tennessee telehealth network - c.ymcdn.com · terry w eagleton, telehealth program director...
TRANSCRIPT
How Using Telehealth Can Benefit Your Health Center
TENNESSEE TELEHEALTH NETWORK
TPCA 2014
Leadership Conference
October 23
1962-63
Terry W Eagleton, Telehealth Program Director
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
Learning Objectives:
1. Identify ways Health Centers are using Telehealth to provide clinical services to their patients and
training for their staff
2. Learn about the cost associated with Network participation
3. Learn about the service line that the Tennessee Telehealth Network offers
4. Receive an update on billing guidelines for Telehealth encounters
5. Understand the implications of Tennessee’s new Telehealth law enacted in 2014
6. Receive an update on status of the proposed Telehealth rulemaking changes by the TN Board of
Medical Examiners
7. Be informed about current trends in Telehealth
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
How CHCs Are Leveraging TTN:
TTN
"Certain images and/or photos on this page are the copyrighted property of 123RF Limited, its Contributors or Licensed Partners and are being used with permission under license. These images and/or photos may not be copied or downloaded without permission from 123RF Limited."
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
Ways to Participate
Video Network Center (VNC)
TTN
Representative images.
Bring Your Own End Point Device
TTN Provided End Point Equipment
TTN Provided Application for Your PC /Laptop
Originating Site Distant Site
Medical Academic Institution
Behavioral Health Specialist
Trained Medical Interpreter
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
Participation Fees Structure
Organization Participation
Fee
End Point Fee
Total Monthly
Participation Fee
TTN Provided Cart You Provide Device
TTN Provided Application
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
Available Services
•Clinical •Psychology •Dermatology •Endocrinology •Gastroenterology •Neurology •Pediatric Cardiology (Pilot) •Psychiatry •Language Services
•Administration
•Staff videoconferences (scheduled or ad hoc) •Clinical Staff Coverage
•Education •Engaging Medical Academic institutions to offer CMEs • TPCA Trainings / Meetings (over 75 events scheduled in 2014 – many available via videoconference)
"Certain images and/or photos on this page are the copyrighted property of 123RF Limited, its Contributors or Licensed Partners and are being used with permission under license. These images and/or photos may not be copied or downloaded without permission from 123RF Limited."
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
TN Telehealth Law:
Requires a health insurance carrier to reimburse for telehealth services under the same reimbursement policies that the benefit plan permits for in-person encounters.
"Certain images and/or photos on this page are the copyrighted property of 123RF Limited, its Contributors or Licensed Partners and are being used with permission under license. These images and/or photos may not be copied or downloaded without permission from 123RF Limited."
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center
Billing Guidelines:
Facility Fee - HCPCS code
“Q3014 telehealth Originating site facility fees:”
Short description “telehealth facility fee.”
CY 2014 - $ 24.63*
* https://med.noridianmedicare.com/web/jea/article-detail/-/view/10521/mpfs-final-rule-and-the-telehealth-originating-site-facility-fee-payment-amount-summary-of-policies-for-2014
[email protected] l www.myttn.org
Originating Site Distant Site
For Insured patients, after 1/1/2015,
• same reimbursement policies that the
benefit plan permits for in-person
encounters.
• Most insurance companies request
the G modifier be used with the CPT
or HCPCS code – to indicate
telehealth.
How Using Telehealth Can Benefit Your Health Center
Board of Medical Examiners - Rulemaking:
Rules of the Tennessee State Board of Medical Examiners
Chapter 0880-02 – General Rules and Regulations Governing the Practice of Medicine
Rule Number – 0880-02-16 – Telemedicine Licensure and the Electronically-mediated Practice of Medicine
Definitions – Consultation using communication technology / Electronic-mediated practice of medicine / Established patient encounter / Facilitator / Initial patient encounter / Medical interpretation / Patient encounter / Referral using electronic or other technology
Eight Requirements
Initial patient encounter requires direct face-to-face
Every fourth encounter – face-to-face or once a year which ever comes first
Physician must have medical record prior to diagnosis, treatment or consultation
Distant site physician responsible for documentation of encounter in EHR / EMR
Originating site responsible for compliance with T.C.A. 63-1-117 (Identification)
Distant site physician responsible for determining appropriateness of TH encounter
Distant site provider must be ABMS board-certified or candidate May prescribe controlled substance BUT NOT schedule II
[email protected] l www.myttn.org
Source: www.state.tn.us/sos/rules_filings/02-08-14.pdf
How Using Telehealth Can Benefit Your Health Center
Current Trends:
[email protected] l www.myttn.org
Cloud Services
• Reduction of Hospital Readmission
• Virtual Medical Centers
• mHealth
• Home monitoring
• Wearable devices
How Using Telehealth Can Benefit Your Health Center
Steps to Join – As an Originating Site
TTN Provided art
TTN Provided Application
1. Contact: [email protected] / 615.425.5849 to express interest.
2. TTN Staff site visit(s) [connectivity, device use selection, space, personnel,
workflow, reporting requirements, protocols, etc...].
3. Sign Participation Agreement.
4. TTN will help schedule and provide staff training.
5. Benefit from this multifaceted healthcare delivery tool!
[email protected] l www.myttn.org
How Using Telehealth Can Benefit Your Health Center [email protected] l www.myttn.org