The document provides information on best practices for telehealth during the COVID-19 pandemic. It discusses topics such as obtaining informed consent, updating websites with COVID-19 information, considering the appropriate technology based on a client's diagnosis and environment, and communicating with clients via email or text messaging while maintaining privacy and documenting communications. The document emphasizes applying an ethical risk-benefit analysis and advising clients that some rules have been temporarily relaxed due to the emergency situation.
Telehealth Clinical Best Practices Part II June 13, 2020Marlene Maheu
The document discusses best practices for clinical telehealth, including establishing telepresence to maintain a connection with clients, screening clients for appropriateness for telehealth services, adapting in-person clinical practices and care requirements for telehealth while maintaining quality, and validated methods for conducting assessments over telehealth technologies. It provides guidance on domains such as evaluation and treatment, technology, and legal and ethical considerations.
Telehealth Clinical Best Practices Workshop I 5 23-2020Marlene Maheu
This document provides guidance on best practices for telehealth during the COVID-19 pandemic from the Telebehavioral Health Institute. It discusses preventing interruptions during telehealth sessions, making to-do lists, the evidence base for telehealth, fundamentals of telehealth including legal and ethical compliance, demonstrating telehealth competence, technology choices, clinical and technical issues, HIPAA requirements, the impact of technology on the therapeutic relationship, variations in connectivity, temporary relaxing of HIPAA enforcement and licensing requirements during COVID-19, informed consent issues, and implications of COVID-19 for clinical work.
Slides for Pediatric Telemedicine, Telehealth & Teletherapy: Practicing with Children & Adolescents course. More explanation for this slides can be found in training.telehealth.org.
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
Modernize Your Mental Health Practice to Save Time and Improve Care DeliveryKareo
Join Dr. Nina Vasan and Dr. Ganielle Hooper as they use their expertise in the mental health industry to help you run a successful mental health practice amidst uncertain times. They will discuss:
-The current state of the mental health industry and the public “stigma” of seeking mental health services
-Recent policy changes pertaining to insurance reimbursement, telehealth and MACRA
-How technology can support your practice’s growth and success
-Lessons learned in running a successful practice from a provider who has recently expanded her practice and what she did to overcome common barriers
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
Remote Monitoring and Technology-Enabled SupportFred Hobbs
On March 30, 2011, Imagine! SmartHomes guru Greg Wellems and Mark Davis, President of the Ohio Provider Resource Association, presented on Remote Monitoring and Technology-Enabled Support at the Ohio Provider Resource Association 2011 Spring Conference.
It is predicted that technology will fundamentally change our service delivery system over the next one to five years. In this session, participants heard about cutting edge, technology-enabled supports that are in place now, learned the status of Ohio’s request to add remote monitoring to the Individual Options waiver, developed a better understanding of the components of the remote-monitoring service as requested by Ohio, and found out how they may position their agencies to leverage this service for the betterment of those they serve.
Telehealth Clinical Best Practices Part II June 13, 2020Marlene Maheu
The document discusses best practices for clinical telehealth, including establishing telepresence to maintain a connection with clients, screening clients for appropriateness for telehealth services, adapting in-person clinical practices and care requirements for telehealth while maintaining quality, and validated methods for conducting assessments over telehealth technologies. It provides guidance on domains such as evaluation and treatment, technology, and legal and ethical considerations.
Telehealth Clinical Best Practices Workshop I 5 23-2020Marlene Maheu
This document provides guidance on best practices for telehealth during the COVID-19 pandemic from the Telebehavioral Health Institute. It discusses preventing interruptions during telehealth sessions, making to-do lists, the evidence base for telehealth, fundamentals of telehealth including legal and ethical compliance, demonstrating telehealth competence, technology choices, clinical and technical issues, HIPAA requirements, the impact of technology on the therapeutic relationship, variations in connectivity, temporary relaxing of HIPAA enforcement and licensing requirements during COVID-19, informed consent issues, and implications of COVID-19 for clinical work.
Slides for Pediatric Telemedicine, Telehealth & Teletherapy: Practicing with Children & Adolescents course. More explanation for this slides can be found in training.telehealth.org.
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
Modernize Your Mental Health Practice to Save Time and Improve Care DeliveryKareo
Join Dr. Nina Vasan and Dr. Ganielle Hooper as they use their expertise in the mental health industry to help you run a successful mental health practice amidst uncertain times. They will discuss:
-The current state of the mental health industry and the public “stigma” of seeking mental health services
-Recent policy changes pertaining to insurance reimbursement, telehealth and MACRA
-How technology can support your practice’s growth and success
-Lessons learned in running a successful practice from a provider who has recently expanded her practice and what she did to overcome common barriers
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
Remote Monitoring and Technology-Enabled SupportFred Hobbs
On March 30, 2011, Imagine! SmartHomes guru Greg Wellems and Mark Davis, President of the Ohio Provider Resource Association, presented on Remote Monitoring and Technology-Enabled Support at the Ohio Provider Resource Association 2011 Spring Conference.
It is predicted that technology will fundamentally change our service delivery system over the next one to five years. In this session, participants heard about cutting edge, technology-enabled supports that are in place now, learned the status of Ohio’s request to add remote monitoring to the Individual Options waiver, developed a better understanding of the components of the remote-monitoring service as requested by Ohio, and found out how they may position their agencies to leverage this service for the betterment of those they serve.
