Teleneurology

[austin2612]

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I have met more and more neurologists who work from home doing this. It's an interesting prospect. Does anyone on here do this or have opinions about it?

 

[neurologist]

I have met more and more neurologists who work from home doing this. It's an interesting prospect. Does anyone on here do this or have opinions about it?

We use it to cover stroke/TPA cases from smaller outlying affiliated hospital ERs that have no in-house neuro. We've been using it for about 3 years.

The main drawback, of course, is that you can't do a hands-on exam of the patient. That aside, it seems to work reasonably well.

I suspect it is the wave of the future and will be used more often for more indications. Main questions are the physical exam issue, responsibility for patient followup, and, of course, the medicolegal issues of "patient ownership."

 

[Mattchiavelli]

I suspect it is the wave of the future and will be used more often for more indications. Main questions are the physical exam issue, responsibility for patient followup, and, of course, the medicolegal issues of "patient ownership."

I'm curious as to what those issues are compared to, say, general critical care transfers from OSH. Our flagship hospital already has an established critical care transport system but not the actual teleneurology setup but we're supposed to launch one within the next few years.

 

[RAD345]

I would like to refresh this old topic. I see now hospitals use Teleneurology service more often, even with their own neurologists.

Does anyone knows about the reimbursements for metropolitan area. I read somewhere that medicare does not pay for the service unless it is provided for rural service. What about private insurances, Kaiser, BC, United and etc.

What are the recommended CPT codes?