Question 1

Can MEDOMENT help me serve senior care facilities?

Accepted Answer

Yes—and it's a significant revenue expansion opportunity.

MEDOMENT enables your physicians to provide comprehensive medical care to senior care facility residents without being physically present. Your doctors remain at your clinic/hospital while delivering bedside consultations to multiple facilities.

**How it works:**
- MEDOMENT Virtual Clinic mobile carts deployed at senior care facilities
- On-site nursing staff conducts triage and operates diagnostic equipment
- Your physician connects via HD video for bedside virtual consultation
- Real-time diagnostics: digital stethoscope, otoscope, blood pressure, pulse ox, etc.
- Complete EMR documentation in your system

**Business benefits:**
- Revenue expansion: Serve multiple facilities without physical presence overhead
- Market differentiation: Offer comprehensive medical oversight competitors can't match
- Reduced facility transfers: Prevent unnecessary ER visits through immediate physician access
- Scalable model: One physician can serve 3-5 facilities

Perfect for: Primary care groups, geriatric specialists, hospitalists looking to expand reach.

Question 2

How does virtual care work for patients in senior living facilities?

Accepted Answer

It's bedside care—just with virtual physician expertise.

**The Process:**
When a resident needs medical attention:

1. **Bedside assessment:** Facility nurse brings MEDOMENT mobile cart to resident's room
2. **Vital collection:** Nurse takes blood pressure, temperature, pulse ox, performs triage
3. **Virtual physician connection:** Your doctor connects via HD video in real-time
4. **Digital diagnostics:** Physician directs nurse to use stethoscope (listen to heart/lungs), otoscope (check ears/throat), examine wounds, etc.
5. **Diagnosis & treatment:** Physician creates treatment plan, prescribes medications, orders labs
6. **Documentation:** Everything auto-documented in EMR
7. **Implementation:** Facility staff implements care plan immediately

**What makes it effective:**
- Not just video chat: Full diagnostic capabilities via connected medical devices
- Eliminates transportation: Care comes to the resident
- Prevents ER visits: 60-70% of issues resolved without transfer
- Immediate access: No waiting days for physician availability

**Resident experience:** Personal attention from their physician, in their room, without stress of transportation.

Question 3

What equipment is needed at senior care facilities?

Accepted Answer

MEDOMENT provides complete mobile cart solutions—no facility investment required.

**MEDOMENT Virtual Clinic Mobile Cart includes:**

**Integrated Technology:**
- HD touchscreen for video consultations
- Secure computer with EMR connectivity
- High-quality camera and audio

**Medical Diagnostic Devices:**
- Digital stethoscope (cardiac/respiratory assessment)
- Digital otoscope (ear/nose/throat examination)
- Blood pressure monitor (automatic)
- Pulse oximeter (oxygen saturation)
- Thermometer (contactless infrared)
- Glucometer (blood sugar)
- Wound care camera (high-resolution)

**Design Features:**
- Mobile cart—rolls room to room
- All-in-one unit—no setup required
- Plug-and-play—minimal training needed
- Battery backup—works during power issues

**Facility needs from you:** Internet connection. That's it.

**Our team handles:** Equipment delivery, setup, staff training, ongoing technical support.

Question 4

Can I use MEDOMENT for home health visits?

Accepted Answer

Absolutely—it enhances your existing home health services and creates additional physician revenue.

**The Value Proposition:**
Traditional home health often identifies medical issues requiring separate physician appointments. MEDOMENT eliminates that delay by enabling immediate virtual physician consultations during routine nursing visits.

**How it works:**
1. Your home health nurse visits patient for scheduled nursing care (wound care, vitals check, medication management)
2. Medical issue arises (wound looks infected, blood pressure elevated, patient reports new symptoms)
3. Nurse initiates virtual consultation with your physician using MEDOMENT Virtual Care Kit
4. Physician evaluates remotely using nurse-operated diagnostic tools and EMR access
5. Immediate treatment plan implemented by nurse on-site

**Dual revenue opportunity:**
- Nursing visit billing: Standard home health reimbursement
- Physician consultation billing: Additional E&M or telehealth visit code

Transform single-purpose visits into comprehensive medical encounters.

