This document provides information about conducting telehealth sessions. It discusses that telehealth allows providers to interact with clients remotely using video chat technology. It provides guidance on getting started with telehealth including checking licensing and reimbursement rules, setting up technology, preparing the environment, and obtaining client consent. The document offers tips for a successful telehealth session such as dressing professionally, having proper lighting, and maintaining eye contact. It stresses the importance of being in a quiet, private space free from distractions.
Overcoming Telehealth Barriers to Mobilize Your Practice and Maximize RevenueKareo
In this live webinar, Director of Product Marketing and Partner Alliances, Sonny Singh, will:
-Discuss current industry trends and telehealth statistics
-Outline what healthcare services can be provided remotely
-Discuss how offering a telehealth option (including telemedicine) will help your practice grow amidst uncertainty
-Address the common pitfalls that you told us you’re experiencing
Presentation: Leading the Change In Healthcare Education and Delivery: how to surmount the barriers.
Presented by: Dalal Haldeman, Senior Vice President, Marketing and Communications, John Hopkins Medicine
What does the triple aim really mean and how do we get there? How can strong brands in healthcare influence outcomes, research and patient wellbeing for a healthier future in America and in the world.
Slides for Pediatric Telemedicine, Telehealth & Teletherapy: Practicing with Children & Adolescents course. More explanation for this slides can be found in training.telehealth.org.
UNIVERGE BLUE ENGAGE - Answering the Call: Are Your Healthcare Communications...InteractiveNEC
As many healthcare providers are quickly reconfiguring their #communications to address the new normal, three factors have emerged as requirements for success. Fortunately, it’s possible to realize all three in as little as 72 hours, with a ‘remote-enabled’ #contactcenter practice. Read this document to learn the three must-have factors for #healthcarecommunications and how UNIVERGE BLUE ENGAGE Contact Center #CCaaS can help support healthcare organizations. #CloudCommunications #CloudContactCenter
Getting Paid in 2021: New Year, Fresh Perspective, More RevenueKareo
In this webinar, Aimee will:
-Review the state of the industry in 2020, including CMS waivers, HIPAA enforcement and surprise medical bills
-Expand on the E/M updates you need to know for 2021
-Provide tips and tricks to help you remove roadblocks to getting paid, including coding, additional collection methods, supporting documentation and the reset of deductibles
Overcoming Telehealth Barriers to Mobilize Your Practice and Maximize RevenueKareo
In this live webinar, Director of Product Marketing and Partner Alliances, Sonny Singh, will:
-Discuss current industry trends and telehealth statistics
-Outline what healthcare services can be provided remotely
-Discuss how offering a telehealth option (including telemedicine) will help your practice grow amidst uncertainty
-Address the common pitfalls that you told us you’re experiencing
Presentation: Leading the Change In Healthcare Education and Delivery: how to surmount the barriers.
Presented by: Dalal Haldeman, Senior Vice President, Marketing and Communications, John Hopkins Medicine
What does the triple aim really mean and how do we get there? How can strong brands in healthcare influence outcomes, research and patient wellbeing for a healthier future in America and in the world.
Slides for Pediatric Telemedicine, Telehealth & Teletherapy: Practicing with Children & Adolescents course. More explanation for this slides can be found in training.telehealth.org.
UNIVERGE BLUE ENGAGE - Answering the Call: Are Your Healthcare Communications...InteractiveNEC
As many healthcare providers are quickly reconfiguring their #communications to address the new normal, three factors have emerged as requirements for success. Fortunately, it’s possible to realize all three in as little as 72 hours, with a ‘remote-enabled’ #contactcenter practice. Read this document to learn the three must-have factors for #healthcarecommunications and how UNIVERGE BLUE ENGAGE Contact Center #CCaaS can help support healthcare organizations. #CloudCommunications #CloudContactCenter
Getting Paid in 2021: New Year, Fresh Perspective, More RevenueKareo
In this webinar, Aimee will:
-Review the state of the industry in 2020, including CMS waivers, HIPAA enforcement and surprise medical bills
-Expand on the E/M updates you need to know for 2021
-Provide tips and tricks to help you remove roadblocks to getting paid, including coding, additional collection methods, supporting documentation and the reset of deductibles
Kareo Billing Product Overview and Training: Success SummitKareo
kareo.com - Learn how to leverage the most efficient billing workflows using the most impactful Kareo Billing features. Get top tips and tricks to supercharge your billing operations.
The 2018 Kareo Success Summit offered key industry insights, best practice training, networking and idea-sharing to support the success of medical billing companies across the country.
Kareo is an easy-to-use, cloud-based business growth platform built for medical billing companies and the independent practices they serve.
Tristan Schlotz is a Training Specialist at Kareo.
Visit kareo.com/billing-companies to learn more.
Getting Paid in 2022: Adapting your Practice to Thrive Within the Healthcare ...Kareo
Kareo and Healthcare Business Consultant, Aimee Heckman, have teamed up to inform you of the latest tools and resources to help get your practice and billers/billing company get ready for any obstacles that may come your way in the new year.
Aimee Heckman will:
-Review the state of the industry in 2021, including surprise billing, data breaches, and penalties.
-Explain the normalization of telehealth and getting paid for telehealth.
-Expand on patient collections and run the business as a business. This includes setting up your practice with a variety of payment options to treat patients more as consumers to improve patient satisfaction.
