Diabetes and COVID-19

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every 90 day pump visits

  • 1.  every 90 day pump visits

    Posted 03-27-2020 18:53
    Does anyone know if with the COVID19 epidemic if medicare is loosening their rules on pump patients having every 90 day visits? Thanks!

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    Cristin Bruns
    OKLAHOMA HEART INSTITUTE
    TULSA OK
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  • 2.  RE: every 90 day pump visits

    Posted 03-28-2020 17:07

    90 day pump visits through telecare have already been approved by Medicare.






  • 3.  RE: every 90 day pump visits

    Posted 03-29-2020 12:32
    Do you have a link to CMS's update on this?

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    Claire Baker DMSC
    OMAHA NE
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  • 4.  RE: every 90 day pump visits

    Posted 03-29-2020 12:49

    Medicare has temporarily expanded its coverage to telehealth service.

     

    Clinicians will need to document why telehealth visit (phone or virtual visit) rather than a face to face visit was performed (COVID-19 crisis). Clinicians will need still to use the medicare verbiage to document the patient is using device. And to put in the documentation that a need of ongoing medical supplies for continuity of care are needed.

     

     

    Elena Toschi, MD

    Staff Physician, Adult Section

    Director Young Adult Program

    Joslin Diabetes Center

    One Joslin Place, Boston, MA 02215

     






  • 5.  RE: every 90 day pump visits

    Posted 03-30-2020 11:45
    ​Hi Elena,

    Does billing for this require a remote download or will just a phone/telemed a visit with the patient work?

    Tammy Stogner RN, CDE
    Patient Education Coordinator
    Vacaville, CA


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    Tamara Stogner RN, CDE
    MARTINEZ CA
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  • 6.  RE: every 90 day pump visits

    Posted 03-30-2020 11:52

    We are doing remote device downloads from this week.  Last week we included the following in the EMR:

     

    Telephone visit for Diabetes Device supplies

     

    Within  medical records (Patient's office notes), document the following to ensure continuity of care for all patients:

      • :
        • The reason/situation for canceling non-urgent face to face appointments
        • Document a brief evaluation of the diabetes condition:
          • Insulin usage
          • Testing Frequency or CGM patterns
          • Pump usage, etc
        • Indicate the chronic condition that leads to the need of ongoing medical supplies for continuity of care.

     

    Yogish Kudva

    Mayo Clinic Rochester

    Ph: 507 284 3964






  • 7.  RE: every 90 day pump visits

    Posted 03-29-2020 15:19
    Are there particular criteria that need to be documented in the telehealth visit?
    Thanks in advance.

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    Tonya Baker APRN, MSN
    KINGSPORT TN
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