Name of the Procedure:

Virtual Communication Technology-Based Service (CTBS)
HCPCS Code: G0071
Common names: Virtual Check-In, Telehealth Service

Summary

This procedure involves a virtual (non-face-to-face) communication, lasting 5 minutes or more, between a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) practitioner and an RHC or FQHC patient. This service allows for the evaluation and management of a patient's health concerns without a physical visit to the clinic.

Purpose

Medical Conditions Addressed:

• Minor health issues
• Chronic disease management
• Follow-up care

Goals and Outcomes:

• Efficiently manage patient health issues remotely
• Reduce the need for in-person visits
• Provide timely medical advice and interventions

Indications

Symptoms or Conditions:

• Mild symptoms that don't require an immediate physical examination
• Follow-up on chronic conditions like diabetes or hypertension
• Medication management or questions

Patient Criteria:

• Must be an established patient of the RHC or FQHC
• Has had a recent qualifying visit with the practitioner

Preparation

Pre-Procedure Instructions:

• Ensure a stable internet connection and functioning device (computer, tablet, smartphone)
• Be prepared to discuss symptoms, medications, and health history
• Have recent medical records or notes available

Required Pre-Checks:

• No specific diagnostic tests needed

Procedure Description

1. Initiation: The patient initiates contact via phone or digital communication platform.
2. Evaluation: The practitioner reviews the patient's concerns and medical history.
3. Interaction: The practitioner and patient engage in a 5 minute or longer dialogue about the health concerns.
4. Management: Medical advice, prescription adjustments, or further diagnostic recommendations are provided.

Tools Used:

• Telecommunication devices like computers, tablets, or smartphones
• Secure communication platforms

Anesthesia: Not applicable

Duration

Typically lasts 5-15 minutes.

Setting

Performed remotely from the patient's home and the practitioner's office in RHC or FQHC.

Personnel

• Primary care physician or nurse practitioner from RHC or FQHC

Risks and Complications

Common Risks:

• Technical difficulties or interruptions
• Miscommunication due to the absence of a physical examination

Rare Risks:

• Delayed diagnosis requiring future physical evaluation

Management:

• Scheduling an in-person visit if issues are unresolved virtually

Benefits

Expected Benefits:

• Quick access to medical advice
• Reduced travel and waiting time
• Continuity of care for chronic conditions

Realization Timeline:

• Immediate to within a few hours

Recovery

Post-Procedure Care:

• Follow-up as per practitioner's advice
• Continuation of prescribed treatment plans

Expected Recovery Time:

• Not applicable as this is primarily consultative

Restrictions:

• None, but follow-up appointments may be scheduled

Alternatives

Other Options:

• In-person visits
• E-mail or portal messages
• Traditional phone consultation

Pros and Cons:

In-Person Visits:

• Pros: Physical examination possible
• Cons: Requires travel, more time-consuming

Email/Portal Messages:

• Pros: Convenience
• Cons: Delay in response, no immediate interaction

Patient Experience

During the Procedure:

• May experience slight delay due to technical setup
• Generally comfortable, with ease of communication

After the Procedure:

• Expected to feel reassured with timely medical advice

• Pain management not applicable, as this is a non-invasive virtual service.

  Comfort measures include ensuring a private and quiet space for the consultation.