Reimbursement to Value in Telehealth - Richelle Marting - Coding & Billing
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Reimbursement to Value in Telehealth - Coding & Billing 13 April 2017 KC Digital Drive Health Innovation Venue: Kauffman Foundation, Kansas City
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Purposes
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This document provides an overview of G Medical Innovations and its mobile medical devices and monitoring services. It summarizes that G Medical develops FDA-approved mobile devices that collect diagnostic health data and enable remote patient monitoring to improve outcomes and reduce healthcare costs. The company has a growing portfolio of products and services and sees significant market potential to expand direct-to-consumer sales and the number of customers that include insurance providers, hospitals, clinics, and physicians. G Medical aims to capitalize on the large market for remote patient monitoring and digital health solutions to help manage the rising complexity and costs of healthcare.
Lesson_2 of 3_Telepractice_Telehealth_Law__Ethics_Implementation_Workshop.pptx
This document provides information about telehealth laws and regulations in California and New Jersey. It discusses what services are covered by Medicaid/Medi-Cal in each state, technology requirements, reimbursement policies, documentation standards, and other guidelines for delivering telehealth services in accordance with each state's laws and rules. Requirements addressed include informed consent, privacy/security, licensing, and establishing the provider-patient relationship for telehealth.
Telehealth Services: Part B Provider Outreach and Education
Telehealth Failures & Secrets to Success Conference 2017 by VSee Speaker Series
Speaker: Carynne Godfrey
Title: Part B Provider Outreach and Education Representative
Organization: NORIDIAN HEALTHCARE SOLUTIONS LLC
More info at: vsee.com/conference
Properly Billing Telehealth Telemedicine
The document discusses proper billing and reimbursement for telemedicine. It provides information on HIPAA compliance for video conferencing solutions and recent changes to HIPAA policies during COVID-19. The document outlines billing codes for telehealth visits, telephone evaluations, place of service codes, and telehealth options for various specialties. It also reviews benefits of telemedicine such as increased access to healthcare, improved outcomes, and lower costs.
Federal Telehealth Policy - David Lee
The document discusses federal telehealth policy and barriers to telehealth services. It notes that while telehealth can help address healthcare access issues in rural areas, Medicare reimbursement is limited by geographic and site restrictions as well as restrictions on covered providers and services. The document advocates expanding Medicare telehealth benefits by removing geographic restrictions on patients and sites of care, streamlining billing procedures, and reimbursing a broader range of telehealth services and providers. This would help rural patients access specialty care through telehealth without facing barriers under current Medicare policy.
XpioHealth Telehealth Webinar
This document summarizes a teleconference between behavioral health organizations discussing policy changes and operational strategies for rapidly implementing telehealth in response to COVID-19. It outlines recent federal and state telehealth policy changes, including expanded Medicare and Medicaid coverage. Technology platforms, service models, billing codes, and strategies for transitioning to telehealth are discussed. Challenges of virtual care and ways to ensure quality of care are also addressed. The organizations aim to help providers implement telehealth quickly while maintaining standards of care.
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Digital Conversation is a secure, cloud-based platform where healthcare organizations implement Digital Conversation's digital communication ecosystem and solutions. The company explores with clients how and where to deploy a messaging strategy. The goal is to extend the personal conversation in order to stay connected and improve the experience of the patient, drive revenue and lower operational and communication cost.
Bob Dudzinski, DPharm, over a 35+ year career, has gained extensive experience in pharmacy benefit management, mail order pharmacy, information management systems, strategic partnering, sales and marketing, M&A activity, and offer development. Bob has successfully started and sold a number of companies including a Prescription Benefit Management company, a Mail Order Pharmacy, a Retail Baseball and Softball Chain, and a Payment Integrity company. He has consulted for many organizations both inside and outside of healthcare at various levels of management. Bob received his Doctorate in Pharmacy from the University of Nebraska Medical Center.
Digital communication strategies for patients and providers - HIT March 2024
These slides were presented at the March 2024 meeting of the KC Digital Drive Health Innovation Team.
