Telemedicine Delivery and Successful Reimbursement in Toxicology

Crane, Peter; Wiegand, Timothy J.; Kamali, Michael; Reif, Marilynn; Wratni, Rose; Montante, Ronald; Loveland, Tracey

doi:10.1007/s13181-018-0665-5

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…For example, in 2 studies by Wilson et al (18,31), most of the claims were related to telepsychiatry services, while in the study by Whitten et al (43), the claims covered a diverse range of telemedicine services. In the present study, several reviewed studies examined the impact of private insurance on the reimbursement of telemedicine services along with other insurances such as Medicare and Medicaid (4,26,29,30,35,38,39,42,46). In the study of Lin et al ( 24), the 2 private insurance HAP (HAP and HAP Medicare Advantage) had the highest reimbursement for telehealth services compared with other insurances (31.3% and 60.7%, respectively).…”

Section: Discussionmentioning

confidence: 85%

“…In most of these studies, part of the telemedicine services was reimbursed by various insurances. In more than half of the studies, Medicare insurance was used to reimburse telemedicine services (4,16,22,23,25,26,27,29,30,35,36,(38)(39)(40)(41)(42)46). Medicare is funded by the government and regulated at the federal level (47).…”

Section: Discussionmentioning

confidence: 99%

“…In 18 studies (4,16,22,24,25,26,29,30,32,33,35,38,39,42,43,44,45,46) various insurances did not differentiate between the reimbursement of telemedicine services and face-to-face (traditional) visits. Also, among the studies related to the reimbursement of telemedicine services by private insurances (n = 13), only in 4 studies the rate of reimbursement of private insurances for telemedicine services was higher compared with other insurances (38,39,43,46).…”

Section: Reimbursement Methods Telemedicine Services and Classificati...mentioning

confidence: 98%

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Methods of Reimbursement for Telemedicine Services: A Scoping Review

Salmanizadeh

Ameri

Bahaadinbeigy

2022

Med. J. Islam. Republ. Iran

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Telemedicine can lower health care costs and provide your patients with better access to health care services. Many barriers can prevent the widespread implementation and utilization of telemedicine services. The financial and reimbursable barriers to telemedicine services are the first and foremost challenge of adopting this technology. →What this article adds:Various government, state, and private insurance reimburse telemedicine services. It is necessary to develop and update telemedicine reimbursement guidelines and regulations, especially in the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Reimbursement Methods Telemedicine Services and Classificati...mentioning

confidence: 98%

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Methods of Reimbursement for Telemedicine Services: A Scoping Review

Salmanizadeh

Ameri

Bahaadinbeigy

2022

Med. J. Islam. Republ. Iran

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“…Regional poison centers can also be integrated into disaster response infrastructure to leverage available medical toxicology expertise [ 40 ]. Like other service lines with low-frequency use, the adoption of routine teleconsultation with medical toxicologists has been limited by reimbursement barriers [ 41 ]. Dedicated funding to ensure the correct people, equipment, and administrative supports are maintained during the preparedness portion of the disaster cycle will be essential to ensure effective national strategic response for future events.…”

Section: Discussionmentioning

confidence: 99%

Hospital-Level Implementation Barriers, Facilitators, and Willingness to Use a New Regional Disaster Teleconsultation System: Cross-Sectional Survey Study

