Alyssa Ridao posted Jul 14, 2020 6:08 PM
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Dr. Amanda Lewis
July 14, 2020
The Arizona Statute Sec 36-3601 defines telemedicine as delivering health care remotely through modern technology. Through Health Insurance Portability & Accountability Act (HIPAA) compliant audio and video technology medical providers diagnose, consult, treat and transfer medical data to patients without being physically present in the same room. (2020) The Center for Connected Health Policy (CCHP) an organization working to maximize telehealth, states that each state has their own policy and requirements for telehealth. Some states only apply portions of telehealth in their Medicare program while other states established their own telehealth policy and laws. (2008) The lack of uniformity in telehealth policy across the nation causes a complex situation for healthcare providers who are aiming and advocating for telemedicine in their practice. It restricts the medical providers ability in participating, expanding and transferring care even if it is under the same health system that spans across different states.
The Arizona Health Care Cost Containment System (AHCCCS) includes dentistry, behavioral health counseling, chronic disease management as well as disaster management in their telehealth reimbursement. (2019) The AHCCCS reimburses for all services provided via telehealth that are medically necessary, non-experimental and cost-effective with the restriction of specified originating site and specified provider. (2019) Under the AHCCCS remote patient monitoring is classified as either synchronous or asynchronous. Synchronous is in real-time health care delivery while asynchronous or commonly known as store-and-forward is when previous or existing medical records or imaging is utilized between practitioners to render or consult better medical service. (2019) The Arizona Senate passed Bill 1089 in March of 2019 that prohibits insurance companies from imposing restrictions on origin site and limiting between rural and urban locations when it comes to telehealth coverage. The downside is that the Senate Bill 1089 eliminates the list of specialties eligible for telehealth as well as limits services included by condition such as remote patient monitoring to patients with congestive heart failure and require a certain hospitalization history. (2019)
Arizona Health Care Cost Containment System. (2019, October 1). FEE-FOR-SERVICE PROVIDER BILLING MANUAL. Retrieved from https://azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap10.pdf
Center for Connected Health Policy. (2008). About CCHP. Retrieved from https://www.cchpca.org/about/about-cchp
State of Arizona. (2019, December 21). SB1089 – 541R – I Ver. Retrieved from https://www.azleg.gov/legtext/54leg/1R/bills/SB1089P.htm
MSN 565 Week 3.docx
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