Practice Frequently Asked Questions
36 states have parity laws – Medicare/Medicaid State dependent
Please contact us to discuss the specifics of the state(s) you practice in.
The vast majority of routine orthopedic problems can be (at least) INITIALLY diagnosed and treated without touching the patient.
Medicine is highly repetitive and histories are predictable - Orthopedics is no different.
You should definitely check with your med/mal carrier and inform them you will be bringing Telemedicine into your practice.
Most carriers we have spoken to have said they will NOT increase med/mal coverage pricing for existing patients.
Some carriers have stated there might be a small increase in coverage amounts if you are going to use telemedicine to see new patients.
We recommend you limit visits to non-emergent conditions for treatment and any condition noted to be urgent or emergent be told to proceed for an in-person visit. This still accomplishes the "first touch" and patient capture to your practice.
AWS (Amazon Web Services): HIPAA compliant data communications
ARMOR – secure data housing network of services
Patients can access through smart phone, or mobile device.
Ortholive is compatible with iOS and Android operating systems
Connectivity: The better the Wi-Fi connection the better the video chat stream will work
You would be surprised how tech savvy older patients are and the ease of use of the Ortholive Application helps. The patient literally receives and opens a text, clicks a link, logs in, then answers a phone call. It’s that easy. Lastly, a lot of elderly patients have family members or caregivers who are usually available to help out
There is NO cost to the patient for App use – free download
The practice bills the medical insurance carrier just as if the patient were in-office for a visit. The same patient responsibility applies
- Yes, we have the ability to interface with your EMR/EHR
- You don’t need to interface to see existing patients
- Think of OrthoLive as your virtual exam room – you simply log in from your desktop or laptop on a web-browser. All other systems you would normally access are right there, as well - EMR, PACS, etc..
- You simply dictate or type notes into your EHR as you would if patient was in the room
- An established visit would be G9921x (x=1,2,3,4,5) for telemedicine
- A new patient visit would be G9920x (x=1,2,3,4,5) for telemedicine
- Visits are billed based on History, Physical Exam and Medical Decision-Making bullets
- A post-op visit is in the 90-day global period and is not reimbursed
- In an established visit, where imaging is being reviewed, two of the three bullets must be met.
- In an MRI recheck, the physical exam does not need to be performed for billing to occur.
- If a regular established patient visit occurs, billing must occur as per normal.
- Telemedicine allows for adequate physical examination of range of motion, palpation, neurovascular examination, and inspection.
- Special tests and instability examination can be more challenging, but bullet points may be checked using basic physical examination.
- OrthoLive allows for asynchronous (chat – text) and synchronous communication, but focuses around synchronous (live video).
- We believe the benefit to the synchronous (video conferencing) platform is the trust built with face-to-face interaction and the ability to pay attention to non-verbal communication cues.
- Wi-Fi is recommended for all users, but not required.
- The platform functions on 3G and 4G wireless signal