-Prepare your practice for 2022 with best practices for MIPS, security audits, financial policies, insurance waivers, and patient eligibility
What are the latest payment trends impacting the healthcare vertical? From electronic presentment and payment to mobile payments and beyond – what can we expect to see over the coming years?
Telehealth, Coding and Billing Guidance for COVID-19Kareo
Kareo’s Subject Matter Expert for Billing, Terri Joy, MBA, CPC, CGSC, COC, CPC-I will provide you with everything you need to know about telehealth, coding and billing for COVID-19.
In this webinar, Terri will:
-Discuss new and changing government regulations around telehealth services
-How to bill for COVID-19 services
-Best practices for leveraging technology to keep your patients and staff safe and healthy
Making the Right Technology Investments for Your PracticeWebley MD
In this presentation, two industry experts will discuss how automated appointment reminders and automated lab results can have an immediate, measurable impact in key areas of your practice. These affordable, subscriber based medical communication technologies improve the efficiency and profitability of all practices, whether large or small. You’ll learn how to avoid making the costly mistake of failing to invest in technology in order to “save money” in the short run, while harming the long term viability of your practice by continuing to rely on costly, time consuming methods of communication.
Time and cost savings of using continua pw cJanna Guinen
This slide deck covers results from a survey conducted by PwC to determine time and cost savings associated with implementing Continua Health Alliance's Design Guidelines for end-to-end, plug-and-play interoperability in personal connected health ('anywhere, everywhere healthcare'). Surveys were conducted with several stakeholders in healthcare, such as: medical device manufacturer, payor, system integrator, provider
Maximizing the use of video communications by AVI-SPLguest14baeca
This seminar covers the various aspects of implementing and managing your company’s video communications deployment to maximize its effectiveness and user satisfaction within your organization. From the choice of technology, operations and support to internal marketing communications that make video an important communication tool in any organization.
The Future Is Now—Drive Workflow Efficiency & Improve Profitability with Robo...Kareo
In this informative webinar, discover how you can automate and streamline billing workflows while improving your revenue cycle management.
We discuss:
- What is Robotic Process Automation (RPA)?
- Key challenges RPA solves for billers
- Roundtable discussion with first-hand user insights into how RPA has improved workflow efficiency and profitability
Key trends in technology, health insurance, and consumer preferences are changing staffing needs at medical practices. Patients expect a higher level of service. Does your practice have the technology—and the team—to deliver it? And if you add technology, how can you be sure your practice will be more productive? Above all, how do you use all your human and technology resources to maximize profit potential?
Having the right staff is the first step. The next is empowering them with the right tools and the right responsibilities. In this lively webinar, Laurie Morgan of Capko & Morgan will:
1. Explore new ways technology can empower staff to provide better patient service
2. Help you understand how front office technology differs from platform technology—and why that matters
3. Explain the connections between technology, productivity, patient service, and profit
See how the right mix of staff roles and technology can take your practice’s revenue and profit to the next level. It’s a presentation you can’t afford to miss!
How Your Medical Practice Can Exceed a 95% Clean Claims RateKareo
Industry thought-leader and revenue cycle management expert, Elizabeth Woodcock, Principal, Woodcock& Associates, will discuss how achieving clean claims at first submission positively impacts medical practices. She will specifically address what insurance changes to expect with the start of a new year, and how to identify and prevent claim rejections and denials so your medical practice can exceed a 95% clean claims rate in 2020.
Speech enable your mhealth solution for a better doctor & patient experience Nuance Healthcare EMEA
Documentation is the lifeblood of healthcare to guarantee seamless communication among the medical team, based treatments, care for the patient and help the healthcare organisation deliver a high quality care whilst achieving its budgets and performance plans. But data capturing to fullfill the clinical documentation challenge is resulting in lots and lots of paperwork, lost hours, overtime, dissatisfied stuff and lost ressources. Find out how to overcome this by something as simple as your own voice!
Visit us at #ehilive 2014, http://engage.nuance.co.uk/EHILive-2014, or download our ePaper on why to speech-enable the EHR on http://engage.nuance.com/speech-enable-ehr
Leveraging Federal Financial Assistance Programs During COVID-19Kareo
Bill Finerfrock, HBMA Director of Government Affairs, will break down the CARES Act and its associated programs to provide you with key takeaways to help ease financial burdens and maintain current staff levels.
In this webinar, Bill will discuss:
-New Paycheck Protection Program
-Other SBA (Small Business Association) programs
-Medicare Advanced Payment Options
-Provider Lost Revenue Program
Finding the Best Telemedicine Software for Your Practice.pdfOlivia Adams
Healthcare is changing globally thanks to telemedicine providers. Telemedicine is being adopted by more and more practices. How do you begin looking for the ideal answer? It can be challenging to choose from the top telemedicine software alternatives because there are so many. Which one best matches your practice is equally harder to determine. So let's take a look at some of the most crucial factors to consider when making your decision regarding the best telemedicine software.
Demand for telehealth services grows daily as more providers leverage these technologies to increase access to critical health care services. Integrating telehealth services into a healthcare provider's business model results in various benefits, including improved patient engagement, cost savings, increased new patients, and decreased non-emergency patient visits.
Most Common Clinical Research Site Worries and ComplaintsTrialJoin
All clinical research sites, especially new ones who’ve just entered the business, have a couple of common worries and complaints. The clinical research field is complicated and there are tons of formalities, papers, vendors, rules, regulations, etc. Taking into consideration the sensitivity of this business, the fact that human participants are involved, as well as the large amount of money that sponsors spend on a research, we have to work as professionally as possible.
