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36.3.7.1 Hub Site Provider
A hub site provider must be a physician at an accredited medical or osteopathic school located in Texas, or a physician at one of the following entities affiliated through a written contract or agreement with an accredited medical or osteopathic school located in Texas:
• Hospitals.
•Teaching hospitals.
•Tertiary centers.
•Health clinics.
The hub site physician provides consultation and the diagnosis, as well as develops the patient's plan of care and treatment.
Hub site providers may be reimbursed only for consultations through interactive video using the following procedure codes billed with the GT modifier:
The hub site physician's findings must be documented in writing in the client's medical records at the remote site. The client's medical records may be faxed to the remote site provider.
More than one medically necessary telemedicine consultation may be paid on the same day/time, same POS, if the consultations are billed by physicians of different specialties.
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