Tag Archives: Telehealth

The Future of Telehealth: Predictions for the Next Decade

Telehealth, once a niche segment of healthcare, has become a cornerstone of modern medical care, especially after the COVID-19 pandemic accelerated its adoption. It has reshaped the way healthcare is delivered by providing more convenient, accessible, and cost-effective care. But as we look ahead to the next decade, telehealth is poised for even greater transformation. This blog explores the trends, technologies, and predictions that will shape the future of telehealth, along with key industry statistics in the U.S.

The Rise of Telehealth: A Snapshot of Today

Before diving into future predictions, it’s important to understand the current state of telehealth. The rapid adoption of telehealth services during the pandemic caused a significant shift in healthcare delivery models. According to a report from McKinsey, telehealth utilization was 78 times higher in April 2020 than it was in February 2020. While utilization rates have since stabilized, telehealth still plays a crucial role in modern healthcare.

In the U.S. alone:

  • 36% of U.S. adults reported using telehealth in 2021, according to the CDC.
  • 95% of large U.S. employers reported that they offered telehealth services to employees in 2021.
  • Telehealth services are expected to generate $185.6 billion by 2026, as per Global Market Insights.

With its widespread acceptance, telehealth is no longer seen as a temporary solution but a vital component of healthcare. As we look ahead, several trends and emerging technologies will define its future.

Key Trends Shaping the Future of Telehealth

1. 5G Technology and Enhanced Connectivity

The rollout of 5G technology will have a significant impact on telehealth services. 5G networks offer faster, more reliable internet connections, which will improve the quality of virtual consultations, especially in rural or underserved areas with historically poor connectivity.

The low latency and high speed of 5G will also support advanced telehealth applications such as remote surgeries using robotics, real-time remote patient monitoring, and more interactive virtual care experiences. Wearable devices and IoT-enabled health monitoring tools will also benefit from 5G, as they will be able to transmit data to healthcare providers in real-time, enabling faster responses to patient health events.

By 2030, the combination of telehealth and 5G could become a lifeline for patients in remote areas, where access to high-quality healthcare has traditionally been limited.

2. Integration of Wearables and Remote Patient Monitoring

Wearable devices have already gained popularity for tracking fitness and health metrics like heart rate, steps, and sleep patterns. In the next decade, the use of remote patient monitoring (RPM) will expand dramatically as wearables become more advanced, capable of monitoring chronic conditions like diabetes, hypertension, and heart disease.

By 2030, telehealth platforms will seamlessly integrate with RPM tools to provide continuous monitoring and real-time feedback to both patients and healthcare providers. This will shift the healthcare model from reactive to proactive, enabling early intervention for potential health issues. According to a 2021 study by Insider Intelligence, 30 million U.S. patients are expected to use remote patient monitoring tools by 2024, up from 23.4 million in 2020.

The ability to monitor patients remotely will be especially beneficial for managing chronic diseases, reducing hospital admissions, and improving overall patient outcomes.

3. Telehealth and Behavioral Health Integration

Mental health is an area where telehealth has already made a profound impact. The demand for behavioral health services surged during the pandemic, with a growing number of patients seeking virtual therapy and counseling sessions. This trend is likely to continue, with telehealth becoming a key player in addressing the U.S. mental health crisis.

According to the American Psychological Association, 40% of psychologists reported that they were providing telehealth services in 2021, compared to just 7% before the pandemic. This shift has increased access to care, particularly for those in rural or underserved areas, and it has reduced the stigma associated with seeking mental health support.

Over the next decade, telehealth will integrate further into behavioral health care, offering more sophisticated virtual platforms for therapy, support groups, and mental health assessments. Digital behavioral health solutions, powered by AI and data analytics, will enable providers to monitor patients’ mental well-being more effectively and intervene early when needed.

4. Expansion of Virtual Primary Care

As telehealth continues to mature, virtual primary care services will become the norm. Many healthcare systems are already offering virtual primary care as a way for patients to regularly consult with a physician, manage chronic conditions, and get preventive care without needing to visit a clinic.

Over the next decade, this model will expand as more healthcare providers establish long-term relationships with patients through virtual means. Virtual care platforms will also offer increased access to specialist consultations, lab testing, and even virtual diagnostic services, creating a comprehensive digital healthcare ecosystem.

This shift to virtual primary care will help reduce healthcare costs, improve patient engagement, and make routine care more accessible for individuals who may otherwise avoid or delay in-person visits.

5. Regulatory and Reimbursement Changes

The rapid adoption of telehealth during the pandemic was supported by temporary regulatory changes that expanded access to telehealth services and increased reimbursement for virtual visits. As we move forward, a key factor that will shape the future of telehealth is whether these changes will become permanent.

According to the Centers for Medicare & Medicaid Services (CMS), telehealth visits increased 63-fold in 2020 for Medicare beneficiaries. As of 2023, there has been growing support for making these regulatory changes permanent. Over the next decade, we can expect:

  • Greater parity between telehealth and in-person reimbursement, ensuring healthcare providers are compensated fairly for virtual services.
  • Expansion of cross-state licensure for healthcare providers, enabling more flexibility for patients to receive care from specialists outside their state.
  • Continued government and private-sector support for broadband expansion to close the digital divide and ensure equal access to telehealth services.

6. Rise of Virtual Hospitals and Home Health

With advancements in telehealth technology, the idea of “virtual hospitals” could become a reality. Virtual hospitals will leverage telehealth platforms, RPM tools, and AI to monitor patients remotely and manage their care in real-time, reducing the need for prolonged hospital stays. This shift will also lead to more hospital-at-home programs, where patients can receive acute care services in the comfort of their homes, supported by telehealth and mobile medical technologies.

In 2021, Mayo Clinic launched a virtual hospital model, providing acute care services remotely to patients with conditions like heart failure and pneumonia. This model is expected to grow, offering a cost-effective and patient-centered approach to care. The next decade will see more healthcare systems adopt similar models, reshaping how hospital care is delivered.

7. Artificial Intelligence and Machine Learning in Telehealth

Artificial intelligence (AI) and machine learning (ML) will be at the forefront of telehealth innovations. AI-driven tools have the potential to enhance diagnostic capabilities, automate routine administrative tasks, and deliver personalized care to patients.

For instance, AI can analyze large datasets of patient information to predict potential health issues, recommend personalized treatment plans, or even detect anomalies in imaging. AI-powered chatbots and virtual assistants are already being used to provide preliminary diagnoses, saving time for both patients and healthcare providers.

By integrating AI into telehealth platforms, healthcare providers will be able to offer more accurate, efficient, and scalable services. Over the next decade, expect AI to play a larger role in both clinical decision-making and patient engagement.

Industry Statistics: Telehealth in the U.S.

  • 83% of patients expect to use telemedicine after the pandemic, according to a 2021 survey by Accenture.
  • The telehealth market in the U.S. is projected to grow to $307 billion by 2030, driven by increasing demand for virtual care and technological advancements.
  • 63% of Medicare beneficiaries used telehealth in 2020, a dramatic increase from less than 1% in 2019.

Telehealth services saved an estimated $4 billion in healthcare costs in 2020, according to a report by McKinsey.

