KarenZupko & Associates, Inc., Chicago, IL, USA.
Clinical Professor of Otolaryngology, Weill Cornell Medical College, New York, NY, USA.
Am J Otolaryngol. 2020 May-Jun;41(3):102490. doi: 10.1016/j.amjoto.2020.102490. Epub 2020 Apr 15.
The COVID-19 pandemic has quickly and radically altered how Otolaryngologists provide patient care in the outpatient setting. Continuity of care with established patients as well as establishment of a professional relationship with new patients is challenging during this Public Health Emergency (PHE). Many geographic areas are under "stay at home" or "shelter in place" directives from state and local governments to avoid COVID-19 exposure risks. Medicare has recently allowed "broad flexibilities to furnish services using remote communications technology to avoid exposure risks to health care providers, patients, and the community." [1] The implementation of telemedicine, or virtual, services, will help the Otolaryngologists provide needed care to patients while mitigating the clinical and financial impact of the pandemic. The significant coding and billing issues related to implementing telemedicine services are discussed to promote acceptance of this technology by the practicing Otolaryngologist. Of particular importance, outpatient visit Current Procedural Terminology® codes (99201-99215) may be used for telehealth visits performed in real-time audio and video.
COVID-19 大流行迅速而彻底地改变了耳鼻喉科医生在门诊环境中为患者提供护理的方式。在这种公共卫生紧急情况下(PHE),与已建立的患者保持连续性护理以及与新患者建立专业关系具有挑战性。许多地区都受到州和地方政府的“居家”或“就地避难”指令的限制,以避免 COVID-19 暴露风险。医疗保险最近允许“广泛灵活地使用远程通信技术提供服务,以避免医疗保健提供者、患者和社区面临的暴露风险”。[1] 远程医疗或虚拟服务的实施将有助于耳鼻喉科医生为患者提供所需的护理,同时减轻大流行对临床和财务的影响。文中讨论了与实施远程医疗服务相关的重大编码和计费问题,以促进执业耳鼻喉科医生接受这项技术。特别重要的是,门诊就诊当前程序术语® 代码(99201-99215)可用于实时音频和视频进行的远程医疗就诊。