Clinical Consults

Doctor with Files

Why teleID?

  • Expand access.  Get ID consultation through chart review and live videoconferencing services via online, HIPAA-compliant portals.

 

  • Improve outcomes.  Infectious Disease consultation has been associated with reduced in-hospital mortality, decreased length of stay, lower readmission rates and less spending by facilities (1,2,3).

 

  • Reduce transfers.  In one program, over 90% of patients with infectious issues were able to remain at their local hospital after receiving teleID consultation, rather than transferring to a larger facility (4).

 

  • Feel confident.  Outcomes have been compared between traditional, in-person ID consultation and teleID consultation with no significant differences found (5).

How does it work?

  • Healthcare providers at your facility notify AirborneID of the need for consultation via phone or secure email or messaging service.

  • In most cases, AirborneID will use remote access to review a patient's chart and leave a note with an assessment and recommendations

  • Live videoconferencing can be arranged upon facility request or at the discretion of AirborneID providers if additional history or examination is needed

  • Turnaround time is within 24 hours (excluding weekends and holidays), but most consults will be completed within 4 hours of the request

  • Facilities are billed for each patient encounter with a monthly invoice

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Contract Review

Why bill facilities directly?

The Centers for Medicare and Medicaid Services (CMS) significantly restricts physician payments for telemedicine services with the following rules:

  • Patients receiving telemedicine services must be located in either a Health Professional Shortage Area (HPSA) or a rural census tract as designated by CMS.  Facilities relatively close to metropolitan areas may not qualify, even though their patients may still have difficulty accessing care.

  • Only live, two-way video interactions are considered for reimbursement.  This significantly reduces the flexibility of the telemedicine platform for the rendering provider and the receiving facility.  Many ID evaluations can be completed effectively without arranging a live patient encounter, and medical literature supports this (5).

Not billing patient insurance also allows for more concise, problem-focused notes without the clutter of impertinent elements required by insurance companies.

A great fit for direct primary care (DPC)

  • The DPC model simplifies and lowers the cost of delivering outpatient healthcare by using patient subscription fees to cover medical services.  Frequently, patients of DPC clinics acquire only catastrophic health insurance to cover emergencies that cannot be handled in clinic.

  • DPC patients may have difficulty accessing medical specialists as an outpatient because catastrophic plans typically do not cover such visits, and out-of-pocket costs for cash pay patients at specialty clinics may be prohibitively expensive.

  • AirborneID can provide on-the-spot telemedicine consultation to patients in DPC clinics for a low flat fee, expediting care and eliminating the uncertainty of out-of-pocket costs to the patient in traditional specialty clinics.

Doctor taking blood pressure of older pa

References

  1. Monkowski D et al, A Retrospective Cohort Study to Assess the Impact of an Inpatient Infectious Disease Telemedicine Consultation Service on Hospital and Patient Outcomes, Clinical Infectious Diseases, ciz293

  2. Schmitt S et al, Infectious Diseases Specialty Intervention Is Associated With Decreased Mortality and Lower Healthcare Costs, Clinical Infectious Diseases, Volume 58, Issue 1, 1 January 2014, Pages 22–28

  3. Schmitt S et al, Early Infectious Diseases Specialty Intervention Is Associated With Shorter Hospital Stays and Lower Readmission Rates: A Retrospective Cohort Study, Clinical Infectious Diseases, Volume 68, Issue 2, 15 January 2019, Pages 239–246

  4. Bai AD et al, Impact of Infectious Disease Consultation on Quality of Care, Mortality, and Length of Stay in Staphylococcus aureus Bacteremia: Results From a Large Multicenter Cohort Study, Clinical Infectious Diseases, Volume 60, Issue 10, 15 May 2015, Pages 1451–1461

  5. Isip J et al. 1868. Successful Use of Telemedicine vs. On-site Infectious Diseases Consultation After Implementation of a System-Wide Antimicrobial Stewardship-Led Staphylococcus aureus Bacteremia Care Bundle. Open Forum Infect Dis. 2018 Nov 26;5(Suppl 1):S534. doi: 10.1093/ofid/ofy210