How HealthViewX is Shaping the Future of Telehealth

As telehealth evolves over the next decade, healthcare providers will need the right tools to meet the demands of this rapidly changing landscape. HealthViewX is at the forefront of telehealth innovation, providing a comprehensive digital health platform that enables providers to deliver high-quality virtual care.

With HealthViewX, healthcare organizations can leverage features like:

  • Remote Patient Monitoring (RPM) to manage chronic conditions and improve patient outcomes.
  • Telehealth integration to connect patients with their care teams, regardless of location.
  • Data analytics and AI to enhance clinical decision-making and optimize care delivery.

By partnering with HealthViewX, providers can stay ahead of the curve and offer seamless, integrated telehealth services that will define the future of healthcare.

Conclusion

The future of telehealth is bright, with emerging technologies and evolving trends set to reshape the healthcare industry over the next decade. From AI-driven care to virtual hospitals, telehealth will continue to expand access, improve patient outcomes, and reduce costs. As healthcare organizations adapt to this new reality, partnering with platforms like HealthViewX will be critical to delivering the next generation of virtual care.

Strategies for Improving Patient Adherence to Chronic Care Plans

Chronic diseases are a leading cause of death and disability in the United States, accounting for 90% of the nation’s $4.1 trillion annual healthcare expenditures. Yet, despite the prevalence of chronic conditions such as diabetes, heart disease, and hypertension, many patients struggle to adhere to long-term care plans, which are essential for managing their health effectively.

Improving patient adherence to chronic care plans is critical to reducing healthcare costs, improving patient outcomes, and preventing complications that can lead to hospitalizations or worse. This blog explores strategies that healthcare providers can employ to enhance patient adherence and examines the broader impact of chronic disease management on the U.S. healthcare system.

The Challenge of Chronic Disease Adherence

Managing chronic diseases requires ongoing monitoring, medication adherence, lifestyle changes, and regular follow-up care. However, studies show that 50% of patients with chronic illnesses do not take their medications as prescribed, leading to higher rates of hospitalization, disease progression, and mortality. The issue of non-adherence is complex, influenced by factors such as medication side effects, patient understanding of their condition, socioeconomic barriers, and a lack of engagement from healthcare providers.

The consequences of non-adherence are severe. According to the Centers for Disease Control and Prevention (CDC), non-adherence to medication for chronic conditions costs the U.S. healthcare system $100 to $300 billion annually in avoidable healthcare spending, including hospital readmissions, emergency department visits, and additional treatments.

Strategies to Improve Patient Adherence to Chronic Care Plans

  1. Patient Education and Empowerment

One of the most effective ways to improve adherence is through education. Patients who understand their condition and the importance of their care plan are more likely to follow through with treatment. Providers should ensure that patients have a clear understanding of their diagnosis, treatment goals, medication regimens, and the long-term impact of their condition if left unmanaged.

  • Simplified Communication: Medical jargon can be overwhelming for patients. Providers should use clear, non-technical language when discussing care plans and ensure that patients feel comfortable asking questions.
  • Visual Aids and Digital Tools: Using diagrams, videos, or digital health platforms, such as HealthViewX, can help patients better understand their condition and treatment options. Platforms like HealthViewX can provide educational resources and step-by-step care plans, making it easier for patients to stay informed.
  1. Care Coordination and Follow-Up

Care coordination is essential for ensuring patients remain engaged with their chronic care plans. This involves seamless communication between primary care providers, specialists, pharmacists, and other healthcare professionals. Providers can utilize care orchestration platforms that streamline communication, ensuring everyone involved in the patient’s care is on the same page.

  • Regular Check-Ins: Providers can schedule regular follow-ups via telehealth or in-person visits to monitor patient progress, address concerns, and make adjustments to the care plan as needed. Research shows that patients who have more frequent interactions with their healthcare providers are more likely to adhere to their care plans.
  • Multidisciplinary Care Teams: Involving a team of healthcare professionals—such as dietitians, mental health professionals, and care managers—can address the various aspects of chronic disease management and provide more comprehensive support to patients.
  1. Use of Technology and Digital Health Platforms

Digital health platforms are revolutionizing chronic disease management by providing real-time tracking, reminders, and patient engagement tools. Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) systems allow healthcare providers to monitor patient vitals and adherence to care plans without the need for constant in-person visits.

  • Telehealth and Mobile Apps: Mobile apps that offer medication reminders, daily health assessments, and progress tracking can empower patients to take an active role in managing their condition. HealthViewX’s platform, for example, helps patients and providers stay connected, offering reminders for medication, scheduled appointments, and educational resources.
  • Data-Driven Insights: Providers can use data from digital health platforms to identify patients who are struggling with adherence, allowing for early interventions. For example, if a patient’s blood pressure readings are consistently high, a provider can reach out to adjust their care plan or offer additional support.
  1. Simplified Medication Regimens

Medication non-adherence is one of the biggest challenges in chronic care management. Complexity in medication regimens, such as taking multiple pills at different times of the day, can lead to confusion and lower adherence rates. Simplifying the medication plan can help improve adherence.

  • Once-Daily Dosing: Whenever possible, prescribing medications that require only one dose per day can reduce the likelihood of missed doses.
  • Combination Pills: Using combination medications that treat multiple conditions in one pill can simplify the regimen and reduce the pill burden.
  • Medication Adherence Packaging: Blister packs or pillboxes that organize medications by day and time can help patients stay on track.
  1. Addressing Social Determinants of Health (SDoH)

Social determinants of health, such as access to transportation, financial stability, and education, can have a significant impact on a patient’s ability to adhere to chronic care plans. Providers should screen for potential barriers to care and offer solutions to mitigate them.

  • Transportation Assistance: For patients who struggle with getting to appointments, providers can offer telehealth alternatives or connect them with community resources for transportation assistance.
  • Financial Support: Cost is a major factor in non-adherence. Providers can work with patients to find more affordable medication options, including generic alternatives, or connect them with patient assistance programs that reduce out-of-pocket costs.
  1. Behavioral Support and Motivational Interviewing

For many patients, adhering to a chronic care plan requires behavioral changes, such as adopting a healthier diet, quitting smoking, or increasing physical activity. Providers can use motivational interviewing techniques to encourage patients to set realistic goals and make incremental changes over time.

  • Goal Setting and Rewards: Working with patients to set achievable goals and celebrating milestones can provide motivation. Small rewards, such as praise from a provider or personal health improvements, can incentivize patients to stay on track.
  • Psychosocial Support: Patients with chronic conditions often face mental health challenges such as depression or anxiety, which can affect their ability to adhere to care plans. Offering mental health support, either through therapy or support groups, can help address these underlying issues.

The Impact of Improved Adherence on the U.S. Healthcare System

Improving adherence to chronic care plans is not only beneficial for patient outcomes, but it also has a broader impact on the U.S. healthcare system. According to the CDC, chronic diseases account for 7 out of 10 deaths in the U.S., and 60% of American adults live with at least one chronic disease. By increasing adherence, the healthcare system can reduce preventable hospitalizations, emergency department visits, and healthcare costs.

