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Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA Nathaniel Lacktman, Esq. [email protected] m @Lacktman March 2017

Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

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Page 1: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAANathaniel Lacktman,

Esq.

[email protected]

@Lacktman

March 2017

Page 2: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

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Page 3: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

Telemedicine Reimbursement and Payment

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Page 4: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

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Telehealth Sources of Revenue

Government FFS (Medicare, Medicaid)

Medicare Advantage, Medicaid MCOs

Commercial Health Plans

Employer Self-Funded Plans

Employer Pay (OOP)

Institutions, Providers

Self-Pay / Cash

Cost Savings and Cost Avoidance

Page 5: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

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Page 7: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

Telemedicine and Licensure

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Page 8: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA
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Patient Contact

Select Hospital

Provide Initial 2nd Opinion / Assessment

Arrange Follow-up

Travel to Hospital

Receive Treatment

Travel Home

Post-Treatment Follow-up Care

Page 10: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

Telemedicine Privacy & Security

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Use a password or other user authentication.

Install and enable encryption.

Install and activate wiping and/or remote disabling.

Disable and do not install file- sharing applications.

Install and enable security software.

Keep security software up to date.

Research mobile applications (apps) before downloading.

Install and enable a firewall.Delete all stored health information before discarding or reusing the mobile device.

Maintain physical control of your mobile device.

Use adequate security to send or receive health information over public Wi-Fi networks.

Page 12: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

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Speaker ContactNathaniel Lacktman, Esq.

PartnerChair, Telemedicine & Virtual Care PracticeCo-Chair, Digital Health Group

Foley & Lardner [email protected]/nlacktman

News & Resourceswww.foley.com/telemedicine

www.healthcarelawtoday.com

@Lacktman

One Law Firm. All Your Digital Health Needs.

Telemedicine ● Telehealth ● Virtual Care ● mHealth

Fraud and Abuse ● Regulatory Compliance ● International/Destination Medicine

Reimbursement and Payment ● Contracting and Joint Ventures ● M&A

Licensure and Practice ● Concierge Medicine ● Privacy and Security

Page 13: Demystifying the Telemedicine Triple Threat: Reimbursement, Licensure & HIPAA

ATTORNEY ADVERTISEMENT. The contents of this document, current at the date of publication, are for reference purposes only and do not constitute legal advice. Where previous cases are included, prior results do not guarantee a similar outcome. Images of people may not be Foley personnel.© 2017 Foley & Lardner LLP

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