remote patient monitoring and cms

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If you have questions or worries associated with the guidance in this file, please e-mail The prescription is released for a legitimate clinical function by an expert acting in the common course of his/ her specialist practice.

7 Virtual medical Care.

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To stay informed about updates for telehealth and various other DHCS topics, enroll in DHCS Stakeholder Announcements. For non-emergency clinical concerns (allergic reactions, asthma, bronchitis, cool & flu, infections, high temperature, ear aches, queasiness, pink eye, sore throat).

Enjoy analysis local attributes as well as info regarding Willis-Knighton and also The Oaks of Louisiana in this national publication. Click the link listed below for response to regularly asked questions regarding telehealth. Most of the savings showed originated from in your area performed laboratory and drug store solutions. USDA Neighborhood Facilities Direct Finance and Grant Program honors direct loans and/or gives for essential community facilities in rural areas. McLeod Telehealth is a very easy means to see a physician online by video anytime, anywhere.

NIBIB scientists are creating a paper-based analysis that can evaluate HIV viral load in whole blood in 15 minutes. A cellphone is used to power and control the paper-based RNA extraction and also response; assess the fluorescent readout showing viral load; and also store the cause the cloud where they can be accessed by a medical professional. The $10 examination will certainly be generally relevant for transmittable illness diagnosis at the point-of-care. Lifespan, Rhode Island's first health and wellness system, is a comprehensive, integrated, scholastic wellness system connected with The Warren Alpert Medical College of Brown College. You might be asked to verify that you have actually checked out and accept and accept the above documents as part of your visit. Visit our MyLifespan page for moms and dads as well as guardians for information on how to authorize your youngster or teenager up easily and to acquire the correct level of proxy access.

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Transmission utilizing wireless was done using regularity modulation which eliminated sound. The ECG result was connected to the telephone input making use of a modulator which converted ECG into high regularity sound. At the other end a demodulator reconverted the audio right into ECG with a great gain precision. The ECG was converted to acoustic wave with a regularity differing from 500 Hz to 2500 Hz with 1500 Hz at standard. 2 important areas of telerehabilitation research study are showing equivalence of assessment and also treatment to in-person analysis and also therapy, and developing new information collection systems to digitize info that a specialist can use in technique.

Telehealth reimbursement may be changing. How should providers prepare? - Healthcare IT News

Telehealth reimbursement may be changing. How should providers prepare?.

Posted: Tue, 27 Oct 2020 07:00:00 GMT [source]

-- Remote patient-monitoring tools such as high blood pressure screens, Bluetooth-enabled electronic ranges as well as other wearable tools that can communicate biometric information for testimonial. -- Store-and-forward technologies that gather images and also information to be transferred and analyzed later. When medical professionals' required response to questions on adapting to practicing in a pandemic, the AMA established resources to satisfy the need.

If you have concerns or issues related to the assistance in this record, please This paper has links to other sites and material coming from or stemming from third parties. Such external web links are attended to educational and also instructional objectives only as well as are not explored, kept track of or checked for precision, adequacy, credibility, reliability, availability or completeness by ASAM.

Typical daily emergency telemedicine is performed by SAMU Regulator Physicians in France, Spain, Chile and Brazil. Airplane and marine emergencies are likewise handled by SAMU centres in Paris, Lisbon and also Toulouse. At the dawn of the innovation, videotelephony also consisted of picture phones which would certainly trade still pictures in between units every couple of seconds over traditional POTS-type telephone lines, essentially the same as sluggish scan TELEVISION systems.

Ground-breaking research study in telehaptics as well as digital truth may expand the scope of telerehabilitation technique, in the future. cultural obstacles taking place from the disinclination, or aversion, of some medical professionals to adjust medical paradigms for telemedicine applications.

VA Telehealth Services offers you access to the care you require, when and also where you need it. Prior to executing telehealth into your practice, review and also come to be accustomed to state and government policies in which you method. Using telehealth to deliver physical therapist services is broadening rapidly, as well as if you haven't already, you're most likely considering it. Check with your existing EHR supplier to see if there is telehealth functionality that can be turned on. Reach out to your state medical association/society for assistance on supplier assessment, selection and also contracting. These kinds of changes are greatly on a state-by-state basis as well as are transforming at a rapid price. ASAM is connecting with state phases and areas to help attend to concerns connected to state laws as well as plans.

  • Maintaining your wellness now is just as essential as ever-- and telehealth can help.
  • Throughout nearly all clinical specializeds, telehealth services can be applied in linking providers with different patients in different locations through real-time audio as well as video.
  • We provide a variety of telehealth solutions in locations such as health, primary care, specialty treatment and severe treatment.
  • In various other instances, solution centers can use telemedicine to accumulate from another location as well as send information to a main surveillance system for analysis.
  • There are numerous advantages of real-time digital check outs, including improved access to providers and also minimized requirement for emergency situation department check outs.
  • Telehealth properly attaches individuals and also their healthcare providers when an in-person communication is not scientifically needed and promotes physician-to-physician appointment.

One more drawback of telemedicine is the inability to begin treatment quickly. For example, a patient suffering from a microbial infection might be offered an antibiotic hypodermic injection in the facility, and also observed for any kind of reaction, before that antibiotic is suggested in pill type. It may be required that the practitioner as well as patient entailed must fulfill in person a minimum of as soon as prior to online prescribing can take place, or that at the very least a live-video meeting needs to occur, not simply impersonal sets of questions or surveys to establish need. Ultimately, in 2015 the state legislature legislated digital assessments. Limiting licensure regulations in the United States call for a practitioner to acquire a full license to deliver telemedicine care across state lines. Generally, states with restrictive licensure laws also have several exceptions that may release an out-of-state practitioner from the additional burden of obtaining such a permit. A number of states call for practitioners that seek settlement to frequently supply interstate care to obtain a complete license.

Should inconsistencies of healthcare facility ownership have bearing upon medical professionals' capacity to talk confidentially with lawyers? See day-to-day video clip updates on exactly how the AMA is dealing with COVID-19 by discussing arising cyber dangers during the pandemic. From here, our system documents each action with the appointed medical professionals on call. Tracking all results creating everyday transparency records on our remote patient monitoring equipment individual communications. Full openness in between TeleHealth Solution Service Providers, PCPs, Area Admins showcasing all end results.

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"