Telemedicine At Upmc

Content

Compensation for Medicaid covered services, consisting of those with telemedicine applications, should satisfy federal needs of effectiveness, economic situation and quality of treatment. States are motivated to use the versatility intrinsic in government legislation to develop innovative payment techniques for services that include telemedicine modern technology. As an example, states may compensate the medical professional or other certified specialist at the far-off site as well as compensate a facility fee to the stemming website. States can additionally compensate any kind of added costs such as technological assistance, transmission charges, and also devices.

What Are The Disadvantages Of Telemedicine

Telemedicine Comes to the Operating Room – IEEE Spectrum

Telemedicine Comes to the Operating Room.

Posted: Tue, 10 Nov 2020 19:54:29 GMT [source]

Telemedicine removes the obstacle of range and also boosts access to clinical services that would certainly or else not be offered in far-off country communities. Activities that made use of to take place only face to face are currently easy to do on a mobile phone. Modern consumers are accustomed to downloading applications as well as using their smart devices for simple transactions. For instance, with MDLIVE the individual merely opens the application as well as clicks to pick a doctor, with whom they can talk either by phone, instantaneous message, or video. When a calamity takes place, the regional healthcare resources are right away drawn in to supply both emerging and also non-emergent care. This generally leads to a shortage as the demand for solutions is much higher than what can be supplied. Today, there are telemedicine solutions that enable patients to look for a second opinion from the conveniences of their residence.

Cases that are a lot more extreme can be relocated to the next level of individual care as well as others can be released. VSee prompts companies to attempt their complimentary app so doctors can get a feeling for sharing clinical files and also streaming electronic tool pictures. On top of that, organizations need to guarantee they have suitable microphones, webcams, speakers, as well as much more. A telemedicine technology must be recognized within the method to help others obtain adapted and solve technology problems. VSee's video chat is durable, however how well it works boils down to the Internet connection as well as computer system abilities. To day, just about 2 states reimburse for online video clip conferencing and also a number of repay for store-and-forward as well as remote patient monitoring.

For service providers aiming to have a more total virtual clinic solution, they require to consider their existing workflow and include the telemedicine software remedy right into their technique. Typically these software application requirement to have waiting space, EHR and payment feature. Our online consultation program offers patients access to leading professionals, regardless of where they live. If you are facing an intricate medical concern or hard treatment choice, having a second opinion from a group of world-class experts can provide important guidance as well as satisfaction. Regardless of which of these 5 reasons are essential to you, bear in mind that you can have all the advantages of telehealth when you buy a Pivot Wellness Short Term Insurance coverage plan.

Sending another physician duplicates of your medical pictures and more can quickly be done by submitting the content to their safe website. This is very practical for those who require a specialist yet do not have the sources to drive countless miles away or wait a long time.

By 1964, they had developed a telemedicine web link that enabled them to supply health and wellness services at Norfolk State Healthcare facility, 112 miles far from campus. While this creation never surpassed the principle phase, it forecasted the prominent telemedicine meaning we think of today– a remote video clip seek advice from between medical professional and also client. Telemedicine makes use of contemporary innovation to make it possible for physicians and also individuals to interact essentially whenever and also wherever required.

As innovation in the clinical area remains to advance, the two terms will likely become more distinct. With these advances, there are fortunately sector experts like VSee that keep up with the differing modifications for physicians as well as health centers. Health care companies interested in carrying out telehealth or telemedicine do not need to do so alone.

