Practice challenges of intensive care unit telemedicine

Herb Rogove; Kory Stetina

doi:10.1016/j.ccc.2014.12.009

Practice challenges of intensive care unit telemedicine

Crit Care Clin. 2015 Apr;31(2):319-34. doi: 10.1016/j.ccc.2014.12.009. Epub 2015 Jan 21.

Authors

Herb Rogove¹, Kory Stetina²

Affiliations

¹ C3O Telemedicine, 1119 North Signal Street, Ojai, CA 93023, USA. Electronic address: herb.rogove@c3otelemedicine.com.
² Torch Health Solutions, 4740 32nd Street, San Diego, CA 92116, USA.

PMID: 25814457
DOI: 10.1016/j.ccc.2014.12.009

Abstract

For more than 20 years, a 100-year-old state-based system for medical licensure has not progressed commensurate with the level of 21st century technology development. Despite government and nongovernment organizational attempts, each state maintains a process of variable and time-consuming requirements with lack of reciprocity. Lack of available reimbursement for Tele-ICU physician services is thought to be a long-standing and significant barrier to the rapid adoption of Tele-ICU programs. By reviewing the reimbursement guidelines for telehealth services across all major patient financial classes, a model is discussed for developing financial projections to determine exactly what reimbursement is available for Tele-ICU programs.

Keywords: Billing; Coding; Medical license portability; Reimbursement; TeleICU; Telehealth; Telemedicine; Telemedicine credentialing.

Publication types

Review

MeSH terms

Humans
Insurance, Health
Intensive Care Units*
Licensure, Medical / legislation & jurisprudence*
Reimbursement Mechanisms* / economics
Telemedicine*
United States