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远程医疗定义

异步存储转发: 

The transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (Business and Professions Code section 2290.5(a)(1))

远程站点: 

A site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (Business and Professions Code section 2290.5(a)(2))

电子咨询: 

Asynchronous health record consultation services that provide an assessment and management service in which the patient’s treating health care practitioner (i.e., attending or primary) requests the opinion and/or treatment advice of another health care practitioner (i.e., consultant) with specific specialty expertise to assist in the diagnosis and/or management of the patient’s health care needs without patient face-to-face contact with the consultant. E-consults between health care providers are designed to offer a coordinated multidisciplinary case reviews, advisory opinions, and recommendations of care. (Medi-Cal Provider Manual: Telehealth)

始发站费用: 

使用 HCPCS 代码 Q3014 计费时,通过双向、实时交互式通信或存储转发提供服务时向始发站支付的金额。 (医疗保险提供者手册:远程保健)。

医疗服务提供方: 

根据《商业与职业法典》第 2 分部获得执照的人、准婚姻与家庭治疗师、合格的自闭症服务提供者或合格的自闭症服务专业人员、准临床社会工作者、准专业临床顾问。 (商业与职业法典》第 2290.5(a)(3)条)。

交互式电信系统: 

多媒体通信设备,至少包括音频和视频设备,允许病人与远方的医生或执业医师进行双向实时互动交流。电话、传真机和电子邮件系统不符合交互式电信系统的定义。 (联邦法规汇编》第 42 篇第 410.78 (a) (3) 部分)。 

始发站: 

A site where a patient is located at the time health care services are provided via telehealth, including video or audio-only visits, or where the asynchronous store and forward service originates. (Business and Professions Code section 2290.5(a)(4))

同步交互: 

患者与远程医疗保健提供者之间的实时互动。(商业和职业法典第 2290.5(a)(5) 条) 同步交互可以是纯音频同步交互,也可以是视频同步交互:

纯音频同步互动: 

患者和医疗保健提供者之间仅通过音频(例如电话、无视频的网络通话)进行的实时互动。

视频同步互动: 

通过包含音频和视频功能的交互式技术平台进行患者与医疗保健提供者之间的实时互动。

远程医疗: 

The mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers. (Telehealth includes telemedicine.) (Business and Professions Code section 2290.5(a)(6))

传输费用: 

通过音频/视频通信提供远程医疗服务所产生的传输费用,在使用 HCPCS 代码 T1014(远程医疗传输,每分钟,专业服务单独计费)计费时可获得补偿。 (医疗保险提供者手册:远程保健)。