id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
cord-300620-scauefiv	Gillespie, Suzanne M.	Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine	2020-07-28		.txt	text/plain	1849	62	35	For example, at the University of Rochester, between March and May 2020, telemedicine visits between the medical providers of our Regulatory reform Allow Medicare payments to post-acute and long-term care clinicians for all skilled/nursing facility CPT E&M codes using telehealth Allow medical necessity to dictate telemedicine visit frequency for subsequent care visits Allow nursing homes to receive facility fees for all telemedicine encounters regardless of physical location Expand billable telemedicine services for nursing home residents to include e-consultation and additional remote patient monitoring Ensure payment parity between face-to-face and telemedicine care in Medicare and third-party payors Evaluate the impact of telemedicine on nursing home structure, process, and outcomes Develop and assess the impact of PALTC workforce competencies for both originating and distal site providers who use telemedicine tools on clinical outcomes Refine and assess the use of telemedicine for forward triage on clinical outcomes Evaluate how regulatory visits delivered by telemedicine vs face-to-face impact the quality of clinical care and provider or resident satisfaction Technology Collaborate with telemedicine service providers to develop cost-effective, low-bandwidth, accessible, and easy-to-use telemedicine technology Work with cellular service and Internet service providers to deliver high-speed, low-cost Internet access, to support telemedicine and communication technologies in nursing homes Collaborate with electronic medical record vendors to improve access to and documentation within various information systems during telemedicine visits Increase the number of easy-to-use, low-cost Health Insurance Portability and Accountability Act (HIPAA) securityecompliant telemedicine tools available to post-acute and long-term care providers. A main point of discussion was the need to revise the regulations governing payment for telemedicine visits in a way that would make it more feasible for PALTC clinicians working with facilities to use telemedicine tools to care for residents.	cache/cord-300620-scauefiv.txt	txt/cord-300620-scauefiv.txt
