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Lincoln, NE (WorkersCompensation.com) -- As we've seen of late, states have been tweaking their telehealth rules.
One of those states is Nebraska, and the Cornhusker State's rules and requirements on telehealth in workers' compensation are highlighted in the following chart.
| Topic | Nebraska Info |
| Definition of "telehealth" | "Telehealth" means the use of medical information electronically exchanged from one site to another, whether synchronously or asynchronously, to aid a health care provider in the diagnosis or treatment of a patient. |
| What telehealth includes | Telehealth includes each of the following: (A) Services originating from a patient's home or any other location where such patient is located. (B) Asynchronous services involving the acquisition and storage of medical information at one site that is then forwarded to or retrieved by a health care provider at another site for medical evaluation. (C) Telemonitoring. |
| Audio-only services | Telehealth also includes audio-only services for the delivery of individual behavioral health services for an established patient, when appropriate, or crisis management and intervention for an established patient as allowed by federal law. |
| Definition of "telemonitoring" | "Telemonitoring" means the remote monitoring of a patient's vital signs, biometric data, or subjective data by a monitoring device which transmits such data electronically to a health care provider for analysis and storage. |
| Requirements on insurers | Any insurer offering (a) any individual or group sickness and accident insurance policy, certificate, or subscriber contract delivered, issued for delivery, or renewed in this state, (b) any hospital, medical, or surgical expense-incurred policy, except for policies that provide coverage for a specified disease or other limited-benefit coverage, or (c) any self-funded employee benefit plan to the extent not preempted by federal law, shall provide upon request to a policyholder, certificate holder, or health care provider a description of the telehealth and telemonitoring services covered under the relevant policy, certificate, contract, or plan. |
| What the insurer's description must include | The description shall include: (1) A description of services included in telehealth and telemonitoring coverage, including, but not limited to, any coverage for transmission costs. (2) Exclusions or limitations for telehealth and telemonitoring coverage, including, but not limited to, any limitation on coverage for transmission costs. (3) Requirements for the licensing status of health care providers providing telehealth and telemonitoring services. |
| Reimbursement rate | The reimbursement rate for any telehealth service shall, at a minimum, be the same as a comparable in-person health care service if the licensed provider providing the telehealth service also provides in-person health care services at a physical location in Nebraska or is employed by or holds medical staff privileges at a licensed facility in Nebraska and such facility provides in-person health care services in Nebraska. |
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About The Author
About The Author
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Frank Ferreri
Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law. Frank encourages everyone to consider helping out the Kind Souls Foundation and Kids' Chance of America.
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