title: Practice challenges of intensive care unit telemedicine.
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.
authors: C3O Telemedicine, 1119 North Signal Street, Ojai, CA 93023, USA. Electronic address: herb.rogove@c3otelemedicine.com.
authors: Herb
authors: H
authors: Rogove
authors: Torch Health Solutions, 4740 32nd Street, San Diego, CA 92116, USA.
authors: Kory
authors: K
authors: Stetina
mesh_terms: D006801:Humans; D007348:Insurance, Health; D007362:Intensive Care Units; D008007:Licensure, Medical / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms / Q000191:economics; D017216:Telemedicine; D014481:United States
keywords: Billing; Coding; Medical license portability; Reimbursement; TeleICU; Telehealth; Telemedicine; Telemedicine credentialing