A study published in Health Affairs found that improving medication adherence alone could prevent 125,000 deaths annually and save the U.S. healthcare system between $100 billion and $289 billion per year. Furthermore, adherence to care plans reduces disease complications, improving the quality of life for patients and reducing the burden on providers.

Conclusion

Adherence to chronic care plans is a critical factor in managing long-term conditions, improving patient outcomes, and reducing healthcare costs. Providers play a central role in encouraging adherence through patient education, care coordination, the use of digital health tools, and addressing social determinants of health. By employing these strategies, healthcare professionals can help patients stay on track with their care plans and lead healthier, more fulfilling lives.

As chronic disease rates continue to rise in the U.S., improving adherence to care plans will become even more important. With the right support and tools, providers can make a significant impact in reducing the burden of chronic diseases and improving the quality of care for millions of Americans.

Sources:

  • Centers for Disease Control and Prevention (CDC)
  • Health Affairs

Improving Access to Healthcare with Virtual Care

As technology advances, so does the way we approach healthcare. The rise of telehealth has brought about a transformation in the US healthcare system, making access to medical services easier and more convenient than ever before. In this blog, we will delve into the world of virtual care and its impact on patient access to healthcare. From understanding the scope of virtual care to exploring how it overcomes geographic barriers and reduces wait times for medical consultations, we will cover all aspects. 

Additionally, we will discuss the key components of an effective virtual care system, its role in chronic disease management, and the legal and regulatory considerations that virtual care providers must navigate. Join us on this journey as we explore how virtual care is shaping the future of healthcare in the United States.

Understanding Virtual Care in the Modern Healthcare Landscape

In today’s fast-changing healthcare system, there is a growing need for better services and changing patient needs. This is where virtual care comes in. It includes many healthcare services that are given remotely using technology. This connects patients and healthcare providers no matter where they are.

Virtual care does not just copy in-person visits. It uses technology such as HealthViewX to make healthcare easier and more focused on the patient. This is especially helpful when people face challenges like distance, difficulties moving around, or not enough time to get timely medical care.

Defining Virtual Care and Its Scope

Virtual care covers many healthcare services that people can access from a distance using technology. It mainly uses digital tools to connect patients with healthcare providers. This approach helps spread medical knowledge beyond the usual care settings.

With this digital-first method, there are different types of services. These include telehealth services, remote monitoring of a patient’s health, and secure messaging for healthcare communication. These technologies help people take charge of their health. They make it easier for patients to get medical advice without obstacles and at a good time.

Whether you have a virtual consultation for a minor health issue or need remote monitoring for a long-term condition, virtual care focuses on the patient. It offers more flexibility and convenience for managing your health.

The Evolution of Telehealth in the United States

The roots of telehealth in the United States go back to the early 20th century. At that time, healthcare organizations like Johns Hopkins Medicine started using radio and telephone technologies to help people in remote areas get medical care. These early efforts built a strong base for the telemedicine technology we have today.

But, many issues slowed down the growth of telehealth. Technological limits and regulatory barriers made it hard to expand. It wasn’t until the late 20th century, with high-speed internet and advanced video conferencing, that virtual consultations became a real option for healthcare organizations and patients.

Then, the COVID-19 pandemic changed everything. Healthcare systems had to adapt to new challenges. With rules against in-person visits, telehealth became very important. It helped people continue to receive medical care while also reducing the risk of infection.

The Impact of Virtual Care on Patient Access to Healthcare

Virtual care is changing the game by making healthcare easier to access for many different groups of people. It uses technology to get rid of the distance issues, so quality medical help is accessible to all.

This is really important for those living in faraway or less served areas. In these places, there are often not enough doctors or healthcare facilities. Virtual care allows these individuals to take charge of their health. This makes them more involved in their own care.

Overcoming Geographic Barriers with Telemedicine

One of the biggest benefits of virtual care, especially telemedicine, is that it connects patients in faraway places with healthcare providers. This helps those who live in rural areas or places where specialized medical care is hard to find.

With video calls and safe messaging through a patient portal, people can get quick medical advice, have consultations, and keep track of their health conditions. This cuts down on the time and cost of traveling, making important health care easier to reach for those who need it most.

By closing this gap, virtual care helps make health equity a reality. It makes sure that quality health care is available for everyone.

Reducing Wait Times for Medical Consultations

The usual way healthcare is delivered can be slow. Patients often waste hours in crowded waiting rooms before they can see a doctor. Virtual care changes this frustrating situation.

With planned video calls and online check-ups, people can get healthcare services from their homes or workplaces. This means they do not have to travel or wait in a waiting room. It makes healthcare quicker and saves time.

Being able to talk to a healthcare professional right away is very important. It helps when someone has urgent health issues. This way, patients can get the right advice when they need it.

Key Components of an Effective Virtual Care System

Creating a successful virtual care program is not just about using digital communication tools. It requires a complete plan that includes technology, support systems, and a focus on caring for patients.

A strong virtual care system depends on smoothly using technology that meets different patient needs. At the same time, it must keep data safe and secure.

Necessary Technologies for Implementing Virtual Care

Implementing an effective virtual care system relies heavily on a robust technological foundation, ensuring seamless communication, data security, and a user-friendly experience for both patients and healthcare providers.

Secure and reliable internet connection forms the backbone of any virtual care system, enabling real-time video consultations, data transfer, and remote patient monitoring. Equally important are user-friendly platforms that facilitate these interactions.

Technology Description Benefits
Video conferencing platforms Enable face-to-face virtual consultations and remote patient monitoring. Replicates in-person interactions, facilitates visual assessments.
Secure messaging apps Provide HIPAA-compliant communication channels for sharing medical information. Ensures privacy and data security, enables asynchronous communication.
Mobile app Allows patients to access their medical records, schedule appointments, and communicate with providers. Provides convenient access to healthcare services, enhances patient engagement.

Training Healthcare Providers for Virtual Consultations

Technology is very important for virtual care, but the human touch is still essential. It is crucial to train healthcare providers to give care through technology.

They must be good at using the platforms and know how to change their way of speaking for video calls. Providers should also be able to perform complete virtual assessments. This helps make sure patients feel comfortable and understand everything during their online visits.

Furthermore, it is important to teach patients what to expect during a virtual appointment. We should address any worries they may have. This way, patients will feel good and sure about using these services.

Virtual Care and Its Role in Chronic Disease Management

The growing number of chronic diseases around the world is putting a lot of pressure on healthcare systems. Virtual care is a smart and long-lasting way to manage health. It allows patients to take more control of their health.

With remote monitoring tools such as HealthViewX RPM, healthcare providers can keep an eye on how patients are doing. They can step in if something is not right. This way of using data helps to change treatment plans and enables early action. This could stop problems from getting worse and help people get better.

Enhancing Patient Monitoring and Follow-ups

Virtual care is changing how we manage chronic illnesses using remote patient monitoring programs (RPM program). These programs use RPM devices to help healthcare providers gather and study patients’ health data from a distance. This improves the accuracy and timing of their care.

With a steady flow of information, healthcare providers can notice small changes in a patient’s health that they might miss during regular office visits. This makes it possible for doctors to act quickly and helps patients take charge of their health.