This presentation is from Sinochips Diagnostics, who want clinicians to do better than use guessing games and trial-and-error with prescriptions. In 2019, visionary healthcare minds at University of Kansas Medical Center saw the research proving the power of precision medicine and formed Sinochips Diagnostics. Now, from their cutting-edge Olathe lab, they’re offering to unlock your body's unique response to medication, crafting treatments tailored to you. With DNA and the utilization of algorithms, they are matching databases of prescriptions and genetics. Fundamentally, they want to deliver advanced digital solutions to rewrite the future of prescription medicine.
From consumer packaged goods to technology, our presenter, Steve Sewell, has tackled challenges in industries across the board. A builder and fixer with a proven track record at Pepsi, Sprint, and Mars, he thrives on breathing new life into companies, big and small.
With Sinochips, Steve is embarking on a different kind of adventure – his third startup, and his first dive into the world of human health. Driven by a deep passion for making a difference, he's here to help unlock the potential of precision medicine and improve outcomes for people who just want to get well.
Pharmacogenomics: A Revolution in Personalized Medicine - HIT February 2024
These slides were presented at the February 2024 meeting of the KC Digital Drive Health Innovation Team.
This presentation is from Sinochips Diagnostics, who want clinicians to do better than use guessing games and trial-and-error with prescriptions. In 2019, visionary healthcare minds at University of Kansas Medical Center saw the research proving the power of precision medicine and formed Sinochips Diagnostics. Now, from their cutting-edge Olathe lab, they’re offering to unlock your body's unique response to medication, crafting treatments tailored to you. With DNA and the utilization of algorithms, they are matching databases of prescriptions and genetics. Fundamentally, they want to deliver advanced digital solutions to rewrite the future of prescription medicine.
From consumer packaged goods to technology, our presenter, Steve Sewell, has tackled challenges in industries across the board. A builder and fixer with a proven track record at Pepsi, Sprint, and Mars, he thrives on breathing new life into companies, big and small.
With Sinochips, Steve is embarking on a different kind of adventure – his third startup, and his first dive into the world of human health. Driven by a deep passion for making a difference, he's here to help unlock the potential of precision medicine and improve outcomes for people who just want to get well.
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These slides were presented at the February 2024 meeting of the KC Digital Drive Health Innovation Team.
This presentation was given by Tera Crunch. As they describe things: Let's face it – navigating the AI world can be like walking through a maze. You’ve got IT firms moonlighting as AI gurus, in-house teams juggling too much, and bespoke solution shops charging an arm and a leg. That’s where we come in. TeraCrunch is not just another AI & Gen-AI company. We’re the experienced friend you call when you need results without the runaround. We've been around the block for 11 years, building over 150 solutions with a track record of 5-40x ROI.
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Our presenter will be CEO Tapan Bhatt. With over 19 years of experience in developing cutting-edge technology products and fueling growth in start-up ventures, Tapan's unrivaled insights have been instrumental in driving success for numerous venture capital-backed high-tech startups across both coasts. Prior to establishing TeraCrunch, he held key leadership positions in a series of technology startups that achieved remarkable success. As Head of Business Development at ROAM (acquired by Ingenico), Head of Solution Sales & Sales Engineering at AisleBuyer(acquired by Intuit), Executive Director at Motricity (IPO in 2010, NASDAQ:MOTR), and Executive Director at Amobee Media Systems (acquired by SingTel).
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Children's Mercy Patient Progression Hub - HIT December 2023
These slides were presented at the December 2023 meeting of the KC Digital Drive Health Innovation Team.
This presentation focuses on Children's Mercy's innovative use of data. Bill Saltmarsh, MBA, Vice President and Chief Data Officer says, "We are using data to create value for our patients, their families, and our community. We believe that the key to delivering that value is contingent upon our ability to capture, safeguard, and derive novel insights from our data. It is also contingent upon our ability to take advantage of advanced analytical methods and technologies, including the use of Artificial Intelligence. One example of this type of innovation is our Patient Progression Hub which is enabling us to improve the connected care experience for our patients by consistently providing the right information to the right people and the right time."