Boyle¹,

Boggs²,

Gao³

et al. 2023

JMIR Public Health Surveill

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Background The Region 1 Disaster Health Response System project is developing new telehealth capabilities to provide rapid, temporary access to clinical experts across US jurisdictions to support regional disaster health response. Objective To guide future implementation, we identified hospital-level barriers, facilitators, and willingness to use a novel regional peer-to-peer disaster teleconsultation system for disaster health response. Methods We used the National Emergency Department Inventory-USA database to identify all 189 hospital-based and freestanding emergency departments (EDs) in New England states. We digitally or telephonically surveyed emergency managers regarding notification systems used for large-scale no-notice emergency events, access to consultants in 6 disaster-relevant specialties, disaster credentialing requirements before system use, reliability and redundancy of internet or cellular service, and willingness to use a disaster teleconsultation system. We examined state-wise hospital and ED disaster response capability. Results Overall, 164 (87%) hospitals and EDs responded—126 (77%) completed telephone surveys. Most (n=148, 90%) receive emergency notifications from state-based systems. Forty (24%) hospitals and EDs lacked access to burn specialists; toxicologists, 30 (18%); radiation specialists, 25 (15%); and trauma specialists, 20 (12%). Among critical access hospitals (CAHs) or EDs with <10,000 annual visits (n=36), 92% received routine nondisaster telehealth services but lacked toxicologist (25%), burn (22%), and radiation (17%) specialist access. Most hospitals and EDs (n=115, 70%) require disaster credentialing of teleconsultants before system use. Among 113 hospitals and EDs with written disaster credentialing procedures, 28% expected completing disaster credentialing within 24 hours, and 55% within 25-72 hours, which varied by state. Most (n=154, 94%) reported adequate internet or cellular service for video-streaming; 81% maintained cellular service despite internet disruption. Fewer rural hospitals and EDs reported reliable internet or cellular service (19/22, 86% vs 135/142, 95%) and ability to maintain cellular service with internet disruption (11/19, 58% vs 113/135, 84%) than urban hospitals and EDs. Overall, 133 (81%) were somewhat or very likely to use a regional disaster teleconsultation system. Large-volume EDs (annual visits ≥40,000) were less likely to use the service than smaller ones; all CAHs and nearly all rural hospitals or freestanding EDs were likely to use disaster consultation services. Among hospitals and EDs somewhat or very unlikely to use the system (n=26), sufficient consultant access (69%) and reluctance to use new technology or systems (27%) were common barriers. Potential delays (19%), liability (19%), privacy (15%), and hospital information system security restrictions (15%) were infrequent concerns. Conclusions Most New England hospitals and EDs have access to state emergency notification systems, telecommunication infrastructure, and willingness to use a new regional disaster teleconsultation system. System developers should focus on ways to improve telecommunication redundancy in rural areas and use low-bandwidth technology to maintain service availability to CAHs and rural hospitals and EDs. Policies and procedures to accelerate and standardize disaster credentialing are needed for implementation across jurisdictions.

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“…ICT has various applications in health services in many fields. The health information network, remote medical networks, and patient's electronic records are examples of health information technology applications [2].…”

Section: Introductionmentioning

confidence: 99%

Presenting a Model for Telemedicine in Earthquake for Iran

Kheyrati

Keshvari

Fatehi

et al. 2019

HDQ

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Iran is a country with a high rate of natural disasters like earthquake. The environmental conditions slow down the delivery of health services, especially in the event of disasters. The modern technologies such as telemedicine are appropriate for facilitating disaster relief operations after an earthquake. This study aimed to develop a model for the implementation of telemedicine in an earthquake. Materials and Methods: The study was carried out using a mixed-methods research in three phases: 1. Review of the literature; 2. Qualitative study (modeling); and 3. Delphi method (validation of the model). Databases of Google Scholar, Web of Science, Scopus, and PubMed were searched from 1990 to 2019 with the keywords of "telemedicine" AND "disaster" OR "emergency" AND "earthquake". After screening of the retrieved records, 13 articles met the eligibility criteria and were included in the review study. Ten experts extracted all key elements of telemedicine in the disaster from the articles and categorized them in 6 themes with 38 subthemes. The model of telemedicine in the earthquake was finalized with 2 rounds of Delphi with groups of selected volunteer experts. Results: In the first phase of the study, 6 key themes (telecommunication infrastructure, technical infrastructure, financial infrastructure, health infrastructure, organizational infrastructure, social infrastructure, and cultural infrastructure) with 38 subthemes of telemedicine for implementing in the disaster were obtained. At the conclusion of the third phase of the study, 6 key themes with 33 subthemes contributed to the model of telemedicine in the earthquake. Telecommunication infrastructure with a maximum score of 9.24 earned the priority, and social and cultural infrastructure themes with the minimum score of 7.53 came in the end. Conclusion: The model derived from this study can be used as an applied telemedicine model in an earthquake. We suggest that the results of this study be implemented as a theoretical model, or in a pilot study in a region of the country, and to be evaluated by regarding mortality reduction. We also recommend that a comparative study for using telemedicine in other types of disasters be undertaken.

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Telemedicine Delivery and Successful Reimbursement in Toxicology

Cited by 5 publications

References 10 publications

Methods of Reimbursement for Telemedicine Services: A Scoping Review

Methods of Reimbursement for Telemedicine Services: A Scoping Review

Hospital-Level Implementation Barriers, Facilitators, and Willingness to Use a New Regional Disaster Teleconsultation System: Cross-Sectional Survey Study

Presenting a Model for Telemedicine in Earthquake for Iran

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