There are many steps involved in a clinical trial, starting from the site selection visit, negotiations, then routine monitoring visits, subject enrollment and randomization, etc. All of these steps are equally important in order to conduct a successful trial. However, the complexity of the clinical research process usually worries and confuses new research sites. We’ve done a research on some of the most common site worries and complaints throughout the duration of a trial. Below, we’ll give you answers to all your questions.
Most Common Clinical Research Site Worries and ComplaintsAnand Butani
All clinical research sites, especially new ones who’ve just entered the business, have a couple of common worries and complaints. The clinical research field is complicated and there are tons of formalities, papers, vendors, rules, regulations, etc. Taking into consideration the sensitivity of this business, the fact that human participants are involved, as well as the large amount of money that sponsors spend on a research, we have to work as professionally as possible.
There are many steps involved in a clinical trial, starting from the site selection visit, negotiations, then routine monitoring visits, subject enrollment and randomization, etc. All of these steps are equally important in order to conduct a successful trial. However, the complexity of the clinical research process usually worries and confuses new research sites. We’ve done a research on some of the most common site worries and complaints throughout the duration of a trial. Below, we’ll give you answers to all your questions.
Kareo Billing Product Overview and Training: Success SummitKareo
kareo.com - Learn how to leverage the most efficient billing workflows using the most impactful Kareo Billing features. Get top tips and tricks to supercharge your billing operations.
The 2018 Kareo Success Summit offered key industry insights, best practice training, networking and idea-sharing to support the success of medical billing companies across the country.
Kareo is an easy-to-use, cloud-based business growth platform built for medical billing companies and the independent practices they serve.
Tristan Schlotz is a Training Specialist at Kareo.
Visit kareo.com/billing-companies to learn more.
Getting Paid in 2022: Adapting your Practice to Thrive Within the Healthcare ...Kareo
Kareo and Healthcare Business Consultant, Aimee Heckman, have teamed up to inform you of the latest tools and resources to help get your practice and billers/billing company get ready for any obstacles that may come your way in the new year.
Aimee Heckman will:
-Review the state of the industry in 2021, including surprise billing, data breaches, and penalties.
-Explain the normalization of telehealth and getting paid for telehealth.
-Expand on patient collections and run the business as a business. This includes setting up your practice with a variety of payment options to treat patients more as consumers to improve patient satisfaction.
-Prepare your practice for 2022 with best practices for MIPS, security audits, financial policies, insurance waivers, and patient eligibility
What are the latest payment trends impacting the healthcare vertical? From electronic presentment and payment to mobile payments and beyond – what can we expect to see over the coming years?
Telehealth, Coding and Billing Guidance for COVID-19Kareo
Kareo’s Subject Matter Expert for Billing, Terri Joy, MBA, CPC, CGSC, COC, CPC-I will provide you with everything you need to know about telehealth, coding and billing for COVID-19.
In this webinar, Terri will:
-Discuss new and changing government regulations around telehealth services
-How to bill for COVID-19 services
-Best practices for leveraging technology to keep your patients and staff safe and healthy
Making the Right Technology Investments for Your PracticeWebley MD
In this presentation, two industry experts will discuss how automated appointment reminders and automated lab results can have an immediate, measurable impact in key areas of your practice. These affordable, subscriber based medical communication technologies improve the efficiency and profitability of all practices, whether large or small. You’ll learn how to avoid making the costly mistake of failing to invest in technology in order to “save money” in the short run, while harming the long term viability of your practice by continuing to rely on costly, time consuming methods of communication.
Time and cost savings of using continua pw cJanna Guinen
This slide deck covers results from a survey conducted by PwC to determine time and cost savings associated with implementing Continua Health Alliance's Design Guidelines for end-to-end, plug-and-play interoperability in personal connected health ('anywhere, everywhere healthcare'). Surveys were conducted with several stakeholders in healthcare, such as: medical device manufacturer, payor, system integrator, provider
Maximizing the use of video communications by AVI-SPLguest14baeca
This seminar covers the various aspects of implementing and managing your company’s video communications deployment to maximize its effectiveness and user satisfaction within your organization. From the choice of technology, operations and support to internal marketing communications that make video an important communication tool in any organization.
The Future Is Now—Drive Workflow Efficiency & Improve Profitability with Robo...Kareo
In this informative webinar, discover how you can automate and streamline billing workflows while improving your revenue cycle management.
We discuss:
- What is Robotic Process Automation (RPA)?
- Key challenges RPA solves for billers
- Roundtable discussion with first-hand user insights into how RPA has improved workflow efficiency and profitability
Key trends in technology, health insurance, and consumer preferences are changing staffing needs at medical practices. Patients expect a higher level of service. Does your practice have the technology—and the team—to deliver it? And if you add technology, how can you be sure your practice will be more productive? Above all, how do you use all your human and technology resources to maximize profit potential?
Having the right staff is the first step. The next is empowering them with the right tools and the right responsibilities. In this lively webinar, Laurie Morgan of Capko & Morgan will:
1. Explore new ways technology can empower staff to provide better patient service
2. Help you understand how front office technology differs from platform technology—and why that matters
3. Explain the connections between technology, productivity, patient service, and profit
See how the right mix of staff roles and technology can take your practice’s revenue and profit to the next level. It’s a presentation you can’t afford to miss!
