Page 156 - Business Development Orientation Binder

4/9/2019

Telehealth Referral & Activation Process

Telehealth Referral
- The Intake Coordinator (IC) receives a request from MD for Telehealth Services
- Or the Field Clinician identifies the patient’s need for Telehealth Services

- If initiated by the IC: IC documents the Telehealth order from the MD in a Coordination Note and
enters Telehealth Care Type in the referral
- If initiated by the Field Clinician: The Field clinician orders Telehealth by writing a Physician order
and adding a Pathway and includes all necessary Telehealth peripherals in the Order text on the
485 in PointCare
-The Field Clinician also plots a projected Telehealth install visit date on the patient’s calendar

-The Clinical Review Manager (CRM) verifies that the patient meets Telehealth Criteria
and manually enters secondary Care Type Telehealth
- CRM enters a Coordination Note “Telehealth Equipment Order” in R2
Telehealth Equipment Order routes to Revenue Cycle Department (RCD)

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Telehealth Referral & Activation Process

For Non-Medicare Cases: RCD reviews and verifies fiscal eligibility and places the authorization
For Non Medicare cases
for Telehealth
For Medicare Cases: The Telehealth Equipment Order indicates authorization obtained and the
referral routes to Contract Administration

Contract Administration registers the referral and calls the Telehealth Vendor (AMC Health)
to place the Telehealth equipment order
- Reviews the Coordination Notes and telehealth equipment order

Population Health Telehealth RN confirms the equipment installation
Sends Coordination Note “Telehealth Alert Coordination” to the Clinical Field Manager (CFM) to
confirm installation date
-Conducts daily monitoring of the patient’s Telehealth Alerts
-Calls the patient for telephonic assessment/interventions as needed
-Enters Coordination Note “Telehealth Alert Management”
(The Telehealth Alert Management note routes to the Clinical Field Manager -CFM)
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