Good morning,
In view of the proposed DEA regulations for 2008 and to better serve you, NNCIP, formally known as United MD Group developed a new program connecting our patients with understanding doctors who will continue your pain treatment while still using telemedicine. This new program will allow you to see our doctor’s Face-to-Face eliminating the historical regulatory issues previously associated with the OCS industry while still ensuring your comfort and privacy. Additionally, this new program will eliminate the shipping and prescribing inconsistencies. Everything else stays the same! You will see the same great doctors; receive the same great customer service along with an improved management team from United MD. We expect to begin scheduling patients in early to mid January with a Doctor near you. To any patient still expecting refills we appreciate and thank you for your patients, we will be offering introductory discounts for you to continue your treatment with NNCIP. If you have any questions or concerns please let us know. Please visit our new website at www.nncip.com or call us at (800) 846-6560 to pre-register for your initial consultation.

Sincerely,
Your caring team at NNCIP
inquiry@nncip.com

Hi there, you might was to contact our Admin or Neon in regards to becoming qualified/registered to post as an OCS(that is correct, right?)we do have rules in place for those that are promoting a consultation service.

Thanks!

About 3 years ago I found a place that was doing this same thing. It worked for about 6 months and then they went down. Now that other resources are gone, this might be a good answer for lots of folks.

How in the world are they going to provide this kind of service across the country?...guess I am just dumb, can't believe a network like that could be standardized and cohesive. Hope so.

I GOT IT! I can see it now!!! It will come down to the web cam! A pain doc (yeah, right!) will see us "face to face" on the web cam just as the DEA orders. After the "face to face," the so called MD will then have us disrobe so that he can determine exactly where our pain is and if it is legit. The MD will have us press on the painful area and if we utter "OUCH" then the pain must be real! Can you imagine how many pervs will be impersonating the docs! LOL. This is all such a joke! Love and hugs!
Janie
Love to David!

A WEB CAM! omg
I will see you in my office ms. Janie!

I know you guys are just funnin' but I can really picture this web cam idea catching on.

But, seriously, one company did have this concept. I think I remember that they would come to your home, if desired. They were using contract people, like the ones we use for life insurance exams. Other than the once-a-year cost, I still think it would be great. The people we use for insurance are very efficient. They come with their list of questions, equipment (blood pressure cuff, scale, etc.) and it is quick and impersonal. You joke, but it really is simple and if you say "ouch" they write down "pain".

If we cover the face-to-face issue, what will be the next stumbling block?

I'm sure the DEA will think of something.

That's rite Manny, I know of one service that is doing this rite now. They only have a few states open for business but they are working on more. Am I aloud to say who it is? They have offices in Calf. and Orlando Fla.

please do share Buttercup.

There has been discussions for years on the webcam consult.

I don't know how the alphabets will view that. Even though they are using it for the military and such.

quote:

Originally posted by NNCIP:
Good morning,
In view of the proposed DEA regulations for 2008 and to better serve you, NNCIP, formally known as United MD Group developed a new program connecting our patients with understanding doctors who will continue your pain treatment while still using telemedicine. This new program will allow you to see our doctor’s Face-to-Face eliminating the historical regulatory issues previously associated with the OCS industry while still ensuring your comfort and privacy. Additionally, this new program will eliminate the shipping and prescribing inconsistencies. Everything else stays the same! You will see the same great doctors; receive the same great customer service along with an improved management team from United MD. We expect to begin scheduling patients in early to mid January with a Doctor near you. To any patient still expecting refills we appreciate and thank you for your patients, we will be offering introductory discounts for you to continue your treatment with NNCIP. If you have any questions or concerns please let us know. Please visit our new website at www.nncip.com or call us at (800) 846-6560 to pre-register for your initial consultation.

Sincerely,
Your caring team at NNCIP
inquiry@nncip.com

Have you contacted Neon in regards to becoming a "verified" OCS?

I recommend you contact Neon or Admin to get verified for our website.

