如何将远程医疗整合到组织的工作流程中.pdf

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1、Platforms:Doxy.me,PexipBroadband RequirementsTelehealth CartsLaptops,Dual screens,HeadphonesTelepresenters:AHEC Telehealth Presenter CertificationProviders:Telehealth Etiquette Schedulers:Appointment PrepPatients:Digital LiteracySchedulingAppropriate visit typesPatient Initiated acute visitsFollow-u

2、psReferralsBehavioral HealthOUD/MATWell VisitsProvidersNursing StaffTelepresenterTelehealth IT supportGap closures:HEDIS and UDSoWell visits:pediatric,adult,Medicare AWVoTobacco Screening and InterventionoDepression Screening and InterventionoDepression RemissionoNutrition and Physical Activity Coun

3、selingoADD/ADHD follow-up Patient checks in and is roomed by nursing staff.All work-up complete(vitals,screenings,standing order labs,etc.)Patient connected to Provider via tablet or iPadProvider communicates with nursing staff to close out visit and complete any orders(labs,injections,etc.)Patient

4、checks in by entering Doxy.Me room via texted link Nurse can complete workup(screenings,etc.)Provider conducts remainder of visit on laptopProvider gives patient any follow-up instructionsConsentOriginating Site(location of patient)Distant Site(location of provider)Mode of TransmissionTime What?Wher

5、e?How?When?Why?Clue#1-Visit Types Clue#2-Telehealth Specific Coding Clue#1-Originating Site&Distant Site Built template for requirementsClue#2-Facility Location Created facilities for telehealth to assist with coding,reporting,and scheduling“Where”workflow continued:Central Scheduling places the app

6、ointment on the providers telehealth schedule and a placeholder on the nursing schedule(i.e.S2STele&S2SP)The nursing note includes all on site services(i.e.Vitals,HEDIS Measures for Vitals,In House Lab results,etc.)Nurse pulls in telehealth template for the provider and fills out all pieces except f

7、or the time Provider completes the progress note,places any orders,and adds the start/stop timeClue#1-Technology Employed Nursing enters information into telehealth templateClue#2-Is the technology audio only or audio/visual?Clue#1-Date of ServiceClue#2-Start&Stop Time Nursing enters times into tele

8、health templateClue#1-ReasonClue#2-ConsentClue#3-Chief Complaint Nursing enters reason and consent into telehealth template Added new reasons“Post Covid”Interprets the“story”and ensures correct codingAdds modifiers required per payer rules 95;FQ;GTMakes any other adjustments per payer guidelinesComb

9、ines claims if needed(payers vary)Actions the provider for clarification as needed Telehealth default facility is POS 02(telehealth)Billers adjust the POS(if needed)after reviewing the components and applying payer rules(i.e.POS 10 patient home)System rules are built to automate a change of POS for payers known to require a different POS on their telehealth claims Billers add Q3014 originating site fee(if it applies)Detailed billing cheat sheets for FQHCs in SC by payer and service type can be provided upon requestContact info:J