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Emerald Venture Partners Presentation - HIT September 2023
These slides were presented at the October 2023 meeting of the KC Digital Drive Health Innovation Team.
This presentation will focus on how the incorporation of technology in healthcare is essential to driving an integrated care model –one which is holistic, person-centered, and shows clear communication between the different specialties, providers, and levels of care. The explosive growth and adoption of virtual consultations, remote monitoring, mobile health, digital therapeutics, artificial intelligence/machine learning has gained significant support from doctors and patients alike. The role and importance of digital health in integrated care has never been greater. Understanding this field is critical as we work towards more integrated models of care – the validation and adoption of medical advances, using critical insights from health information, and optimizing specialists and providers for person-centered, high-quality, cost-effective care.
Omnilife VR - HIT October 2023
These slides were presented at the October 2023 meeting of the KC Digital Drive Health Innovation Team.
Based in North Kansas City, OmniLife VR is a locally-owned, faith-based company with a global vision. Founded by Marco Stanich, whose journey from the cellular phone industry led to a profound belief in the potential of VR a decade ago. OmniLife VR takes pride in their commitment to faith-based values and creating safe spaces for everyone within the virtual realm. This dedication to inclusivity and safety is a core principle that drives their work.
Telehealth ROCKS RAISE Health Innovations Presentation - HIT September 2023
These slides were presented at the September 2023 meeting of the KC Digital Drive Health Innovation Team.
The University of Kansas Medical Center's Telehealth ROCKS program is a federally-funded collaborative effort involving government, state and local organizations, universities, health care providers, and school districts to collectively meet the behavioral health needs of children and their families. The program focuses on comprehensive approaches, including a focus on the social drivers of health, targeted services, and clinical care.
RAISE Health Innovations Presentation - HIT August 2023
These slides were presented at the August 2023 meeting of the KC Digital Drive Health Innovation Team.
Raise is disrupting the paradigms in the mental health space examining how technology plays a catalyzing role. Raise brings leading edge technologies, designed to be embedded and integrated into existing communication platforms and apps to analyze normal conversations to detect people in need of mental health services, connecting them to those professionals who can change their lives. Raise is an “Impact-as-a-service” organization bringing technologies to organizations committed to or impacted by mental health and driven to find those slipping through the cracks, suffering in silence and in need of impactful mental health support.
Craig Mason is the Co-founder and CEO of Raise and a longtime Kansas City innovation-focused architect in the intersection of healthcare and technology. As a former executive at Cerner and C-suite innovation leader for a large Omaha based federal health technology company, he has spent more than a decade working on many of the most complex solutions and clients in the US and Global healthcare ecosystem. Through his own personal journey and those of many of his family, friends and peers, de-stigmatizing and improving mental health is his passion.
Pickle Systems Presentation - HIT August 2023
These slides were presented at the August 2023 meeting of the KC Digital Drive Health Innovation Team.
Pickle System provides animated video models teaching a large variety of daily living skills such as menstrual care, showering, andcleaning to individuals with autism and developmental disabilities. They offer printable visual aids and data collection sheets that coincide with their videos. Their video models are backed by research and are standardized. They are completing research currently further examining their effectiveness.
Molly Oshinski is Co-founder and CEO of Pickle System. Sheis a Board Certified Behavior Analyst who has worked with ages 2-80. She is aPhD Candidate at The University of Texas at Austin and her current research examines the effectiveness of the animated video models to teach menstrual care.
Kansas Nursing Leadership & Workforce Center Presentation - HIT May 2023
These slides were presented at the May 2023 meeting of the KC Digital Drive Health Innovation Team.