By stepping in early, adjusting medications, or suggesting lifestyle changes, these RPM programs can greatly improve the long-term health of people dealing with chronic conditions.

Personalizing Treatment Plans Through Data Analysis

One big benefit of virtual care for managing chronic diseases is that it helps create personalized treatment plans using data. By keeping track of important signs like blood pressure, heart rate, blood glucose (or blood sugar), and weight from afar, healthcare providers can see a patient’s condition in real-time.

Having all this information over time helps them assess risks better. This means they can spot potential problems earlier. When they find issues sooner, they can intervene early, which increases the chances of successful treatment.

Also, this data allows providers to change medication doses or suggest lifestyle changes based on what each patient needs. This leads to care that focuses more on each patient’s unique situation.

Legal and Regulatory Considerations for Virtual Care Providers

Providers must understand the legal rules for virtual care, especially telehealth. This is important to follow the law and keep patient care and data safe.

They should keep updated on changing telehealth rules since these rules differ by state. This will help reduce legal risks. Following privacy rules like HIPAA is essential and cannot be overlooked.

Navigating Telehealth Regulations in the U.S.

The rules for telehealth in the U.S. are always changing. This brings both chances and challenges for healthcare organizations. In recent years, some rules have become less strict, especially during health emergencies. Now, there are efforts to create a more consistent and lasting set of laws.

In this active setting, it is important to know specific state rules about licensing, how Medicaid services cover telehealth, and the changing health policies.

By keeping up with these changes and joining talks about telehealth policies, providers can push for rules that help creativity while making sure patients get safe and good care.

Ensuring Patient Privacy and Data Security

Maintaining the privacy and safety of patient information is very important in health care. This duty also applies to online care. Virtual care providers must focus on data security to keep sensitive patient information safe from unauthorized access and cyber threats.

To protect patient privacy, they should:

  • Use strong cybersecurity protocols.
  • Use platforms such as HealthViewX that follow HIPAA for communication and data storage.
  • Regularly train staff on the best practices for data security.

By following industry standards and using strong security measures, virtual care providers can keep patient information private. This will help build trust and confidence in online health care.

Conclusion

In conclusion, virtual care is changing how people access healthcare. It helps to close gaps between different areas, cuts down wait times, and improves the management of long-term diseases. With the right tools and training, healthcare providers can offer care that is unique to each patient and improve outcomes. There are also important legal matters to think about, like understanding rules and keeping data safe, which are key for virtual care to be successful. By choosing virtual care, we can give more people access to healthcare and help them control their health in a more convenient way. The future of healthcare will include blending virtual care with regular in-person visits, which will benefit both patients and providers.

Frequently Asked Questions

What Are the Differences Between Telehealth, Telemedicine, and Virtual Care?

Virtual care is a broad term. It includes all types of healthcare that happen from a distance. Telehealth services are part of this and use technology to offer more healthcare options. In contrast, telemedicine means providing specific clinical services remotely. This includes getting advice, diagnoses, and treatments. These usually take place through video calls or secure patient websites managed by healthcare providers.

How Can Patients Ensure Their Privacy During a Virtual Consultation?

Patients should check if their health care provider uses video calls and messaging that meet HIPAA standards. It is also important to use secure internet connections. Be careful not to share sensitive information using unsecured channels or mobile apps.

What Types of Health Issues Can Be Treated Through Virtual Care?

Virtual care can help with many health issues. This includes regular check-ups, visits for sudden illnesses, and managing long-term conditions like diabetes, high blood pressure, and mental health problems. It’s important to talk to your healthcare providers to find out if virtual care is right for you.

Are Virtual Care Services Covered by Insurance in the United States?

Insurance coverage for telehealth services can be different across the United States. This difference is based on the insurance company and the specific plan you have. It is important to contact your insurance provider. They can help you understand what telehealth services are covered. You should also ask about any specific requirements that healthcare providers need to meet. Keep in mind that Medicaid services coverage can also vary from state to state.

Key Highlights

  • Virtual care uses technology to deliver health care remotely, bridging geographical gaps and improving patient access.
  • Telehealth, a component of virtual care, has evolved significantly, with early adoptions dating back to the early 20th century.
  • Chronic disease management is made more effective through virtual care, with technologies enabling better patient monitoring and personalized treatment plans.
  • Implementing an effective virtual care system requires reliable technologies, robust security measures to safeguard patient data, and comprehensive training for healthcare providers.
  • Understanding the legal and regulatory landscape, particularly the evolving telehealth regulations in the US, is crucial for virtual care providers.

Virtually Perfect

Some might believe that the COVID ‘19 pandemic was the harbinger of a heightened digital health wave, while others might believe that the pandemic simply hastened the process of its evolution and adoption. I, for one, stand by the latter. The Digital Health market size was around US$ 195.1 billion in 2021, and is estimated to substantially grow to around US$ 780.05 billion by 2030¹. The spending on digital healthcare solutions is estimated to reach US$ 244 billion by 2025². Digital Health companies have been slowly simmering, brewing, adapting, and growing, and have seized the market when the time was ripe. 

When the pandemic necessitated the need for mitigation amidst disruption and chaos, Health Technology companies were ready to offer mature plug and play solutions that made adoption seamless and imperative. Furthermore, several countries quickly recognized the need to alter privacy policies and data protection regulations to enable remote consultations and virtual health interventions³. This was propelled by the paucity of physical resources, and coupled with an alarming need for accessible, quality healthcare. But more importantly, there was a stark realization and label for a new type of care delivery that need not be in-person- virtually, virtual.

Objectively, virtual care could be segmented into care that makes you get better, and care that makes you stay better…alternatively, curative and preventive. While the former milked patient care during the need of the hour, the latter emerged a new, unsung hero; An unexploited solution to a global, age-old opportunity. Center for Medicare/Medicaid Services’ (CMS) intent to incentivize increased and improved care management could/can take swift flight upon the wings of software platforms like that of HealthViewX. Solutions like Remote Physiological Monitoring (RPM), Transitional Care Management (TCM), Chronic Care Management (CCM), amongst others, help care teams monitor, manage, and engage patients right from their homes. This in turn has shown to reduce costs and readmissions, mitigate risk, improve outcomes and increase  reimbursements⁴. A win-win-win!?

But, hold up! While all this sounds rosy and convenient, I have wondered whether there has/had been resistance in adoption amongst clinicians and patients…the end-users, ultimately. I stumbled upon an enlightening adapted strategy matrix in an article by Ande De. In a matrix outlining the degree of change behavior needed from clinicians, versus the degree of patients’ resistance to adopting new technology, TeleHealth, RPM and COVID screening, response and monitoring, emerged the most victorious with the least resistance from both stakeholders⁴. While cloud based web portals and health applications that record patient data were met with some resistance, it was a pleasant surprise to note that there were no digital health ‘failures,’ that were met with high resistance⁴. The data also shows that Artificial Intelligence (AI), Prescriptive and Predictive Analytics are here for the ‘long haul,’ being met with high resistance amongst clinicians and low resistance amongst patients⁴…all predictable, yet surprising at the same time!