How Your Medical Practice Can Exceed a 95% Clean Claims RateKareo
Industry thought-leader and revenue cycle management expert, Elizabeth Woodcock, Principal, Woodcock& Associates, will discuss how achieving clean claims at first submission positively impacts medical practices. She will specifically address what insurance changes to expect with the start of a new year, and how to identify and prevent claim rejections and denials so your medical practice can exceed a 95% clean claims rate in 2020.
Speech enable your mhealth solution for a better doctor & patient experience Nuance Healthcare EMEA
Documentation is the lifeblood of healthcare to guarantee seamless communication among the medical team, based treatments, care for the patient and help the healthcare organisation deliver a high quality care whilst achieving its budgets and performance plans. But data capturing to fullfill the clinical documentation challenge is resulting in lots and lots of paperwork, lost hours, overtime, dissatisfied stuff and lost ressources. Find out how to overcome this by something as simple as your own voice!
Visit us at #ehilive 2014, http://engage.nuance.co.uk/EHILive-2014, or download our ePaper on why to speech-enable the EHR on http://engage.nuance.com/speech-enable-ehr
Leveraging Federal Financial Assistance Programs During COVID-19Kareo
Bill Finerfrock, HBMA Director of Government Affairs, will break down the CARES Act and its associated programs to provide you with key takeaways to help ease financial burdens and maintain current staff levels.
In this webinar, Bill will discuss:
-New Paycheck Protection Program
-Other SBA (Small Business Association) programs
-Medicare Advanced Payment Options
-Provider Lost Revenue Program
Finding the Best Telemedicine Software for Your Practice.pdfOlivia Adams
Healthcare is changing globally thanks to telemedicine providers. Telemedicine is being adopted by more and more practices. How do you begin looking for the ideal answer? It can be challenging to choose from the top telemedicine software alternatives because there are so many. Which one best matches your practice is equally harder to determine. So let's take a look at some of the most crucial factors to consider when making your decision regarding the best telemedicine software.
Demand for telehealth services grows daily as more providers leverage these technologies to increase access to critical health care services. Integrating telehealth services into a healthcare provider's business model results in various benefits, including improved patient engagement, cost savings, increased new patients, and decreased non-emergency patient visits.
Most Common Clinical Research Site Worries and ComplaintsTrialJoin
All clinical research sites, especially new ones who’ve just entered the business, have a couple of common worries and complaints. The clinical research field is complicated and there are tons of formalities, papers, vendors, rules, regulations, etc. Taking into consideration the sensitivity of this business, the fact that human participants are involved, as well as the large amount of money that sponsors spend on a research, we have to work as professionally as possible.
There are many steps involved in a clinical trial, starting from the site selection visit, negotiations, then routine monitoring visits, subject enrollment and randomization, etc. All of these steps are equally important in order to conduct a successful trial. However, the complexity of the clinical research process usually worries and confuses new research sites. We’ve done a research on some of the most common site worries and complaints throughout the duration of a trial. Below, we’ll give you answers to all your questions.
Most Common Clinical Research Site Worries and ComplaintsAnand Butani
All clinical research sites, especially new ones who’ve just entered the business, have a couple of common worries and complaints. The clinical research field is complicated and there are tons of formalities, papers, vendors, rules, regulations, etc. Taking into consideration the sensitivity of this business, the fact that human participants are involved, as well as the large amount of money that sponsors spend on a research, we have to work as professionally as possible.
There are many steps involved in a clinical trial, starting from the site selection visit, negotiations, then routine monitoring visits, subject enrollment and randomization, etc. All of these steps are equally important in order to conduct a successful trial. However, the complexity of the clinical research process usually worries and confuses new research sites. We’ve done a research on some of the most common site worries and complaints throughout the duration of a trial. Below, we’ll give you answers to all your questions.
Telehealth Clinical Best Practices for COVID-19 Marlene Maheu
The 4-hour Emergency Telehealth Best Practices Clinical Training for COVID-19 has been developed to give you the bare essentials of setup, documentation, and informed consent AND a heavy focus on the clinical realities, that is, how to handle the risks of poorly-managed telehealth.
The focus of this 1-day intensive, LIVE, interactive, video-based training is on how to prevent and handle clinical problems that can result from quickly migrating your practice to your home. As a course, this program will briefly cover current events, including recent federal changes, critical ethical, legal, and technical issues for the first hour, with the remaining hours focused on the complex clinical challenges that can arise, how to prevent and handle them. This roll-up-your-sleeves clinical webinar workshop will describe existing, published competencies needed for clinical assessment and care in telepractice, and then focus on specific topics of immediate need for coping with quickly setting up telepractice because of the COVID-19 emergency.
Topics
Evidence-based protocols to minimize later complications
What to say to educate your client/patient about telehealth
Establishing appropriate boundaries and what to do when they fail
Maintaining essential privacy protections in your home and your client/patient’s
Essential informed consent
Cultural Sensitivity
Documentation
What to do when the connection is lost
How to perform essential clinical functions such as gait analyses, hygiene checks, maximizing privacy
Controlling your client or patient’s room
How to handle intruders from either your room as the practitioner
How to handle intruders from your client or patient(s) room
Setting and maintaining the therapeutic frame
Including family members in the session
Anxieties about working with technology
Clinician self-care
Handling requests for clients/patients to stay connected while in other states
Evidence-based models for preventing and handling emergencies
This will be a hands-on, practical, interactive experience to allow you to get a true sense of the power of using video conferencing, but it will be tinged with sobering information to keep you professional, focused and in charge of your telehealth interactions. You will participate in a clear discussion of “dos and donts,” along with their rationales, to allow you to make your own clinical decisions for the people that you serve.