First, we will learn about needs facing nursing and the healthcare system overall and the digital solutions to help solve them. The nursing profession is facing a multi-layered crisis - both at a national level and a local level - that will require bold ideas and broad collaboration to solve. We will join Dr. Amy Garcia and Dr. Heather Nelson-Brantley of the School of Nursing to cover some of these challenges and to discuss how digital solutions can be deployed to help solve the problems.
Amy Garcia, DNP, MSN, RN, FAAN, is a Clinical Associate Professor and Director of Practice at the School of Nursing department of Innovation and Practice. She has expertise in leadership, health policy and informatics. A view of her professional biography is available here.
Heather Nelson-Brantley, PhD, RN, NEA-BC, is Assistant Professor and Program Director, Leadership at the School of Nursing. She is an associate member of the KU Cancer Center. Her nursing practice includes medical and pulmonary critical care and cardiothoracic surgery progressive care. A fuller biography is available here.
Project ECHO Presentation - HIT May 2023
The KU Center for Telemedicine & Telehealth (KUCTT) began in 1991 and provides telehealth services, resources, research support, and Project ECHO programs. Project ECHO uses virtual learning networks to provide community providers access to specialist knowledge and support treating complex conditions locally. KUCTT currently runs ECHO programs in substance use disorders, palliative care, infectious diseases, and other areas, and aims to expand access to specialty care through telehealth.
AskSAMIE Presentation - HIT Mar 2023
These slides were presented at the March 2023 meeting of the KC Digital Drive Health Innovation Team.
In our second session, we will hear from Brandy Archie, OTD, OTR/L, CLIPP, CLVT, about AskSAMIE, a curated marketplace to help patients, care givers, and therapists choose the right adaptive equipment to make everyday tasks easier. Simply answer some questions about the problems the person is having, and then a personalized cart of adaptive equipment and resources is provided. Dr. Archie received her doctorate in occupational therapy from Creighton University. She is certified in both Living in Place and Low Vision Therapy. She has over 15 years of experience in home health and elder-focused practice settings, She also is the founder of AccessAble Living, a company whose mission is also to adapt environments to fit the needs of older adults and serves clients in-person in the Kansas City area.
Glownar Presentation - HIT Mar 2023
These slides were presented at the March 2023 meeting of the KC Digital Drive Health Innovation Team.
Our first presentation will be with Dani Hatch, CEO and Founder of Glownar. Glownar is a hardware and software solution for emergency services. Startland News notes that the solution will revolutionize how emergency medical services function. With Glownar’s hardware, EMS will be guided to your doorstep by light, and the software will ensure EMS receives pertinent information about you and your loved ones. With Glownar, families will be able to add information ahead of time to help EMS respond quicker, more efficiently and with personalized knowledge of the patient before arriving on scene. This will result in shorter response times, better scene safety and will help eliminate the errors and lack of information from a caller who is panicked or incapable of communicating.
Marma Presentation - HIT Jan 2023
These slides were presented at the February 2023 meeting of the KC Digital Drive Health Innovation Team.
In our second presentation, we cover a new solution in maternal health with Marma Nutrition.
Marma is changing the way women, mothers and birthing people are supported and nourished throughout pregnancy and postpartum. It provides virtual access to nutrition experts, personalized information and guidance, an extensive library of resources, weekly prenatal tracking and more. Marma sees itself as the app that nourishes birthing bodies.
Representing the leadership team will be Meredith Evans McAllister. Meredith is a successful entrepreneur who was compelled to co-found Marma when she recognized the lack of nutritional resources to which women and mothers have access.
Redpoint Summit Presentation - HIT Jan 2023
These slides were presented at the February 2023 meeting of the KC Digital Drive Health Innovation Team.
In our first presentation, we will hear from Redpoint Summit about optimizing physician time and quality in electronic health records (EHRs). EHR inefficiencies prevent physicians from providing optimal patient care, which causes burnout. Redpoint Summit identifies physicians' EHR patterns and personalizes the EHR experience for each physician, improves order sets across the hospital and implements evidence-based best practices. This is so that physicians and health systems can provide the most effective and efficient patient care and be recognized for their excellence.
