Telehealth Taxonomy for Federally Quality Health Center (FQHC)
Final Draft 10.9.2020
Dimensions/Elements | Differentiators | Comments |
FQHC Provider Type | Qualified Physician | Provider type detail can be captured through UDS and by looking at role types when provisioning EMR access. It is understood that many FQHCs will not be able to differentiate between Non-Licensed Clinical Staff and Other Non-Clinical Staff and it is fine to have these reflected as Unknown/Undifferentiated.. Bonnie Bruner (Unlicensed) NUCC is more specific than the differentiators noted. These could be considered groupings of the NUCC Provider Taxonomy Codes which could be modeled in Symedical |
| Qualified Non-Physician | |
| Other Licensed Clinical Staff | |
| Other Non-Licensed Clinical Staff | |
| Other Non-Clinical Staff | |
| Unknown/Undifferentiated | |
Recommended terminology - NUCC Taxonomy https://confluence.hl7.org/display/TA/National+Uniform+Claim+Committee+%28NUCC%29+Health+Care+Provider+Taxonomy This can be subscribed to in Symedical if NACHC has a license (no cost) | ||
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Patient Location | My FQHC (or affiliated satellite/clinic network site location) | This will most likely be a free text capture to start, but consider adding an actual free text field or drop down box to capture this in the future. |
| Non-Facility (e.g., patient’s home) | |
Other facility (please specify) · Another FQHC · School · Correctional Facility · Other…. | ||
Unknown/Undifferentiated | ||
For Location Data, we would typically point to NHSN HealthCare Service Location (this can also be subscribed to in Symedical as part of the NHSN package. https://www.cdc.gov/nhsn/PDFs/CDA/Table%2062%20Healthcare%20Service%20Location%20Codes.pdf
You can also find location data in NUCC Healthcare Provider Taxonomy → Classification = Clinic/Center. There is an actual code for FQHC in this terminology
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Provider Location | My FQHC (or affiliated satellite/clinic network site location) | This will most likely be a free text capture to start, but consider adding an actual free text field or drop down box to capture this in the future |
Non-Facility (e.g., provider’s home) | ||
Other facility (please specify) · Office/Practice · Hospital/Clinic · Other… | ||
Unknown/Undifferentiated | ||
Would likely point to the location terminologies above. Its noted that these need additions to support more telehealth terms. | ||
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Technology Type | Synchronous Telephonic (Audio Only) | It is understood that historical data will not be “clean” since there were a series of policy changes that were rolled out over time. Moving forward, we will work on standardizing this by: · Recording this information at the encounter data level · Ensuring that the encounter level data capture can be mapped to the billing data for billable encounters This will most likely be a free text capture to start, but consider adding an actual free text field or drop down box to capture this in the future |
CPT and HCPCS folded in | Synchronous Video & Audio | |
Synchronous telemetry/ Remote physiologic monitoring/ | ||
Asynchronous/Store-and-Forward | ||
Other | ||
Initial thought on this is these would be folded into CPT/HCPCS coding for the actual service delivered. Here is are the analysis Lois performed for current telehealth services. It does not include CPT. | ||