Basic competencies covered include documentation requirements, safety protocols and how to effectively involve family members or friends.
Live presentation of Case Management: The Definitive GuideConvercent
March 2, 2015: Convercent hosted a webinar with industry experts Autumn Sanelli and Keith Read discussing the importance of processes in an effective case management program.
The interactive session provided compliance executives insights into:
1. The underused technique of secret shopping, and what value this can bring to extracting data from your hotline
2. How to run an impactful investigation and why determining the root cause of misconduct is instrumental in managing any case
3. Actually putting your retaliation policy to work
4. Applying Nudge Theory to compliance
For more details around this event, visit our Resource Center: https://www.convercent.com/live-presentation-definitive-guide-case-management.
Best Practices for TelehealthALLURA L. RALSTON, M.A.DEP.docxjasoninnes20
Best Practices
for Telehealth*
ALLURA L. RALSTON, M.A.
DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF NEBRASKA-
LINCOLN
*Note: This webinar will not address recent OMH guidance on Telehealth.
For OMH guidance on Telehealth during this time, please visit https://ctacny.org/covid-19-resources
March 23, 2020
https://ctacny.org/covid-19-resources
Overview
• Types of telehealth
• Dos and Don’ts of each type
• Common barriers and overcoming them
Poll Question
What are some concerns you have in using
technology for telehealth?
1. I have no concerns
2. Logistical use (I'm not tech savvy)
3. Participant engagement
4. Confidentiality
5. Other
Telemental Health
• Phone conferencing (e.g.
by telephone or cell phone)
• Videoconferencing
• Text messaging
Phone Conferencing
• Phone conferencing is the most simplistic form of telehealth – it just
requires both parties to have a landline or mobile phone
• Generally, phone conferencing is not the most ideal option as it makes
it difficult for both the client and therapist to read social cues
• It can also be difficult to complete certain elements of treatment – such
as exposure therapy
• However, while trying to establish a new norm phone conferencing can
be a better alternative than not providing services at all
• Additionally, many insurance carriers now cover providing services by
telephone which has not been true in the past
Phone Conferencing – Dos and Don’ts
Do’s
✓ Decide what phone number you’d like to provide clients
✓ When working from home – find a quiet place you won’t be disturbed
✓ Limit distractions (e.g. set phone to silent or do not disturb, turn off
computer, etc.)
Don’ts
✓ Forget to set boundaries with clients if you provide them with your
personal cell phone number
✓ Forget to be kind to yourself if it feels like conducting therapy by phone
does not feel the same as in-person
Video Conferencing
• This is the best studied and most widely used technology for
disseminating mental health treatments
• Studies examining the use of video conferencing to provide treatment
have shown similar reductions in anxiety, depression, and PTSD
compared to in-person treatment
• There are few therapy techniques that cannot be completed via video
conferencing
• In fact, our clinic ran a study examining whether treatment for social
anxiety could be conducted according to a standardized protocol with
limited modifications and found that treatment was executed the same
way and with the same beneficial results
Programs for Telehealth via Video
• There are numerous programs that can be used for telehealth – our
training clinic at UNL uses VSee
• Zoom is another popular option
• Both provide encrypted video services and messaging features which can
be incorporated into therapy
• This link provides a nice overview about selecting a vendor and common
vendors used to provide telehealth services:
https://nosorh.org/wp-content/uploads/2016/11/NOSORH-Telehealt ...
Best Practices for TelehealthALLURA L. RALSTON, M.A.DEP.docxrichardnorman90310
Best Practices
for Telehealth*
ALLURA L. RALSTON, M.A.
DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF NEBRASKA-
LINCOLN
*Note: This webinar will not address recent OMH guidance on Telehealth.
For OMH guidance on Telehealth during this time, please visit https://ctacny.org/covid-19-resources
March 23, 2020
https://ctacny.org/covid-19-resources
Overview
• Types of telehealth
• Dos and Don’ts of each type
• Common barriers and overcoming them
Poll Question
What are some concerns you have in using
technology for telehealth?
1. I have no concerns
2. Logistical use (I'm not tech savvy)
3. Participant engagement
4. Confidentiality
5. Other
Telemental Health
• Phone conferencing (e.g.
by telephone or cell phone)
• Videoconferencing
• Text messaging
Phone Conferencing
• Phone conferencing is the most simplistic form of telehealth – it just
requires both parties to have a landline or mobile phone
• Generally, phone conferencing is not the most ideal option as it makes
it difficult for both the client and therapist to read social cues
• It can also be difficult to complete certain elements of treatment – such
as exposure therapy
• However, while trying to establish a new norm phone conferencing can
be a better alternative than not providing services at all
• Additionally, many insurance carriers now cover providing services by
telephone which has not been true in the past
Phone Conferencing – Dos and Don’ts
Do’s
✓ Decide what phone number you’d like to provide clients
✓ When working from home – find a quiet place you won’t be disturbed
✓ Limit distractions (e.g. set phone to silent or do not disturb, turn off
computer, etc.)
