Wiki Telemedicine requirement question

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Saint Josgeph, MI
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Does anyone know if it is required for Medicare/Medicaid to have a qualified presenter/observer in the room with the beneficiary the entire time during a telemedicine outpatient office visit? I was told that yes someone must be in the room with the beneficiary and found in the CMS IOM Chapter 12 under Telemedicine that a qualified presenter is not required unless determined medically necessary by the distant site provider.

Does anyone have experience with this that you can share?

TIA.
 
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