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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F01604 (08/2015)STATE OF WISCONSIN Page 1 of 3TELEHEALTH APPLICATION ANNUAL REVIEW OF APPROVAL By completing and submitting this application,
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Who needs telehealth application annual review?

01
Individuals receiving telehealth services: Generally, anyone who is receiving telehealth services or intends to continue their telehealth consultations may need to complete an annual review. This helps ensure that their information and medical history are up to date.
02
Healthcare providers and clinics: Healthcare providers offering telehealth services may require their patients to undergo an annual review to assess their continued eligibility and to update their records as needed.
03
Insurance companies or healthcare payers: Insurers or other healthcare payers often require telehealth patients to complete an annual review to determine coverage eligibility and to assess the need for ongoing telehealth services.
Note: The specific individuals or entities requiring a telehealth application annual review can vary depending on local regulations, insurance policies, and healthcare providers' protocols. It is important to consult the relevant sources or contact the healthcare provider or insurer directly for precise information.
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The telehealth application annual review is a yearly evaluation of the telehealth application to ensure compliance with regulations and standards.
Telehealth providers are required to file the telehealth application annual review.
Telehealth providers need to complete the telehealth application annual review form with relevant information and submit it to the appropriate regulatory body.
The purpose of the telehealth application annual review is to monitor and assess the quality and safety of telehealth services.
Telehealth providers must report information such as patient outcomes, number of consultations, and any incidents or complaints.
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