Our presenter will be CEO and Founder Chuck Schneider. Chuck has over 27 years of experience in healthcare IT. Prior to Redpoint Summit, he was VP of engineering at Cerner. He was one of the first 20 architects that created Cerner’s PowerChart EMR. Chuck drove the creation of the ordering functionality, medication process, ePrescribing, mobile development, and other major core EMR functionality. Chuck has 11 US patents in healthcare IT and has owned multiple businesses since 2009.
As a special bonus, we also will get the perspective of one of the organizations working with Redpoint, the University of Nebraska Medical Center, represented by Ron Carson, Executive Director of Enterprise Applications.
Our Healthy Jackson County Presentation - HIT Jan 2023
In our first presentation, Jannette Berkley-Patton, PhD., of University of Missouri - Kansa City's School of Medicine will describe Our Healthy Kansas City Eastside, a set of projects organized by Dr. Berkley-Patton and UMKC and funded by Jackson County (MO) to improve health status in some of the most challenging neighborhoods in Kansas City. An initial round of funding was dedicated to improving the coverage of vaccinations in these same neighborhoods. Based on the success of that effort, this current round of funding expands into key health screenings, initiatives in maternal health, chronic disease prevention, and digital inclusion. A number of research projects are included in the program. The County grant is for $5 million and is expected to be followed up with another $5 million to expand further.
The success of the program is based on strong sector-led support (health care, education, faith communities, business) directly in the community through networking and events, as well as participation by multiple relevant community entities, like KC Digital Drive. KCDD will be active in both the chronic disease prevention and digital inclusion aspects of the program.
Dr. Berkley-Patton is a professor in the departments of Biomedical and Health Informatics at the School of Medicine. A fuller biography is available here.
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This document discusses the Heartland Telehealth Resource Center (HTRC), which provides technical assistance and resources to implement telehealth programs for rural and underserved communities in Kansas, Missouri, and Oklahoma. It is one of 14 regional telehealth centers funded by the U.S. Department of Health and Human Services. The HTRC works with rural communities, community health centers, and rural health clinics to help organizations overcome barriers and advance telehealth education. It provides consultation services, webinars, workshops and online resources to support telehealth implementation. The document also describes several telehealth programs operated by the University of Kansas Medical Center that provide behavioral health services to children, schools and disaster-affected communities using a telehealth model.
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4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Reimbursement to Value in Telehealth - Richelle Marting - Coding & Billing
- 1. CODING AND BILLING FOR TELEHEALTH April 2017
- 2. OVERVIEW Identification of Codes, Billing Rules Modifiers for Services
- 3. MEDICARE TELEHEALTH SERVICES Psychiatry/Psychology Services Diagnostic evaluation with/without medical services
- 12. 1 hour of 10 hour/year benefit must be face to face
- 18. MEDICARE TELEHEALTH SERVICES Subsequent Hospital Care Limited 1 telehealth visit every 3 days Limit doesn’t apply to consults Subsequent Nursing Facility Limited 1 telehealth visit every 30 days Cannot provide federally mandated initial or periodic visits via telehealth
- 19. MEDICARE TELEHEALTH SERVICES Professional Services -GT: Interactive audit and video telecommunications systems 99203-GT Certifies beneficiary was present Eligible originating site -GQ: Asynchronous telecommunications system (Alaska, Hawaii) Place of service 02: Telehealth
- 20. MEDICARE TELEHEALTH SERVICES -GT: Interactive audit and video telecommunications systems 99203-GT -GQ 99203 GT
- 21. MEDICARE TELEHEALTH SERVICES Originating Site Services Q3014 Billed by provider/facility where patient is located Fee updated annually 2017 fee: $25.40 80% of originating site fee
- 22. QUESTIONS Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I rmarting@forbeslawgroup.com Forbes Law Group, LLC 6900 College Blvd, Ste 840 Overland Park, KS 66211 (913) 341 – 8600