Don’ts
✓ Forget to set boundaries with clients if you provide them with your
personal cell phone number
✓ Forget to be kind to yourself if it feels like conducting therapy by phone
does not feel the same as in-person
Video Conferencing
• This is the best studied and most widely used technology for
disseminating mental health treatments
• Studies examining the use of video conferencing to provide treatment
have shown similar reductions in anxiety, depression, and PTSD
compared to in-person treatment
• There are few therapy techniques that cannot be completed via video
conferencing
• In fact, our clinic ran a study examining whether treatment for social
anxiety could be conducted according to a standardized protocol with
limited modifications and found that treatment was executed the same
way and with the same beneficial results
Programs for Telehealth via Video
• There are numerous programs that can be used for telehealth – our
training clinic at UNL uses VSee
• Zoom is another popular option
• Both provide encrypted video services and messaging features which can
be incorporated into therapy
• This link provides a nice overview about selecting a vendor and common
vendors used to provide telehealth services:
https://nosorh.org/wp-content/uploads/2016/11/NOSORH-Telehealt.
Ensuring your practice has a solid grasp of this coding will minimize denials and delays in payment for the procedures you provide. This article provides a quick overview of important teledentistry coding and billing as well as some best practices for avoiding delayed and denied reimbursement requests.
Reasons to build a Telemedicine App is Covid-19 pandemic, when people were advised not to be in the same room with the patient, telemedicine and web conferences became the backbone of doctor consultations and treatments.
Telehealth, also known as telemedicine, is the use of technology to deliver healthcare services remotely. Telehealth can include videoconferencing, remote monitoring, electronic health records, and mobile health apps.
Telemedicine is a convenient method of reaching more patients and effectively managing their care. Find out how telemedicine can improve the patient experience and drive your practice forward.
Ensuring your practice has a solid grasp of this coding will minimize denials and delays in payment for the procedures you provide. This article provides a quick overview of important teledentistry coding and billing as well as some best practices for avoiding delayed and denied reimbursement requests.
Emergency Telehealth Best Practices Training for COVID-19 has been developed to give you the bare essentials of telehealth setup, documentation, and informed consent. 1 CME or 1 CE is available for free through the Telebehavioral Health Institute, LLC through 2020.
USE THIS CODE in the shopping cart to get this 100% online professional training FOR FREE: "COVID" by reading the description and scrolling to bottom where you can register: :https://telehealth.org/COVID
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
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2. What is Telehealth?
In addition to being an excellent way for clinicians to
expand their practice, Telehealth allows providers and
clients to meet through live, synchronous video chat
over the internet.
With Telehealth by SimplePracticeTM
, you can interact
with your clients remotely using any device equipped
with a webcam. It’s simple to schedule appointments,
conduct sessions, communicate with clients, and keep
records from a single, easy-to-use platform.
TABLE OF CONTENTS
1. Getting Started
2. What to Do Before a Session
3. Conducting a Telehealth Session
4. Documenting Telehealth Services
5. Spreading the Word
3. 3
PART 1
Getting Started
Know the rules
Considerable resources are available to alleviate your fears about
licensing, legality, insurance, technology, training, and the other
inevitable questions you may have. Specifically, get familiar with the
free and easily accessible resources you can use right now like The
Telehealth Resource Center, a government-funded center designed
to increase the usage of Telehealth. Additional resources might
be available from your licensing body and any of your affiliated
professional societies.
Stay up-to-date on Telehealth laws:
• Familiarize yourself with whether your state has a parity law
covering telemedicine by visiting the American Telemedicine
Association (ATA)’s State Policy Center and The Center for
Connected Health Policy’s (CCHP).
• Visit the Medicare Telehealth Payment Eligibility Analyzer to see
what you can expect in terms of reimbursement.
• Check out our webinar on billing insurance for Telehealth here.
Is Telehealth HIPAA Compliant?
FaceTime, Skype, and other similar systems
do not meet HIPAA’s standard. Telehealth
by SimplePracticeTM
is 100% HIPAA
compliant. With SimplePractice, you can
be certain that your sessions, notes, and
communication are protected by HIPAA-
compliant technology.
4. 4
Increased access
Approximately 123 million Americans
live in an area with limited access to
healthcare.1
Telehealth can play an
important role in these communities
by increasing accessibility.
Better work/life balance
In a 2015 survey of clinicians,
79% said offering video sessions
promotes a more flexible
work-life schedule.2
Better client experience
Telehealth eliminates the time
wasted traveling and sitting in the
waiting room.
Reduced costs for clients
Nearly all research suggests Telehealth saves
money when compared with traditional
approaches to providing care. For clients, this
often means lower copays, transportation
costs, less time missed from work, and less
money spent on child care expenses.
Reduced cost for providers
Adding Telehealth to your practice can
increase efficiency of your office and reduce
the overhead costs. It allows you to see more
clients in less time.
Same-level client care
No client outcome difference was found
between Telehealth appointments and face-to-
face office visits.3
CHALLENGES
New technology
Some clients may not be ready
or willing to try Telehealth.
Learning curve for you
As with any new technology you
incorporate into your business,
you will need to learn as much
as you can about it before using
it with clients.
Reimbursements
can be difficult
Check your payer’s policies and
know how to get reimbursed.
Benefits of Telehealth
1
Bureau of Health Workforce, Health Resources and Services Administration (HRSA), U.S. Department of Health Human Services,
Designated Health Professional Shortage Areas Statistics: Designated HPSA Quarterly Summary, as of December 31, 2017.
2
American Well (2015). Telehealth Index: 2015 Physician Survey. American Well Blog. Available online at http://info.americanwell.com/
telehealth-index-2015-consumer-survey.
