Mississippi Administrative Code › Title 20 - Labor › Part 2 - Mississippi Workers' Compensation Medical Fee Schedule › EVALUATION AND MANAGEMENT › Section 20-2-XXIV - PRACTICE OF TELEMEDICINE/TELEMERGENCY

Current through June 25, 2024
A. Telemedicine is
				the practice of medicine using electronic communication, information
				technology, or other means between a physician in one location and a patient in
				another location with or without intervening health care provider. This does
				not include the practice of medicine through postal or courier
				services.
B. Telemergency medicine
				is a unique combination of telemedicine and the collaborative/consultative role
				of a physician board certified in emergency medicine and an appropriate skilled
				health professional. These services are billed using codes
				99441-99449.
C. The practice of
				telemedicine is deemed to occur in the location of the patient. Therefore, only
				physicians holding a valid Mississippi license are allowed to practice
				telemedicine in Mississippi. However, a valid Mississippi license is not
				required where the evaluation, treatment, and/or medicine to be rendered by a
				physician outside of Mississippi is requested by a physician duly licensed to
				practice medicine in Mississippi, and the physician who has requested such
				evaluation, treatment and/or medical opinion has already established a
				doctor/patient relationship with the patient to be evaluated and/or
				treated.
D. Only those CPT codes
				marked with a star (.) in the current Medical Fee Schedule may be reimbursed as
				telemedicine. Billing should include the use of modifier 95 and use of POS code
				02.
E. For the duration of any
				declared Public Health Emergency, the use of telemedicine is expanded to
				include the following codes in the Therapeutic Services section: 97110, 97112,
				97116, 97150, 97530, 97535, 97542, 97760, and 97761.
F. Telemedicine providers must use an
				interactive audio and video telecommunications system that permits real-time
				communication between the distant site and the patient. Practitioners who may
				provide telemedicine services include physicians, nurse practitioners,
				physician assistants, psychiatrists, clinical psychologists, physical
				therapists, occupational therapists, speech therapists, and
				dieticians.
G. All telemedicine
				services must comply with the Mississippi Code and the requirements found in
				the current MWCC Medical Fee Schedule.
H. Authorized originating sites include:
				hospitals (acute and critical access), rural health clinics, federally
				qualified health centers, skilled nursing facilities, community mental health
				centers, and in the clinics of the telemedicine providers listed in paragraph
				F.
I. Telemedicine services must
				include an examination of the patient which meets the applicable standards of
				care, a discussion with the patient, a diagnosis, and maintenance of a complete
				medical record.
J. Documentation
				requirements, including work status, are the same as for face-to-face services
				and shall include the locations of the rendering provider and the injured
				worker at the time of service.
K.
				Reimbursement for telemedicine is the same as if the services were provided
				in-person, except as elsewhere indicated in these rules.