Page 12 - Part 2 Introduction to Telemedicine

SVMIC Introduction to Telemedicine

Credentialing Requirements

Apart from licensure, medical practitioners are also subject to

credentialing and privileging requirements in facilities where they
work, in groups that employ them and sometimes by payers who

reimburse them. Obtaining and maintaining credentials can be
more rigorous than licensing. In addition, many facilities and

groups enforce privileging requirements to perform specific
procedures. All of these are considerations for telemedical

practice.

Documentation Requirements

Some states require specific items be documented in a
telemedicine encounter; for example, Tennessee requires that the

type of technology utilized for the encounter must be specified in
the encounter note. Since any later question or dispute about the

course or outcome of treatment would involve determining the

setting of the encounter, it should almost go without saying that
the record ought to include:

 Identification of all individuals participating, including scribes,
assistants, technicians, interpreters, family members, etc.

 The geographic location of each participant

 The technology employed, including the communication
medium

 Any sources of information used apart from audiovisual

channels, such as devices, monitors, records exchanged,
images reviewed, etc.

 Any unexpected occurrences or technology failures

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