**Equipment:** Lightweight MEDOMENT Virtual Care Kit (portable bag with tablet, digital stethoscope, otoscope, dermatoscope, BP monitor)

Question 5

What types of patients benefit from home-based virtual care?

Accepted Answer

Home-based virtual care is ideal for patients with barriers to clinic access.

**Primary Candidates:**

**Elderly Patients:**
- Transportation challenges
- Mobility limitations
- Chronic conditions requiring frequent monitoring
- Post-hospital discharge requiring close oversight

**Post-Surgical Patients:**
- Wound monitoring
- Recovery progression tracking
- Complication detection
- Reduced infection risk (avoiding clinic exposure)

**Chronically Ill:**
- CHF patients needing frequent assessment
- COPD patients with breathing difficulties
- Diabetics with foot ulcers
- Palliative care patients

**Disabled Patients:**
- Wheelchair users
- Bedridden patients
- Those requiring medical transport assistance

**Rural Patients:**
- Long distances to clinic
- Limited transportation options
- Weather-related access issues

**The outcome:** Better care continuity, reduced hospitalizations, improved quality of life, higher patient satisfaction.

Question 6

How do we bill for virtual visits to senior care facilities?

Accepted Answer

Standard office visit codes—billing is straightforward.

**Billing Approach:**

**For Virtual Consultations:**
- Use standard E&M codes (99202-99215) with telehealth modifiers
- Same reimbursement as in-office visits
- Medicare, Medicare Advantage, Medicaid (varies by state) all reimburse

**For Home Health Virtual Consultations:**
- Physician E&M codes for the virtual consultation
- Home health codes for nursing services
- Separate billing streams—both reimbursable

**Additional Program Opportunities:**
- TCM (Transitional Care Management): Post-discharge senior residents
- CCM (Chronic Care Management): Ongoing care coordination
- RPM (Remote Patient Monitoring): Between-visit monitoring with devices

**MEDOMENT provides:**
- Automatic time tracking
- CMS-compliant documentation
- Billing-ready exports
- All required encounter notes

No special billing setup needed—works with your existing RCM processes.

Question 7

Do senior care facility staff need special training?

Accepted Answer

Minimal training—typically 1-2 hours for facility nurses.

**Training Covers:**

**Technical:**
- Cart operation (simple—turn on, connect)
- Device usage (most are one-button operation)
- Video connection initiation
- Basic troubleshooting

**Clinical:**
- Triage protocols
- When to initiate physician consultation
- How to assist with virtual examinations
- Documentation requirements

**Who gets trained:**
- RNs/LPNs (primary users)
- Nurse managers (oversight)
- Activity/care coordinators (scheduling)

**Training format:**
- Initial: 2-hour on-site session
- Follow-up: Virtual refreshers
- Ongoing: Help desk support + video tutorials

**Reality:** Most facilities report staff competency within 1 week.

**MEDOMENT handles:** All training delivery, materials, and ongoing support.

Question 8

How does virtual care reduce ER visits from senior facilities?

Accepted Answer

By providing immediate physician assessment when issues arise.

**The Problem with Traditional Model:**
When senior facility residents have medical concerns:
- Facility nurse assesses → determines "might need doctor"
- Options: Wait hours/days for physician OR send to ER "to be safe"
- Result: 60-70% of ER transfers are non-emergent but unavoidable without physician evaluation

**MEDOMENT Solution:**
Real-time physician evaluation:
- Resident has concerning symptom → immediate virtual physician consultation
- Physician evaluates using diagnostic tools + nurse assessment + EMR review
- If non-emergent: Treat in place, adjust medications, order labs, schedule follow-up
- If truly urgent: Send to ER with physician notes and coordination

**Documented outcomes from similar programs:**
- 50-60% reduction in non-emergent ER transfers
- 30-40% reduction in hospitalizations
- Average ER cost avoided: $1,500-2,500 per prevented visit

**Financial impact:** A 100-bed facility averages 4-6 ER transfers monthly. Preventing 50% saves $36K-90K annually in transfer costs, plus resident/family satisfaction improvements.

Question 9

Can my practice serve multiple senior care facilities simultaneously?

Accepted Answer

Yes—this is the scalability advantage of virtual care.

**Model:**
Single physician can effectively serve 3-5 facilities depending on:
- Facility size (bed count)
- Resident acuity
- Consultation frequency
- Physician schedule

**Scheduling Approaches:**

**Option 1: Scheduled "Virtual Rounds"**
- Designated days/times for each facility
- Facilities schedule routine visits during those windows
- Urgent consultations accommodated as needed

**Option 2: On-Demand Access**
- Facilities request consultations as needs arise
- Physician responds within defined timeframe (1-4 hours for non-urgent)
- Emergency consultations immediate

**Option 3: Hybrid**
- Scheduled rounds for routine care
- On-demand for acute issues

**Revenue scaling:**
- Facility 1: 80-bed facility → ~60 visits/month → $9,000 revenue
- Facility 2: 60-bed facility → ~45 visits/month → $6,750 revenue
- Facility 3: 100-bed facility → ~75 visits/month → $11,250 revenue
- **Total:** ~$27,000 monthly from 3 facilities (one physician)

**MEDOMENT platform manages:** Scheduling across facilities, documentation for each, billing by location.

Question 10

What's the contract structure with senior care facilities?

Accepted Answer

Flexible partnership models—you choose what works best.

**Common Arrangements:**

**Model 1: Fee-for-Service**
- Bill for each consultation provided
- Facility pays nothing upfront
- Standard Medicare/insurance reimbursement
- Best for: Testing the model, small facilities

**Model 2: Retainer + Per-Visit**
- Facility pays monthly retainer (guaranteed access)
- Additional per-visit fees for consultations
- Ensures physician availability
- Best for: Larger facilities wanting priority access

**Model 3: Medical Director Contract**
- Your physician serves as facility medical director
- Includes virtual consultation availability
- Monthly fee + consultation fees
- Best for: Comprehensive facility partnerships

**Model 4: Hospital/Health System Sponsored**
- Hospital contracts with both your practice and facilities
- Part of population health/readmission reduction strategy
- Hospital absorbs costs, you provide services
- Best for: Accountable Care Organizations (ACO) relationships

**MEDOMENT role:**
- Provides technology and support
- Revenue share from consultation reimbursements
- No separate facility fees

**You maintain:** Direct facility relationships, clinical oversight, billing control.

Question 11

What is MEDOMENT Virtual Practice for multi-location clinics?

Accepted Answer

It's the solution to your specialist distribution problem.

**The Challenge You Face:**
Multi-location clinic groups have uneven specialist distribution:
- Location A: Cardiologist booked 8 weeks out
- Location B: Cardiologist has openings but wrong geography
- Location C: No cardiologist, patients referred externally
- Result: Revenue leakage, patient dissatisfaction, specialist underutilization

**MEDOMENT Virtual Practice Solution:**
One specialist serves patients at ALL your locations virtually:
- Specialist remains at their home location (or works remotely)
- Patients seen at their preferred/nearest location
- On-site nurse conducts hands-on examination
- Specialist performs consultation via HD video with digital diagnostic integration
- Full EMR access across all network locations

**Business Transformation:**
- 100% referral retention: Keep all patients in your network
- Maximize specialist ROI: One cardiologist → 5-10 locations
- Geographic expansion: Add locations without recruiting specialists
- Same-day access: Patients get specialists when needed, where needed

Perfect for: Cardiology groups, multi-specialty practices, regional healthcare networks.

Question 12

How does a virtual specialist consultation actually work?

Accepted Answer

It's a real examination—not just a video call.

**Step-by-Step Workflow:**

**1. Patient Arrival (at their preferred location):**
- Patient schedules with specialist via normal process
- Arrives at local clinic (no travel to distant location)
- Checks in like any appointment

**2. Nurse Preparation:**
- On-site nurse brings patient to Virtual Practice room (or uses mobile cart)
- Collects vital signs, medical history, chief complaint
- Documents everything in EMR

**3. Specialist Connection:**
- Nurse initiates video connection with specialist
- Specialist reviews EMR, nurse notes, prior tests
- High-quality HD video connects specialist with patient + nurse

**4. Virtual Examination:**
- Specialist interviews patient directly
- Directs nurse to perform physical examination:
  - Digital stethoscope: Specialist hears heart/lungs in real-time
  - Digital otoscope: Specialist sees ears/throat/nose
  - Dermatoscope: Specialist examines skin lesions
  - Blood pressure, pulse ox, etc.: Real-time vital monitoring
- Specialist has full diagnostic capability

**5. Treatment Plan:**
- Specialist creates diagnosis and treatment plan
- Prescribes medications via EMR
- Orders tests/imaging at local facility
- Schedules follow-up (virtual or in-person)
- All documentation auto-saved to EMR

**Patient experience:** "My cardiologist saw me at my local clinic—didn't have to drive an hour."

**Billing:** Standard office visit codes—same reimbursement as in-person.

Question 13

What equipment is needed at each clinic location?

Accepted Answer

Minimal investment—most locations have 90% of what's needed.

**Two Implementation Options:**

**Option 1: Virtual Practice Room (Dedicated Space)**
Required:
- Small examination room (existing exam room works)
- Large display/TV (40-55") for video
- Webcam + microphone/speaker system
- Computer or tablet with internet
- Digital diagnostic devices (stethoscope, otoscope, dermatoscope)

Investment: ~$5,000-8,000 per location

**Option 2: Virtual Practice Cart (Mobile)**
Complete all-in-one cart includes:
- HD display on mobile stand
- Integrated camera/audio
- Computer system
- All diagnostic devices
- Battery backup
- Rolls anywhere in clinic

Investment: ~$8,000-12,000 per cart (serves entire location)

**Both Options Include:**
- MEDOMENT software platform
- EMR integration
- Digital diagnostic device connectivity
- Training and support

**ROI:** With 20 specialist visits/month at $150 average reimbursement, equipment pays for itself in 2-3 months.

Question 14

Can specialists really provide quality care without being in the room?

Accepted Answer

Yes—with proper tools, virtual examinations are clinically equivalent.

**Clinical Evidence:**
Published studies on virtual specialty consultations show:
- Diagnostic accuracy: 90-95% concordance with in-person exams
- Patient satisfaction: 85-90% (often higher than in-person due to convenience)
- Clinical outcomes: No significant difference vs. in-person care

**Why It Works:**

**1. Real Diagnostic Capabilities:**
- Digital stethoscopes transmit heart/lung sounds with medical-grade clarity
- Digital otoscopes provide better visualization than traditional scopes (magnification, lighting)
- High-resolution cameras enable detailed skin/wound assessment
- Real-time vitals give objective data

**2. Nurse-Physician Collaboration:**
- On-site nurse serves as physician's "hands"
- Specialist directs detailed physical examination
- Two trained professionals assessing patient simultaneously

**3. Complete Clinical Context:**
- Full EMR access (labs, imaging, history)
- Prior visits and treatment responses
- Real-time vital sign data

**When In-Person IS Needed:**
- Complex procedures
- Certain physical examinations requiring palpation
- Patient preference for critical discussions

**Solution:** Hybrid model—virtual for 70-80% of visits, in-person when clinically appropriate or patient-preferred.

**The reality:** Many specialists report virtual visits are MORE thorough because digital tools provide enhanced diagnostic capability vs. traditional examination tools.

Question 15

How do we get started with Virtual Practice at our multi-location group?

Accepted Answer

Phased implementation—start small, prove value, scale quickly.

**Step 1: Strategic Assessment (Week 1-2)**
We analyze:
- Current specialist distribution across locations
- Patient demand patterns by location
- External referral data (revenue leakage)
- Specialist utilization rates

Output: Business case showing revenue retention opportunity and implementation plan

**Step 2: Pilot Selection (Week 3)**
Choose:
- One specialty (typically highest demand/leakage)
- 2-3 locations (diverse testing ground)
- 1-2 specialists (early adopters)

Example: Cardiology pilot—specialist at Location A sees patients virtually at Locations B, C, D

**Step 3: Implementation (Week 4-6)**
Activities:
- Equipment installation at pilot locations
- EMR configuration
- Staff training (nurses, front desk)
- Specialist platform training
- Patient communication materials

**Step 4: Go-Live (Week 7)**
Launch:
- Start scheduling virtual appointments
- Begin with established patients (easier)
- Expand to new patients after workflow optimization

**Step 5: Optimization & Scaling (Month 2-3)**
Refine:
- Workflow adjustments based on feedback
- Scheduling process improvements
- Expand specialist participation
- Add locations

**Typical Timeline:** 6-8 weeks from decision to first virtual specialist consultations

**Investment:** Revenue-share model—minimal upfront capital, equipment costs offset by retained revenue

Ready to assess your network? Contact us for a no-obligation analysis showing your specific revenue retention opportunity.

Care Anywhere & Virtual Practice

Senior Care & Home Health

Can MEDOMENT help me serve senior care facilities?

How does virtual care work for patients in senior living facilities?

What equipment is needed at senior care facilities?

Can I use MEDOMENT for home health visits?

What types of patients benefit from home-based virtual care?

How do we bill for virtual visits to senior care facilities?

Do senior care facility staff need special training?

How does virtual care reduce ER visits from senior facilities?

Can my practice serve multiple senior care facilities simultaneously?

What's the contract structure with senior care facilities?

Virtual Practice & Multi-Location

What is MEDOMENT Virtual Practice for multi-location clinics?

How does a virtual specialist consultation actually work?

What equipment is needed at each clinic location?

Can specialists really provide quality care without being in the room?

How do we get started with Virtual Practice at our multi-location group?

Ready to Expand Your Reach?

Platform Questions?

Care Anywhere & Virtual Practice

Senior Care & Home Health

1Can MEDOMENT help me serve senior care facilities?

Can MEDOMENT help me serve senior care facilities?

2How does virtual care work for patients in senior living facilities?

How does virtual care work for patients in senior living facilities?

3What equipment is needed at senior care facilities?

What equipment is needed at senior care facilities?

4Can I use MEDOMENT for home health visits?

Can I use MEDOMENT for home health visits?

5What types of patients benefit from home-based virtual care?

What types of patients benefit from home-based virtual care?

6How do we bill for virtual visits to senior care facilities?

How do we bill for virtual visits to senior care facilities?

7Do senior care facility staff need special training?

Do senior care facility staff need special training?

8How does virtual care reduce ER visits from senior facilities?

How does virtual care reduce ER visits from senior facilities?

9Can my practice serve multiple senior care facilities simultaneously?

Can my practice serve multiple senior care facilities simultaneously?

10What's the contract structure with senior care facilities?

What's the contract structure with senior care facilities?

Virtual Practice & Multi-Location

1What is MEDOMENT Virtual Practice for multi-location clinics?

What is MEDOMENT Virtual Practice for multi-location clinics?

2How does a virtual specialist consultation actually work?

How does a virtual specialist consultation actually work?

3What equipment is needed at each clinic location?

What equipment is needed at each clinic location?

4Can specialists really provide quality care without being in the room?

Can specialists really provide quality care without being in the room?

5How do we get started with Virtual Practice at our multi-location group?

How do we get started with Virtual Practice at our multi-location group?

Ready to Expand Your Reach?

Platform Questions?