Thanks in advance!

quote:

Originally posted by janie:
I GOT IT! I can see it now!!! It will come down to the web cam! A pain doc (yeah, right!) will see us "face to face" on the web cam just as the DEA orders. After the "face to face," the so called MD will then have us disrobe so that he can determine exactly where our pain is and if it is legit. The MD will have us press on the painful area and if we utter "OUCH" then the pain must be real! Can you imagine how many pervs will be impersonating the docs! LOL. This is all such a joke! Love and hugs!
Janie
Love to David!

Janie you are SO Funny! You hit the nail on the head with your post. Everyone be cautious about this. Sounds fishy.

...Yes, my girl is pretty funny. Tom is going to a have an interesting take on this one!

BTW: When did this "Face-Face" law pass? it's been talked about a lot, but never heard of bill passed. I did read where DEA was remanded by higher authorities for going beyond their
job duties...they are to attend to DIVERSION ONLY If this (Walt Disney) Web Cam system really happens (I would be very surprised) HOWEVER should this happen, ROP users can relax for awhile, (it will take the Feds gobs of time to clarify, or revise Face-to Face)...
Not to mention, we will have a new president who is not going to be anxious to ruffle the feathers of Multi-National Pharmaceuticals, AND IT IS LIKELY they already have Hot-Dog lobby guys, Lawyers, consultants. Our economy is in the pits right now, no FOOL is going to try to support reducing production of pain pharmaceuticals, the are one of the richest, best organised corporations in the US...I sure would not want to be the one to say, well now guys, we are going to have to cut your Norco, Lortab, Oxycontin, etc. production. The more layers of rules and regs. that are piled on, the more chaos...JMHO

Oh Kat, I just meant they are doing the face to face in person appts. I dont know anything about this web-cam thing.

This is only telemed info I could find and it's for medicaid or gov regulations.

Medicaid guidelines require all providers to practice within the scope of their state practice act. Some states have enacted legislation which requires providers using telemedicine technology across state lines to have a valid state license in the state where the patient is located. Any such requirements or restrictions placed by the state are binding under current Medicaid rules. Medicare Conditions of Participation (COPs) applicable to settings such as long-term care facilities, and hospitals may also impact reimbursement for services provided via telemedicine technology. For instance, the Medicare COPs for long-term care facilities require physician visits at set intervals. Current regulations require that the physician must be physically present in the same room as the patient during the visit. This requirement must also be met for Medicaid to pay for services provided to Medicaid eligible patients while in a Medicare or Medicaid certified facility. Similarly, Federal regulations require face-to-face visits for home health, and telemedicine cannot be used as a substitute for those visits. However, a telemedicine encounter may be used as a supplement to the required face-to-face visits.

Reimbursement for Medicaid-covered services, including those with telemedicine applications, also must satisfy Federal requirements of efficiency, economy, and quality of care. With this in mind, states are encouraged to use the flexibility inherent in federal law to create innovative payment methodologies for services that incorporate telemedicine technology. For example, states covering medical services that utilize telemedicine may reimburse for both the provider at the hub site for the consultation, and the provider at the spoke site for an office visit. States also have the flexibility to reimburse any additional cost (i.e., technical support, line-charges, depreciation on equipment, etc.) associated with the delivery of a covered service by electronic means as long as the payment is consistent with the requirements of efficiency, economy, and quality of care. These add-on costs can be incorporated into the fee-for-service rates or separately reimbursed as an administrative cost by the state. If they are separately billed and reimbursed, the costs must be linked to a covered Medicaid service.

In terms of medical codes used as a basis for identifying, tracking and reimbursing for telemedicine, some states use modifiers to the existing Physicians' Current Procedural Terminology (CPT) codes. The modifiers "TM" and "TV" are commonly used to make this distinction. Other states have developed their own local codes to distinguish telemedicine services.


On the left it list states that participate and their laws,doctor reimbursement some more liberal than others but none bypass a face to face first.

http://www.cms.hhs.gov/Telemedicine/

and http://www.hrsa.gov/telehealth/

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