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Information for Providers

FOR PROVIDERS, JOINING THE NORTH COUNTRY TELEHEALTH PARTNERSHIP OPENS THE DOOR TO A WORLD OF OPPORTUNITY.

Our network is secure and expansive, connecting medical offices throughout New York State to save providers time and money to help them provide the best quality care to their patients.

More than 90 hospitals, provider offices, and other healthcare professionals in the North Country are actively engaged in building telemedicine to better the lives of their patients, and that number is expected to continue rising in the coming years. Taking advantage of technology and resources made available by the North Country Telehealth Partnership, providers in our community are using telemedicine in the fields of psychiatry, psychology, dentistry, wound care, chronic disease management, and more.

Mario Victoria, MD, Vice President, Medical Affairs, & Chief Medical Officer (CMO), Samaritan Medical Center, Watertown, NY

"At Samaritan Medical Center we are committed to leveraging technology to deliver high-quality, accessible healthcare. The integration of telemedicine has enhanced patient outcomes. Our remote home monitoring program has effectively reduced unexpected readmissions, while our telemedicine services have expanded access to psychiatry, wound care, cardiology, infectious diseases, and stroke."

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Getting Started With Telemedicine

Setting up a telemedicine-based service in your practice or organization might seem overwhelming, but we’re here to help.

We strive to make the telemedicine start-up process as simple as possible for our provider partners, and we are available for assistance every step of the way. The flowchart below is a great resource to better understand how other providers get started with telemedicine. Start in the upper left-hand corner – where you “define a needed service” – and simply follow the arrows. For more information, you can also take a look at our Telemedicine Implementation Guide or AMD Global Telemedicine’s 12-Step Webinar.

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Clinical Applications

While not all of the telemedicine-based services listed below are being used in the North Country, they are feasible to set up. Clinical applications for telemedicine range from dermatology to psychiatry, and innovations are constantly being made to expand the reach and scope of telemedicine.

To help keep our region’s providers informed about the possibilities of telemedicine, the North Country Telehealth Partnership has prepared a series of documents that list the necessary clinical conditions for the following telemedicine applications:

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Reimbursement Information

For providers, details of reimbursement are critical to the telemedicine implementation process and to the sustainability of existing programs. Fortunately, we are here to help guide our practices through any questions or concerns they may have. Billing and coding shouldn’t hold you back from taking advantage of telemedicine, nor should it prevent your patients from the benefits telemedicine can offer.

CURRENT REIMBURSEMENT LANDSCAPE:

All 50 state Medicaid programs cover telemedicine in some capacity, whether live videoconferencing, store and forward, Remote Patient Monitoring, or some combination of the three. Medicare covers telehealth but with some geographic and provider restrictions.

Private payers vary greatly depending on the state. Currently, 39 states and the District of Columbia require that private insurers cover telehealth the same as they cover in-person services. This is called coverage parity and was adopted in New York State in 2016.

As you consider adding a telemedicine service to your practice or organization, we encourage you to contact the provider relations departments of any insurers you have specific questions about. A helpful resource is the Center for Connected Health Policy’s 50 State Report, which is updated semi-annually with information about insurance coverage for telemedicine.

NEW REIMBURSEMENT INFORMATION – HELPFUL LINKS TO MOST UP-TO-DATE DOCUMENTS

NYS DOH/ Medicaid:

Office of Mental Health (OMH):

Office of Alcoholism and Substance Abuse Services (OASAS):

Medicaid 1915(c) Waiver:

Medicare

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