While there could be several intuitive, understandable reasons for resistance, I’m compelled to boil it down to,

  1. Change Management:

    Willingness to embrace change and make the time to familiarize with change. Technological evolution brings up several unknowns, largely in terms of whom to involve, when and how. While internally developed digital health infrastructure might make these unknowns less murky, it is unlikely that health systems have the time, resources and bandwidth to constantly troubleshoot and upgrade. While this drawback is moot with third party digital health vendors, there arises challenges with seamless interoperability, integration and complete customization to the needs of the organization.
    Encouragingly, a growing number of companies like HealthViewX are attempting to address these issues at the grassroot level. The platform entails seamless integration with a home grown interoperability engine, and the ability to completely customize the platform.

  2. Liability:

    Fear of and risks associated with the unknown. Several clinicians may not be sufficiently trained in using digital tools, alongside issues with seamless integrations… thereby resulting in potential medical malpractices and associated legal claims. There are several open-ended concerns- are these malpractice claims attributed to the clinician, to the technology, or to those responsible for training⁵? Is there a clear, established, legal norm/protocol for how care via digital tools needs to be rendered and documented⁵? Most importantly, is confidential patient data safe and secure?
    In a survey conducted amongst 242 clinicians in Pakistan, 69% ‘agreed’ or ‘strongly agreed’ with the sentiment that there is a lack of regulation to avoid medical malpractice. Only 29% believed that their medical indemnity would cover telehealth consultations⁵. Another study discovered that clinicians were less confident about prescribing controlled medications via TeleHealth.
    On the other side of the coin, studies have shown that several malpractices, misdiagnosis or errors could have been avoided with the intervention of AI and digital health. This is with the help of real-time alerts, diagnostic decision support, tracking, reporting, etc. Increasingly, laws have been restructured to exonerate AI/digital health in the face of mishaps, under several circumstances.

  3. Proof:

    A natural barrier to adoption in general is a lack of evidence based outcomes. The advent of Digital Health solutions might not be mature enough to present a historic laundry list of troubleshooting and adaptability to the constantly evolving needs of users. However, the more external digital health solutions are adopted by health entities, the more their counterparts have a track record to witness and to pine for.
    A valuable metric rests in the achievement of the Quadruple Aim, i.e., focusing on Population Health, enhancing the experiences of end-users, and of care providers/clinical staff, and reducing the per-capita cost of health care⁶. There are several intangible outcomes such as, provider burnout, time saved, patient outcomes, and patient satisfaction⁶. Externally developed tools also often provide case studies or scientific evidence displaying their meaningful outcomes.

  4. Access:

    While digital health has redefined care with a click of a button, socio-demographic barriers to access could result in health disparities and a digital divide. This could be segregated into a technological barrier (such as, lack of smart devices and internet connection, the prevalence of digital health in their region/community) and, a digital literacy barrier involving the ease of use of technology depending on age, literacy, income and tech-savviness, etc.
    While the digital divide can be narrowed by subsidizing the inherent cost of access, and perhaps by installing public access kiosks, ultimately, the utopian vision should be to extend beyond digital literacy to digital mastery and autonomy⁷. 

My presumptuous, yet sagacious retort to these four points is, Time. 

Time to be moved. Time to take the plunge. Time to embrace. Time to get and assess outcomes. Time to advance. Time to revolutionize. 

Time to become Virtually perfect. 

References:

  1. “Digital Health Market Size Will Attain USD 780.05 Billion by 2030 Growing at 16.1% CAGR – Exclusive Report by Facts & Factors,” February 2023, Facts and Factors, https://www.globenewswire.com/en/news-release/2023/02/01/2599148/0/en/Digital-Health-Market-Size-Will-Attain-USD-780-05-Billion-by-2030-Growing-at-16-1-CAGR-Exclusive-Report-by-Facts-Factors.html
  2. “The Use of Digital Healthcare Platforms During the COVID-19 Pandemic: the Consumer Perspective,” Alharbi. F, March 2021, PMC, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116074/
  3. “Digital health and care in pandemic times: impact of COVID-19,” Peek. N, Sujan. M, Scott. P, 2020, BMJ Journals, https://informatics.bmj.com/content/27/1/e100166
  4. Degree of adoption diagram, “Five ways Digital Health Innovation will grow + evolve post pandemic,” Ande De, April 2020, Alteryx, https://www.alteryx.com/input/blog/5-ways-digital-health-innovation-will-grow-evolve-post-pandemic
  5. “Digital health technology-specific risks for medical malpractice liability” S. Rowland, E. Fitzgerald, et al, October 2022, https://www.nature.com/articles/s41746-022-00698-3
  6. “Assessing the impact of digital transformation of health services,” EXPERT PANEL ON EFFECTIVE WAYS OF INVESTING IN HEALTH , Barros, P et al, November 2018, https://health.ec.europa.eu/system/files/2019-11/022_digitaltransformation_en_0.pdf
  7. “The Digital Determinants Of Health: How To Narrow The Gap,” K. VIgilante, Feb 2023, https://www.forbes.com/sites/forbestechcouncil/2023/02/02/the-digital-determinants-of-health-how-to-narrow-the-gap/?sh=384def8c59ba

Telemedicine vs. Telehealth: Understanding the Differences and Trends

In today’s digital world, telemedicine and telehealth are changing how we receive health care. These technologies allow people to get medical help more easily and flexibly through online visits and monitoring from home. They help with a range of services, from simple check-ups to more specialized care. This has greatly changed the patient experience. But what do the terms mean? How are they different?

Exploring the Definitions

Telemedicine and telehealth are often confused, but they mean different things. Both use technology such as HealthViewX to provide healthcare services from a distance, but they focus on different areas. Knowing the differences is key to understanding how to use each one, along with their benefits and limits.

The names themselves give a clue. Telemedicine focuses on “medicine.” It handles the remote diagnosis, treatment, and care of health issues. In contrast, telehealth includes a wider range of healthcare services that go beyond just medical treatment.

What is Telemedicine?

Telemedicine uses technology to provide healthcare services from a distance. It focuses on creating in-person experiences through secure online platforms. For example, you can have a video call with your doctor, get a second opinion from a specialist in another state, or monitor your vital signs at home. These show how telemedicine works.

Telemedicine sends medical information electronically. This information can include patient histories, symptoms, lab results, and diagnostic images. Sharing this data safely and quickly makes telemedicine an important tool for providing healthcare that is timely and easy to access.

With telemedicine, healthcare providers can reach more people, even in remote areas. It also allows for more flexible services. This helps patients feel more in control of their healthcare. As a result, they often see better health outcomes.

What is Telehealth?

Telehealth is different from telemedicine because it covers much more. It includes a wide range of health information and services provided through technology. Besides direct clinical care, telehealth includes patient education, remote monitoring of chronic diseases, and meetings between healthcare workers.

Telehealth services can offer online health education programs, devices that track vital signs and fitness, and virtual support groups for those with specific health issues. It aims to use technology for not just medical care but also to help people manage their health better.