3
Hilty, Ferrer, Parish, Johnston, Callahan Yellowlees. (2013). The effectiveness of telemental health: A 2013 review. Telemedicine
Journal and e-Health, 19, 444–454.
5. 5
PART 2
What to Do Before a Session
We’re here to provide you with the tools to address
the moving elements involved in preparing for a video
session. It’s normal to feel nervous or uncertain. Even
seasoned providers have reported feeling hesitant
about offering Telehealth sessions. We will walk you
through what you need to do and know to run a
successful Telehealth session.
Understand the granting and regulation of
professional licenses
Make sure that your licensing credentials are current. Providers
must be licensed in the state where the patient is located, follow
the guidelines of their licensure boards, and practice within the
regulatory scope of their license.
Review reimbursement policies with your paneled
insurance companies
Most payers are willing to cover Telehealth services. Call the insurers
you work with while you prepare to offer Telehealth to learn more
about their reimbursement policies and any procedures you may
need to follow to get reimbursed. If a code modifier is necessary for
payment, make sure you’re aware of that before submitting a claim.
Set up your technology
Prior to the session, you must test that all your technology is working.
We recommend following these five steps before every video session:
1. Restart your computer
2. Close unnecessary background programs
3. Use a high-quality webcam and set it up to the eye level
4. Confirm that the webcam, microphone, and speakers are working,
and the audio is not muted
5. Confirm connectivity
Check your internet connectivity
A strong, reliable internet connection is essential for Telehealth.
Google provides an easy way to test your connection on the device
you plan to use:
1. Simply google internet speed test.
2. Click the blue button that says Run Speed Test.
For an optimal experience, you should have speeds at or above 10
Mbps. If the speed of your internet connection is below 10 Mbps,
contact your Internet Service Provider (ISP) to discuss options for
improving your current connection. This usually requires upgrading to
the highest speed connection available.
TIP: Use a wired connection whenever possible.
6. 6
Set up your environment
One benefit of offering video visits is that you can technically do them from
anywhere, as long as you’re in a quiet, secure, and private space that complies with
HIPAA guidelines. However, it’s best to have a dedicated space. This space should
be free from distractions and clutter and private enough that others won’t be able
to hear you discussing sensitive client information.
Some ways to prevent potential distractions include: silencing your cell phone,
confining a loud pet in another room, putting a note on your doorbell to prevent
solicitors, notifying any staff members not to enter your office, closing all apps
and social media, and anything else that may prevent you from providing the best
possible care to your clients.
Dress professionally
Dress professionally as you would for any appointment so the client feels that a
video visit is no less professional than a face-to-face appointment.
Prepare lighting
Proper lighting is also essential. Don’t sit with your back to any light source,
including natural light like the sun. Instead, it helps to face the light source, which
should be in front of you. If you do need to use a lamp or other artificial light, again
make sure to place the lamp in front of you.
We find that LED bulbs tend to work best as an artificial light source, but take the
time to test the artificial and natural sun lighting in a few different settings. During
your testing, check your webcam to make sure your entire face is illuminated on-
screen. This may require adjusting where you sit or setting up additional lighting.
Do: Good eye contact, professional clothing,
soft light source in front, neutral wall color.
Don’t: No eye contact, casual clothing, light
source behind person, in a public space.
7. 7
You: There are some potential risks to this technology,
including connection failures, unauthorized access, and
general technological hiccups. Computers, tablets, cell
phones, web cameras, microphones, etc. can create
problems if they don’t work as expected.
There are also many potential benefits. For example, you
saved time and travel costs by not having to drive to my
office. Based on the risks and benefits I just described, you
have the option to discontinue this or any future Telehealth
appointment at any time. If that is the case today, or at any
point during treatment, let me know so we can make other
arrangements.
Client: Yes, I consent.
Client: Okay.
You: Before we proceed, I need to get your [verbal] consent
for the use of Telehealth as an acceptable mode of delivering
services. Do I have your consent?
SCRIPT: OBTAINING CONSENTObtaining client consent
Before the session, determine what the policies and requirements are
for your state regarding consent. The Center for Connected Health
Policy (CCHP) and the American Telemedicine Association (ATA)
provide overviews of current state policies.
Most states require clinicians to obtain some form of informed
consent. Usually “informed” means educating the client about the
possible risks of Telehealth, possible benefits of Telehealth, and
alternatives to Telehealth.
You will also need to go over a client’s rights in regards to Telehealth,
specifically the right to end treatment at any point.
NOTE: Written consent is standard of care. You can also
obtain consent by sending the ready-to-go Telehealth
consent template in SimplePractice to your client through
the Client Portal. As a best practice, please review any
signed documents.
8. 8
PART 3
Conducting a Telehealth
Session
This section covers some common state Telehealth
requirements. To help new providers feel confident
and prepared for and during each session, we also
included some sample language you can use to
meet these requirements. Plus, we created a helpful
checklist to use in your next video session.
1. Schedule through SimplePractice
After your client has completed their intake paperwork in the
Client Portal, send the link to join the Telehealth session.
2. Go over insurance
At the first session, communicate to the client the information you
received from their insurance company so there are no surprises.
3. Ask your client to “attest” to their location
You will need clients to “attest” to their current location, and you
should document this for each session.
4. Confirm client is a safe, private space
Audio should only be loud enough so the client can be easily heard,
but not loud enough that people outside the room can overhear
it. There may be some cases where it’s advantageous to use
headphones. A safe, private space is an important detail to keep
the client’s protected health information secure.
