Plans will begin soon.Will suggest same language as Medicaid fee for service.
Target date for Implementation of reimbursement rules is July, 05.
Providence currently reimburses.
Lifewise currently reimburses, but does not have specific contract language for telemedicine reimbursement, reimburse the same as if patient seen in person
Telemedicine Reimbursement Criteria By Payer
![Page 40: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/40.jpg)
Oregon
Telemedicine ReimbursementTelemedicine Reimbursement
Convene workgroup to draft telemedicine reimbursementbill for 2009 legislative session.
-Who should be at the table?-What is our strategy?
What’s Next?
![Page 41: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/41.jpg)
Telemedicine ReimbursementTelemedicine Reimbursement
Convene workgroup to draft telemedicine reimbursementbill for 2009 legislative session.
-What should language contain?Eligibel Services?Eligible Originating Sites?Eligible Providers?“Should” vs. “Will”?
What’s Next?
![Page 42: Telemedicine Reimbursement For Oregon. Why is it important? Telemedicine Reimbursement Encourages use of telemedicine services Provides mechanism to reimburse](https://reader030.vdocuments.net/reader030/viewer/2022032803/56649e215503460f94b0d434/html5/thumbnails/42.jpg)
Contact Us
Catherine S. BritainCSBritain ConsultingSecretary, Telehealth Alliance of OregonEmail: csbritain@ gmail.com
Kim HoffmanOutreach Coordinator, ITG, OHSUSenior Manager, HERONTelehealth Coordinator, ITG, OHSU1515 SW 5th Avenue, 9th FloorPortland, Or 97201Mail Code: MSB 9th FloorOffice (503) 494-6089Email: [email protected]