Overall, if it uses technology to improve health results, make healthcare better, or teach patients and providers, it is part of telehealth care. Telehealth represents a well-rounded way to look at health, with many services that aim to make healthcare accessible, proactive, and focused on the patient.

The Evolution of Telemedicine and Telehealth

The story of telemedicine and telehealth shows how they have grown from early ideas to important parts of today’s healthcare. It started as a small concept to help people connect across distances, but now it plays a big role in changing healthcare for the better.

This change has happened because of new technologies, the need for easier and cheaper healthcare options, and a focus on putting patients first. Now, telemedicine and telehealth prove how innovation is strong in healthcare. They keep changing and growing to meet the needs of people in the 21st century.

Historical Perspectives

The idea of telemedicine started in the mid-20th century. This was when telecommunications began to grow. In the beginning, people used telephone lines and simple video calls. They connected healthcare workers in faraway places with specialists in cities. These first attempts showed that technology could help break down the barriers to healthcare caused by distance.

Government organizations saw the promise of telehealth early on. Information on gov websites shows this. Projects like NASA’s work in remote health monitoring for astronauts helped build a foundation for future progress in telemedicine and telehealth.

In the late 20th and early 21st centuries, there were big advances in technology. The rise of the internet, more personal computers, and better video conferencing tools made providing healthcare at a distance easier and more available to more people.

Recent Advancements and Technological Breakthroughs

In recent years, more people have started using telemedicine and telehealth. This growth is due to the rise of mobile technology, fast internet, and smarter medical devices. Smartphones now help patients keep track of their health. They can monitor vital signs, manage medications, and get virtual diagnoses using special apps.

Smart wearables have also changed the link between technology and healthcare. These devices come with advanced sensors that can monitor different health signs. They track things like heart rate, sleep patterns, blood sugar levels, and ECG readings.

These new technologies are changing how patients take care of their health and how healthcare is provided. With quick access to patient data, healthcare providers can now offer more personalized care. They can act sooner to help patients get better health results.

Key Differences Between Telemedicine and Telehealth

Telemedicine and telehealth both provide healthcare from a distance. However, their services and the laws that apply to them are not the same. It is important to know these differences. They affect how these services are offered, and paid for, and how both healthcare providers and patients see them.

When patients understand what makes these two approaches different, they can make better choices about the best ways to get care. Healthcare providers can also use these technologies effectively. This helps improve patient care and reach more people.

Scope of Services

One of the key differences between telemedicine and telehealth lies in the scope of services they encompass. Telemedicine primarily focuses on remote clinical services, while telehealth casts a broader net, encompassing non-clinical aspects of healthcare delivery as well. This distinction is crucial for understanding the breadth of services each approach offers and how they can be integrated into existing healthcare systems.

Here’s a table summarizing the key differences in the scope of services:

Feature Telemedicine Telehealth
Focus Remote diagnosis and treatment of medical conditions Broader health services, including prevention, education, and monitoring
Services Offered Virtual visits, remote monitoring of vital signs, specialist consultations Patient education programs, remote medication management, chronic disease management, administrative meetings
Examples Primary care consultation for the flu, specialist consultation for a dermatological issue, remote monitoring of blood pressure Online diabetes management program, virtual support group for mental health conditions, remote consultation between a nurse practitioner and a physician

This difference in scope is also reflected in the types of healthcare professionals involved in delivering these services. While physicians are central to telemedicine, telehealth often involves a wider range of healthcare providers, including nurses, pharmacists, therapists, and even administrative staff.

Legal and Regulatory Considerations

Navigating the legal rules around telemedicine and telehealth can be tricky. These technologies often relate to current laws about healthcare delivery, privacy, and data safety. The challenge grows when we consider how these laws can differ from state to state and country to country.

A key part of this is ensuring that patient health information remains private and safe. Telemedicine and telehealth depend on sharing sensitive information electronically. Because of this, healthcare providers must follow strict rules set by government agencies. These rules are often found on secure websites that use HTTPS to protect patient data from being accessed without permission.

Also, there are legal requirements for licensing, malpractice, and prescribing medications when working across state lines during virtual visits. Healthcare providers must understand the specific legal rules related to their practice. They must comply with these rules to avoid legal issues.

The Impact of Telemedicine and Telehealth on Patient Care

The rise of telemedicine and telehealth has changed how patients receive healthcare. These technologies have made healthcare easier to reach and have helped improve patient health. They allow patients to get the care they need quickly and from specialized providers.

Telemedicine and telehealth break down location barriers and help people manage their health better. These tools are important to our goal of creating a more caring and effective healthcare system. As these technologies grow, we can look forward to more improvements that will make healthcare even better.

Enhancing Access to Care

One of the most important effects of telemedicine and telehealth is that they improve access to care. For people living in rural or underserved areas, where the closest healthcare provider can be far away, virtual visits are very helpful. These technologies fill in gaps, making sure everyone can receive timely and proper care no matter where they are.

Also, telemedicine and telehealth can significantly cut down wait times for appointments, especially when seeing specialists. This faster access to care is very important for managing long-term health issues and making quick decisions, which can lead to better results for patients.

By removing the need to travel and providing flexible scheduling options, these technologies make healthcare easier and more accessible. This is especially true for those who might struggle with transportation, movement, or time due to work or family responsibilities.

Improving Patient Outcomes

Telemedicine and telehealth do more than just increase access to healthcare. They also help improve patient outcomes. For people with long-term health issues like diabetes or high blood pressure, tools for remote monitoring let them keep track of vital signs like blood pressure, blood sugar levels, and weight regularly. This helps them manage their conditions better and allows for quick action when needed.

When patients can talk to healthcare providers through secure messaging apps, it encourages them to be more involved in their health. They can ask questions, get answers, and report changes in their health right away. This helps catch potential problems early and can stop complications from happening.

Better communication leads to more engagement, which helps patients take their medications as prescribed and manage their health better. In the end, this means better outcomes for patients. By empowering patients and giving healthcare providers the tools to offer more customized and timely care, telemedicine and telehealth create a better healthcare system focused on patients.

Trends Shaping the Future of Telemedicine and Telehealth

The fast growth of technology brings a thrilling future for telemedicine and telehealth. Advances in technology keep changing what we can do in healthcare. We can expect to see more new uses of these technologies in the future.

With the use of artificial intelligence and machine learning, along with more wearable health sensors, healthcare is ready for big changes. This change will create a future where healthcare is more personal, active, and easy to fit into our daily lives.

Integration with Wearable Technologies

Wearable technologies are changing the way we monitor health. These devices come with advanced sensors that can track many health metrics. This ongoing data gives healthcare providers important information about a patient’s health in real-time. As a result, care can be more personal and proactive.

The mix of wearable technologies with telemedicine and telehealth is set to change healthcare delivery. For example, if your smartwatch notices an odd heartbeat or high blood pressure, it can alert your doctor. This helps them respond quickly and prevent serious health problems.

Here are some ways wearables are impacting the future of telemedicine and telehealth:

  • Real-time Data for Proactive Care: Wearable devices keep track of vital signs. This early monitoring can help spot health issues before they worsen.
  • Personalized Treatment Plans: Data from wearables allows healthcare providers to create treatment plans that fit each patient’s needs and likes.
  • Remote Patient Management: Wearables help patients handle chronic conditions better. They give real-time feedback and insights into their health status.

