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Nurse practitioners in Florida are allowed telehealth visits and reimbursement. In the hospice care setting, if the nurse practitioner is not listed as the primary care physician, then the organization is not able to bill Center for Medicare & Medicaid Services (CMS)for the services rendered. The COVID pandemic changed the way that providers interacted with their patients. Emergency measures were made to increase access to care by patients in different settings, including their home. The Florida Agency for Health Care Administration (2020) defines telemedicine as:

Telemedicine is the practice of health care delivery by a practitioner who is in a site other than the site where a recipient is located, using interactive telecommunications equipment that minimally includes real time, two-way interactive communication between a recipient and a practitioner using audio and video equipment.

Not only has reimbursement for expanded services increased telehealth medicine but it has ensured access for those in rural areas who were more inconvenienced by the COVID lockdown. Unfortunately, mental health services in this area only conduct home visits under certain circumstances, and patients or clients are still required to come into the mental health office and conduct a visit with the nurse practitioner. Convenience for the provider and not the patient. Furthermore, even with the expansion and waivers for telemedicine, internet availability is not guaranteed in rural areas or at an extravagant cost. The policy of telemedicine sounds great if it is accessible to the ones it is supposed to serve that are in need of it the most.



Telemedicine is the use of medical treatment via electronical that is exchanged from one site to another via to provide medical care to a patient in circumstances in which face-to-face contact is not necessary. The Georgia Telemedicine Act” (Georgia General Assembly, 2019) granting privileges to a physician-patient relationship via remote in diagnosing and treatment of patients by means of telecommunicating capability. Georgia Medicaid permits live video reimbursements for services medically necessary and under certain circumstances. However, this act excludes any reimbursement to “store-and-forward services; as these services does not meet the requirement for satellite healthcare (Current State Laws and Policies, n.d.). Inclusion of the reimbursement for providers; shall be awarded to physicians, practitioners and physicians assistants located within the arena of Georgia medical services; specific areas of Georgia and North Carolina within 25 miles of the South Carolina boarder. Additional circumstances to “The Georgia Telemedicine Act include restrictions of medication prescribing that requires in person examination for diagnosing (Current State Laws and Policies, n.d.) and restrictive prescribing of Schedule I and II narcotics of the jurisdiction of the prior authority from the board. Although, telemedicine is not completely acceptable for practice through neighboring states, those who have adopted this healthcare telecommunication understands the importance of telemedicine and its ability in improving access to healthcare for underserved rural areas. Learning and understanding telemedicine, I plan to practice using the behavior of telecommunications to reach beyond the challenges of healthcare access to improve my patient’s outcome.

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