You: Before we continue, I want to confirm you are in a safe,
private location. This is very important because I want you
to be able to speak openly without having to worry that
someone else is listening. Do you feel like you have enough
privacy where you’re located?
5. Go over your process
If you plan to type or handwrite notes during the session, mention
this to prevent the client from thinking you are not listening.
You: You may see me look away for a few seconds
throughout the session. This is only to take a brief note.
It doesn’t mean I’m not listening.
9. 9
6. Have a back-up plan
Clients should be aware of what steps to take if the connection fails.
Usually, the clinician and client will agree to connect by telephone if
this happens.
You: I have (333) 333-3333 as your current phone number.
Is that the best number to reach you at today if we encounter
connection problems?
7. Have a safety/emergency plan
According to the Washington State Telehealth Implementation
Guidebook, a safety plan is a documented process of specific steps
to be followed during emergencies. It should outline exactly what will
happen in the event of an unexpected or emergency situation.
A safety plan should also identify and document the client’s physical
location, emergency contact, and local police and hospital addresses
and phone numbers. This information will be required if emergency
services are needed. You can collect this information via the
SimplePractice Client Portal, so you always have it on hand.
At the beginning of your first session, you may need to confirm that
the information in the safety plan is still accurate.
You: Now let’s review the safety plan in case there is an
emergency. I asked you to list a person who you would like
me to call in the event of an emergency. You listed [NAME]
at (333) 333-3333. Is this still the person you would like me
to contact? You also listed the phone number of your local
police and the nearest hospital. Based on your current
location at [1234 Street, City, ST], is this still true?
To address this moving forward, you can ask in the following sessions,
You: Are there any changes to your safety plan information?
10. 10
Telehealth Checklist
BEFORE THE SESSION
Restart your computer. Close background programs.
Test your internet connection speed. Speeds of 10mpbs
will provide the best experience.
Confirm that the webcam, microphone, and speakers
are working.
Make sure the audio is not on mute.
Remove clutter and tidy office.
To prevent interruptions during the session, set your
cell phone to silent and consider hanging a “Do not
disturb” sign.
If necessary, contact a client’s insurance to obtain
payment coverage authorization.
START OF SESSION
Confirm client is in a safe, private place to talk.
Review the safety plan with client. Document the
client’s current address.
Review the back-up plan in case the connection
fails. Confirm phone number on file is best number
to reach client.
Inform the client of the potential risks and
limitations of receiving treatment via Telehealth.
Remind client that there are alternative, non-video,
therapy options.
Obtain verbal or written consent, if necessary, from
the client for the use of Telehealth.
Emphasize the importance of consistent therapy
attendance and homework completion.
Review the protocol of the Telehealth visit and
explain what the client can expect.
Give client opportunity to ask questions about the
session.
Disclaimer: This sample document is provided only as a reference for practices
developing their own materials and should be adapted to local needs. You should
consult an attorney who is knowledgeable about the laws of your state.
11. 11
PART 4
Documenting Telehealth
Services
Telehealth sessions should be documented using the same
standard as if the client had been seen face-to-face. However,
there are some additional things you will want to include:
1. Client’s location
2. Client’s continued agreement and satisfaction with the use
of the chosen technology
3. Any technical problems that occurred during the session
The example to the right is a progress note template. Use it to
begin your notes for a video appointment.
TIP: You might find it helpful to copy and paste this into your
standard progress notes template in SimplePractice.
SAMPLE: Progress Note for John Doe
Appointment was conducted via video.
Client was located at [FILL IN LOCATION].
The provider was located at [FILL IN LOCATION].
At the beginning of the visit, client was provided with the
following information:
1. The nature of Telehealth and its benefits and risks
2. Confidentiality and its limits
3. The safety plan, which has been established and
agreed upon with the client
4. Alternative, non-video options
5. The importance of consistent attendance and
homework completion
The client provided verbal consent to the above items.Check with an informed, local attorney who specializes in
Telehealth and your licensing body to verify that all aspects of
your practice are in compliance with state law.
12. 12
PART 5
Spreading the Word
When it comes to marketing Telehealth to your clients, human
interaction is key—make sure you are prepared to promote this
feature in all communication channels. Here are some tips:
• Send clients this recruitment letter to let them know that Telehealth is now an
option.
• Download and share these Telehealth graphics for your practice from the
SimplePractice blog.
• Promote Telehealth as an option for clients on your website, in your practice
newsletter, via email, and on your social media page.
• If clients call to book or reschedule appointments, offer Telehealth as an
alternative.
• Ask current clients if they would be interested in trying Telehealth for their
next session.
• Put up signs in your waiting room to encourage people to ask about using
Telehealth.
• Make sure online booking is enabled so clients can select that option when
making an appointment.
13. 13
ABOUT SIMPLEPRACTICE
Industry leader SimplePractice empowers health
wellness professionals to run their businesses more
efficiently, streamlining administrative tasks, enabling
regulatory compliance, and improving documentation and
payments.
Offering features like a mobile app, paperless intake,
customizable progress notes, Telehealth, secure
messaging, integrated credit card processing, client
scheduling, a template library, and more, SimplePractice is
a HIPAA compliant, fully integrated practice management
platform.
Headquartered in Los Angeles, CA, the company was
ranked as the “#1 Most Popular Mental Health Software”
on Capterra for both 2017 and 2018, and has collected over
$2.78 billion in revenue for its customers.
LEARN MORE: www.simplepractice.com