The Rise of AI and Machine Learning

The amount of health data created through things like electronic health records, medical images, and wearable devices is growing fast. This surge has helped AI and machine learning become popular in healthcare. These tools are great at checking large sets of data to spot trends, predict health risks, and help healthcare providers make better choices.

AI-driven diagnostic tools are helping doctors find diseases like cancer sooner and more accurately. Machine learning can look at patient data to create personalized treatment plans, improve medication use, and even forecast hospital readmissions. This leads to better and cheaper healthcare.

As AI and machine learning get better, we will likely see more changes in telemedicine and telehealth. These tools can help automate normal tasks, customize healthcare experiences, and move us towards a future where healthcare is more precise and effective.

Conclusion

In summary, it is important to know the differences between telemedicine and telehealth. Both have changed how we care for patients. They make care easier to access and improve results. As technology grows, using devices you wear and tools like AI will help shape how we use telemedicine and telehealth in the future. Following these trends can lead to more personal and effective healthcare. It’s key to keep up with laws and rules, understand challenges, and protect patient privacy. This way, we can make sure telemedicine and telehealth fit well into healthcare.

Frequently Asked Questions

How do Telemedicine and Telehealth Differ in Legal Requirements?

Both telemedicine and telehealth have their own legal needs. This includes rules about privacy and licensing. To get the latest information, check your state’s .gov websites. Make sure to access them using secure HTTPS connections for full details on the regulations.

Can Telemedicine Replace Traditional In-person Visits?

Telemedicine is a handy option for some healthcare needs. It allows you to have virtual visits and remote check-ups. But it does not aim to take the place of in-person visits. These visits are still important for completing physical exams and certain procedures.

What are the Main Challenges Facing Telehealth Adoption?

Some main challenges stopping the easy use of telehealth are:

  • Making sure people have reliable internet access.
  • Keeping patient data safe on secure websites.
  • Dealing with worries about what insurance will cover.
  • Helping people who struggle with using digital tools.

How is Patient Data Privacy Handled in Telehealth?

Protecting the privacy of patient data is very important. Telehealth platforms use secure websites. They have strong encryption and safe messaging systems. These features help to keep sensitive information safe and follow rules like HIPAA.

Key Highlights

  • Telemedicine and telehealth offer innovative ways to access healthcare remotely, leveraging technology for virtual visits, remote monitoring, and improved communication.
  • While often used interchangeably, subtle but crucial differences exist between these approaches, primarily in their scope and legal frameworks.
  • Understanding these distinctions is vital for both healthcare providers and patients seeking to utilize these rapidly evolving services effectively.
  • This blog post will examine the definitions, historical context, key differences, impact on patient care, and future trends in telemedicine and telehealth.
  • By exploring FAQs, we aim to provide clarity and address common concerns surrounding these transformative healthcare solutions.

CMS expands Telehealth Services to Deliver Care Safely during COVID-19 and Beyond

During the COVID-19 pandemic, CMS has taken the necessary steps to make it easier to provide quality care through telehealth services. This unprecedented action by CMS has encouraged healthcare providers to adopt and use telehealth as a way to safely provide care to their patients in situations like medication consultation, eye exams, nutrition counseling, behavioral health counseling, and routine health check-ups like annual wellness visits. Past data have shown telehealth to be an effective medium for patients to access healthcare providers especially for managing chronic conditions like diabetes, asthma or to obtain mental health counseling.

Advantages of CMS changes to Telehealth:

telehealth reimbursement codes

Telehealth services made permanent post-COVID-19:

CMS has announced that 60 of the 144 telehealth services that were newly offered during the pandemic will become permanent. This includes services for cognitive assessment, psychological and neuropsychological testing, and custodial care services for established patients.

virtual healthcare

They have also finalized the decision that direct supervision in telehealth visits can be provided with interactive audio and video technology through the end of the year until December 2021. 

 

CPT Code

Services

Description

77427

Radiation management

It is reported once for every five fractions or treatment sessions regardless of the actual time period in which the services are furnished. The services need not be furnished on consecutive days.

90853

Group psychotherapy

Group psychotherapy including interpersonal interactions and support with several patients; typically 45 to 60 minutes in length.

90953

End-stage renal disease, one visit per month, ages 2 and younger

End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, etc.

90959

End-stage renal disease, one visit per month, ages 12-19

End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth 

90962

End-stage renal disease, one visit per month, ages 20 and older

With 1 face-to-face physician visit per month

92057

Speech/hearing therapy

Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual

92521

Evaluation of speech fluency

Evaluation of speech fluency (e.g., stuttering, cluttering)

92522

Evaluation speech production

Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria) 

92523

Speech sound language comprehension

Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria)

92524

Behavioral quality voice analysis

Behavioral and qualitative analysis of voice and resonance.

96130

Psychological test Evaluation Phys/qhp 1st

Psychological testing evaluation services by a physician or other qualified healthcare professional, including the integration of patient data, interpretation of standardized test results and clinical data

96131

Psychological test evaluation phys/qhp ea

Providers should now use CPT code 96130 to bill for the first hour of psychological testing evaluation services and 96131 for each additional hour

96132

Neuropsychological testing evaluation phys/qhp 1st

Neuropsychological testing evaluation services by physician or other qualified healthcare professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour

96133

Neuropsychological testing evaluation phys/qhp ea

The first hour of neuropsychological evaluation is billed using 96132 and each additional hour needed to complete the service is billed with code 96133

96136

Psychological and neurological testing phy/qhp 1s

Psychological or neuropsychological test administration/scoring by physician or other qualified healthcare professional, two or more tests, any method; first 30 minutes

96137

Psychological and neurological testing phy/qhp ea

Similar to 96136. This code is used for each additional hour.

96138

Psychological and neurological tech phy/qhp ea

Psychological or neuropsychological test administration/scoring by technician, two or more tests, any method; first 30 minutes

96139

Psychological and neurological testing tech ea

Similar to 96138. 

 97110

Therapeutic exercises

Foundational, occupational therapy exercises that are designed to improve a patient’s strength, range of motion, endurance, or flexibility.

97112

Neuromuscular re-education

Specific exercises or activities performed and for what purpose, neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, and/or posture.

97116

Gait training therapy

Therapeutic procedure, one or more areas, each 15 minutes; gait training (includes stair climbing). 

97161

Physical therapy evaluation 

Physical therapy evaluation of low complexity, 20 min

97162

Physical therapy evaluation 

Physical therapy evaluation moderate complexity, 30 min

97163

Physical therapy evaluation 

Physical therapy evaluation moderate complexity, 30 min

97164

Physical therapy evaluation

Physical therapy re-evaluation establish plan care

97165

Occupational therapy evaluation 

Occupational therapy evaluation low complexity, 30 min

97166

Occupational therapy evaluation 

Occupational therapy evaluation moderate complexity, 45 min

97167

Occupational therapy evaluation 

Occupational therapy evaluation high complexity, 60 min

97168

Occupational therapy 

Occupational therapy re-evaluation establish plan care

97535

Self-care management training

Direct one-on-one supervision and instruction regarding activities of daily living related to the patient’s health and hygiene.

97750

Physical performance test

Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes.

97755

Assistive technology assessment

This procedure is used by the provider to assess the suitability and benefits of technological interfaces that will help restore, augment, or compensate for existing functional ability in the patient.

97760

Orthotic management and training 1st en

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes.

97761

Prosthetic training 1st enc

Prosthetic training, upper and/or lower extremities, initial prosthetic encounter, each 15 minutes

99217

Observation care discharge

This code is used to report all services provided to a patient discharged from outpatient hospital “observation status” if the discharge is on a date other than the initial date of “observation status

99218

Initial observation care

The first visit of the patient’s admission for outpatient hospital observation care by the Admitting/Supervising Physician or Other Qualified Healthcare Professional. Typically, 30 minutes are spent at the bedside and on the patient’s hospital floor or unit.

99219

Initial observation care

Similar to 99218 but, 50 minutes are spent at the bedside and on the patient’s hospital floor or unit.

99220

Initial observation care

Similar to 99218 but, 70  minutes are spent at the bedside and on the patient’s hospital floor or unit.

99221

Initial hospital care

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.

99222

Initial hospital care

Similar to 99221

99223

Initial hospital care

Similar to 99221

99234

Observation/hospital same date

Observation or inpatient care, are used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date.

99235

Observation/hospital same date

Observation or inpatient care is used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date.

99236

Observation/hospital same date

Observation or inpatient care is used when the patient is placed in observation status or admitted to inpatient status and then discharged on the same date.

99238

Hospital discharge day

Used when time spent is less than 30 minutes on the discharge process in face-to-face evaluation.

99239

Hospital discharge day

Used when time spent is greater than 30 minutes on the discharge process in face-to-face evaluation.

99281

Emergency department visit

Requires these 3 key components: A problem-focused history; A problem-focused examination; and Straightforward medical decision-making. Usually, the presenting problem(s) are self-limited or minor.

99282

Emergency department visit

Requires these 3 key components: An expanded problem-focused history; An expanded problem-focused examination; and Medical decision-making of low complexity. Usually, the presenting problem(s) are of low to moderate severity.

99283

Emergency department visit

Requires these 3 key components: An expanded problem-focused history; An expanded problem-focused examination; and Medical decision-making of moderate complexity. Usually, the presenting problem(s) are of moderate severity.

99284

Emergency department visit

Requires these 3 key components: A detailed history; A detailed examination; and Medical decision-making of moderate complexity. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.

99285

Emergency department visit

Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.

99291

Critical care first hour

It is used to report the services of a physician providing full attention to a critically ill or critically injured patient from 30-74 minutes on a given date

99292

Critical care additional 30 mins

Code 99292 (critical care, each additional 30 minutes) is used to report additional block(s) of time, of up to 30 minutes each beyond the first 74 minutes of critical care.

99304

Nursing facility care initial

The problem(s) requiring admission are of low severity. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit.

  99305

Nursing facility care initial

The problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit.

99306

Nursing facility care initial

The problem(s) requiring admission are of high severity. Typically, 45 minutes are spent at the bedside and on the patient’s facility floor or unit.

99315

Nursing facility discharge day

99315 is for discharge day management 30 minutes or less

99316

Nursing facility discharge day

This code is for discharge day management over 30 minutes

99327

Domiciliary or rest home visit new patient

Domiciliary or rest home visit for the evaluation and management of a new patient. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.

99328

Domiciliary or rest home visit new patient

Code used for Evaluation and Management / Domiciliary, rest home (boarding home) or custodial care services. The general guidance for this code is that it is used for new patient assisted living visits, typically 75 minutes. 

99334

Domiciliary or rest home visit established patient

This code 99334 is used to reflect the domiciliary or rest home visit for the E/M of an established patient

99335

Domiciliary or rest home visit established patient

Similar to 99334

99336

Domiciliary or rest home visit established patient

Similar to 99334

99337

Domiciliary or rest home visit established patient

Domiciliary or rest home visit for the evaluation and management of an established patient. Usually, the presenting problem(s) are moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family

99341

Home visit new patient

Home services are provided in a private residence.  A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home. Level 1 new patient home visit.

99342

Home visit new patient

Home services are provided in a private residence.  A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home. Level 2 new patient home visit.

99343

Home visit new patient

Home services are provided in a private residence.  A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home. Level 3 new patient home visit.

99344

Home visit new patient

Home services are provided in a private residence.  A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home. Level 4 new patient home visit.

99345

Home visit new patient

Home services are provided in a private residence.  A home visit cannot be billed by a physician unless the physician was actually present in the beneficiary’s home.Level 5 new patient home visit.

99347

Home visit established patient

Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components.  A problem-focused interval history; a problem-focused examination; and straightforward medical decision making. Typically, 15 minutes are spent face-to-face with the patient and/or family.

99348

Home visit established patient

Similar to CPT Code 99348. Typically, 25 minutes are spent face-to-face with the patient and/or family.

99349

Home visit established patient

Similar to CPT Code 99348. Typically, 40 minutes are spent face-to-face with the patient and/or family.

99350

Home visit established patient

Similar to CPT Code 99348. Typically, 60 minutes are spent face-to-face with the patient and/or family.

99468

Neonatal critical care initial

Services of directing the inpatient care of a critically ill neonate or infant 28 days or younger. 

99469

Neonatal critical care initial

Services of directing the inpatient care of a critically ill neonate or infant 28 days or younger. 

99471

Pediatric critical care initial

Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age

99472

Pediatric critical care initial

Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age

99473

Self-measurement of blood pressure at home education/training

Code 99473 represents the work of training the patient and calibrating the device,

99475

Pediatric critical care ages 2-5 initial

Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age

99476

Pediatric critical care ages 2-5 subsequent

Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age

99477

Initial day of hospital care for neonatal care

Initial hospital care of the neonate (28 days or younger) who is not critically ill but requires intensive observation, frequent interventions, and other intensive care services.

99478

Ic low-birthweight infant

Intensive care, per day, for the evaluation and management of the recovering low or very low birth weight infant( < 1500 gm)

99479

Ic low-birthweight infant < 1500-2500 g subsequent

Intensive care, per day, for the evaluation and management of the recovering low or very low birth weight infant( 1500 gm-2500g)

99480

Ic infant pbw 2501-5000 g subsequent

Intensive care, per day, for the evaluation and management of the recovering low or very low birth weight infant(2501g-5000g)

99483

Assessment and care plan cognitive impairment

Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home

The ongoing pandemic has resulted in an increased workload for healthcare providers across the country. Incorporating telehealth software into an existing practice can allow providers to virtually connect with patients. This can relieve the strain on practice while introducing an additional revenue stream.

HealthViewX Telehealth/Telemedicine Platform helps health systems to align clinical, financial, and operational goals by providing high-quality remote care and enhancing patient-physician collaborations.

References: https://www.beckershospitalreview.com/telehealth/cms-adds-85-more-medicare-services-covered-under-telehealth.html