Those in the medical care industry identify that medication monitoring is a large deal, especially amongst seniors. Older grownups are most likely to forget to take their drugs, which is where telemedicine is available in. Service providers and also various other health care specialists can utilize telemedicine modern technology to keep track of when and also if their patients took their medicine. Consequently, this leads to less medical facility readmissions and improves medication conformity. These clinical tools likewise permit physicians to travel to country and also creating countries to offer necessary patient care. What started as a couple of health centers intending to get to people in remote places came to be an integrative system throughout the treatment continuum.

https://www.google.com/maps/embed?pb=!1m14!1m8!1m3!1d8947.036876281465!2d12.491811!3d55.901534999999996!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0x898ec6ac10b10b23!2sLevvel%20Health!5e0!3m2!1sda!2sdk!4v1605261304363!5m2!1sda!2sdk

When feasible, companies ought to place their video camera on a level stand and also position the cam at eye-level. RPM telemedicine is rapidly rising in appeal as even more wellness experts recognize its potential impacts on persistent care monitoring. As an example, a client with diabetic issues who has a glucose tracker in their house can measure their sugar levels at regular periods and transfer them to their doctor. If something looks off, the medical professional might flag it as well as employ the client for a consult. One of the most prominent photo is possibly a doctor getting in touch with a patient through a videochat platform.

virtual clinic

Furthermore, 29 states require enlightened consent before obtaining telemedicine services. HIPAA calls for that medical care companies have a Company Associate Contract with their innovation service provider to make sure that every person entailed is accountable. By doing this, telemedicine has proved exceptionally helpful in country as well as developing countries like Gabon, Iraqi Kurdistan, as well as Nigeria, where there is really little accessibility to premium medical care.

Contact Us

Levvel Health

Email: contact@levvel.health

Phone: 4570713383

Savsvinget 7

Hørsholm, , Denmark 2970

By having a look at these insurance products today, you can supply yourself as well as your household the advantages of telemedicine tomorrow as well as into the future of healthcare. Scientists discovered that utilizing telemedicine is about half the expense contrasted to a doctor's workplace visit.On average, a telehealth check out costs about $79. Facilities in our telehealth network attach patients to experts and solutions. Make use of the distance finding out alternatives we offer for doctor. The federal government has actually concentrated on loosening constraints on telehealth in the Medicare program, including permitting beneficiaries from any geographic location to gain access to services from their homes. HHS has waived enforcement of HIPAA for telemedicine, while the DEA has actually loosened up demands on e-prescribing of controlled substances.

Is telemedicine as good as in person healthcare?

Telehealth is the use of phone, video, internet and technology to perform health care, and when done right, it can be just as effective as in-person health care.

Two-way video conferencing is promptly becoming a popular online option to in-person medical professional gos to. Teleoncology– the teleoncology area has actually rapidly broadened in the last few years, to offer even more easily accessible as well as practical like people with cancer cells. While some teleoncology options use store-and-forward tools to onward images for medical diagnosis, others are online video systems to allow patient speak with the oncologist.

Broaching Medicaid, programs in 48 states currently cover live interactive telemedicine services, while 12 cover store-and-forward telemedicine. 19 state Medicaid programs repay telemedicine solutions offer by means of remote patient monitoring.

Today, it is still hard to share electronic clinical record information with a health and wellness system that uses another EMR system. The future of telehealth will likely include boosted sharing abilities that will allow for patients to appropriately take care of no matter where they are.

When billing for telemedicine sees, you need to include the "GT" modifier with the appropriate CPT code to suggest the solution was provided basically. Doctor ought to do routine high quality checks on telemedicine services to determine any possible threats and failings. Healthcare providers need to develop a specialized area for telemedicine visits to guarantee personal privacy, appropriate illumination and sound, and prevent remote patient monitoring europe disruptions.

Generally a cellular phone or computer system and the web are all that is required. In the very early days, telemedicine was utilized primarily to connect physicians dealing with a patient in one place to specialists somewhere else. This was of fantastic benefit to rural or hard to get to populations where experts aren't conveniently available. Throughout the next a number of decades, the tools necessary to carry out remote check outs stayed pricey and complicated, so the use of the method, while expanding, was restricted.

Telemedicine and Medicaid.

<img class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="data:image/jpeg;base64,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"

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

Create your website at WordPress.com
Get started
%d bloggers like this: