At the request of the on-site pediatrician (Physician A), a physician at a distant site (Physician B) provides management of a 6-year-old patient with acute respiratory distress. Physician B reviews the current care plan with Physician A, views the patient, speaks with the bedside nurse, communicates with the respiratory therapist, and orders and reviews online laboratory and radiology studies. New orders are entered online. Two hours later, Physician B performs another visual assessment of the patient, reviews laboratory results, and communicates with the nurse and parents. A total of 90 minutes is spent by Physician B in the provision of the remote critical care. Physician A is not providing critical care during the same period.

Remote critical care services are real-time interactive videoconference critical care services provided to a critically ill or injured patient who requires additional critical care resources that are not available on-site. A physician(s) of any specialty...

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