Practice challenges of intensive care unit telemedicine

Crit Care Clin. 2015 Apr;31(2):319-34. doi: 10.1016/j.ccc.2014.12.009. Epub 2015 Jan 21.


For more than 20 years, a 100-year-old state-based system for medical licensure has not progressed commensurate with the level of 21st century technology development. Despite government and nongovernment organizational attempts, each state maintains a process of variable and time-consuming requirements with lack of reciprocity. Lack of available reimbursement for Tele-ICU physician services is thought to be a long-standing and significant barrier to the rapid adoption of Tele-ICU programs. By reviewing the reimbursement guidelines for telehealth services across all major patient financial classes, a model is discussed for developing financial projections to determine exactly what reimbursement is available for Tele-ICU programs.

Keywords: Billing; Coding; Medical license portability; Reimbursement; TeleICU; Telehealth; Telemedicine; Telemedicine credentialing.

Publication types

  • Review

MeSH terms

  • Humans
  • Insurance, Health
  • Intensive Care Units*
  • Licensure, Medical / legislation & jurisprudence*
  • Reimbursement Mechanisms* / economics
  • Telemedicine*
  • United States