General Clinical Services
Referrals come from many different sources,
depending on the location of a telemedicine
site in a community (hospital, clinic, school,
Patients are often referred by their primary
care provider or local mental health provider.
Patients can also schedule an appointment
directly with a specialist via telemedicine
by contacting the local telemedicine coordinator.
In school settings, referrals can come
school nurses, or
school psychologists involved in a child's
How a telemedicine appointment works
Visits with a health care provider via telemedicine
occur in much the same way as a typical in-person
visit with the addition of technology.
On the day of the telemedicine appointment,
the patient checks in at the remote site
and is taken to an examination room equipped
with interactive video technology.
Each telemedicine site has a coordinator,
often a registered nurse, whose responsibility
is to remain in the examination room and
assist both the patient and provider during
Instead of appearing in the room by walking
in the door, the provider uses an interactive
video conferencing system to connect to
the remote site, and is instantly able to be
seen and heard by the patient.
As with an in-person appointment, providers often
start by asking for more of the patient's
medical history, and then asking
the patient about their specific ailment.
At the end of the telemedicine visit,
the provider may give treatment recommendations,
request a follow-up visit, order lab work,
or refer to another doctor, just as with
an in-person appointment.
requested, telemedicine providers send copies of
their notes to the patient's
primary care provider. This allows
the primary care provider to stay involved
in the overall
care of their patient.
Reimbursement / Billing
Since telemedicine is not a separate medical
specialty, it is reimbursed by
many private insurance companies, Kansas Medicaid,
Medicare. However, reimbursement
for services provided via telemedicine is not
Some insurance companies do not
provide a telemedicine benefit and those that
only cover selected billing codes.
Much progress has been made to include new
billable codes, add new private insurers,
and to gain wide spread acceptance of telemedicine
technology. KUCTT has long been an
for expanded reimbursement and continues
to facilitate discussions about telemedicine
policy at the state level. KUCTT’s director,
Dr. Ryan Spaulding, is an active member
of the Kansas Telemedicine Task Force
designed for reviewing telemedicine
reimbursement policy in Kansas, implementing
and responding to evolving telehealth applications.
For more information on clinical telemedicine
services, please contact:
Director, KU Center for Telemedicine & Telehealth