How to Build a 5-Star Practice with a Patient-Centered ApproachKareo
Valora Gurganious, MBA, CHBC, Partner, Senior Management Consultant will discuss:
-The importance of an enhanced patient experience and how it affects all aspects of your business such as your collections rate and patient retention
-How adopting technology can help you see more patients daily without the administrative burden
-The areas of your current workflow that can be enhanced to build and maintain positive relationships with your patients
Collecting Patient Payments During COVID-19 and Beyond - a Blueprint for SuccessKareo
The impact of COVID-19 is substantial and the way healthcare providers practice medicine has changed, and it’s not going back. Make sure your business has the right blueprint for success so you can continue collecting patient payments while providing quality care to keep your patients healthy and your practice profitable.
Epstein Becker & Green, P.C., is a national law firm with a primary focus on health care and life sciences; employment, labor, and workforce management; and litigation and business disputes. Founded in 1973 as an industry-focused firm, Epstein Becker Green has decades of experience serving clients in health care, financial services, retail, hospitality, and technology, among other industries, representing entities from startups to Fortune 100 companies. Operating in locations throughout the United States and supporting domestic and multinational clients, the firm’s attorneys are committed to uncompromising client service and legal excellence.
This document summarizes a teleconference between behavioral health organizations discussing policy changes and operational strategies for rapidly implementing telehealth in response to COVID-19. It outlines recent federal and state telehealth policy changes, including expanded Medicare and Medicaid coverage. Technology platforms, service models, billing codes, and strategies for transitioning to telehealth are discussed. Challenges of virtual care and ways to ensure quality of care are also addressed. The organizations aim to help providers implement telehealth quickly while maintaining standards of care.
Optimize Your Care Delivery to Prevent Burnout and Boost Your Bottom LineKareo
In this webinar, Dr. Paul DeChant will:
-Review the manifestations and drivers of burnout and how you can reduce their impact
-Help you develop a plan, including building teamwork and solutions to problem-solve
-Show you how to improve efficiencies through changes to EHR office visits and in-basket workflows
-Explore how using technology in your practice can save time and remove barriers to better connect with your patients
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.
Top Challenges & Opportunities for Spine in 2011Nicola Hawkinson
The document discusses the top challenges and opportunities for spine care in 2011, as presented by Nicola Hawkinson. The biggest challenges are healthcare reform, declining reimbursement, decreasing overhead costs, staff retention, and increasing efficiencies. The biggest opportunities are new trends, minimally invasive procedures, education advancement, electronic technology, and growth in outpatient care. ASCs will need to adapt to healthcare reform by focusing on coordinated care, outcomes, and becoming centers for multidisciplinary outpatient services.
Top 10 Medical Billing KPIs That Show Where Your Practice is Losing MoneyKareo
Kareo’s Billing Subject Matter Expert, Terri Joy, MBA, CPC, CGSC, COC, CPC-I, shares the 10 medical billing KPIs you need to know to prevent your practice from losing money.
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
Managing the medical complexities of patients with cognitive and behaviors requires an interdisciplinary approach to care. The presentation details strategies and hands-on examples of management techniques for practical application in the SNF setting to ensure patients receive medically necessary Rehabilitation and Nursing Service.
Kareo Billing Product Overview and Training: Success SummitKareo
This document provides an overview and training on Kareo's billing product. The agenda includes introductions, reviewing insurance enrollment enhancements, sending clean claims, improving patient collections, and a Q&A session. Key highlights include new insurance enrollment dashboards for tracking progress, tools for fixing rejected claims, collecting patient payments through email statements and credit card processing, and categories for managing patient collections.
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
This document outlines an agenda and presentation on ethics in industrial hygiene. It discusses current issues like erroneous exposure data and lack of integrity in some workplaces. It addresses elements of ethics, the need for ethics professionally and personally. It compares places of worship to workplaces and the priorities of gods versus stakeholders. It provides case studies on the benefits of ethics and concludes with emphasizing listening to one's inner voice and implementing ethics.
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.
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
201 Telehealth Law and Ethical Issues Finished 6.7.23.pptxMarlene Maheu
This document provides an overview of telehealth law and ethical issues related to practicing telehealth across state lines in accordance with HIPAA, malpractice, billing, and other considerations. The presenter, Marlene Maheu, is the executive director of Telehealth.org and founder of the Journal of Technology in Behavioral Science. She has over 100 hours of training in telebehavioral health clinical, legal, and ethical risk management and has published extensively on telehealth topics. The presentation will discuss informed consent, HIPAA compliance, interstate practice licensure issues, cultural awareness, telesupervision, and reimbursement among other topics over the course of a three hour training.
Lesson 2 Setting Up Your Video-Based Office for Telehealth.pptxMarlene Maheu
This document provides an overview of a lesson on setting up a video-based office for telehealth. It discusses who the Telebehavioral Health Institute is and their goal of education. It provides disclaimers and encourages seeking legal advice. It outlines optimizing learning from the lesson, including questions during and bonuses after. It lists learning objectives around HIPAA, technology tools, and standards/guidelines. It covers federal vs state law, why privacy is the top complaint, and HIPAA rules around privacy, security and transmission. It discusses risks of technologies like Skype and outlines HIPAA compliance requirements.
Deep Dive Into Telehealth Adoption Covid 19 and Beyond | Doreen Amatelli ClarkVSee
The document discusses telehealth utilization before, during, and after the COVID-19 pandemic based on interviews and research conducted by Doreen Amatelli-Clark of Way to Goal Business Insights. Prior to the pandemic, most physicians were skeptical of telehealth and relied solely on in-person visits. During the initial pandemic period, telehealth was seen as a temporary option due to lack of experience and uncertainty. However, after several weeks of usage physicians recognized benefits and acknowledged telehealth's potential as a long-term solution when integrated properly. Widespread adoption was accelerated by the pandemic and shifted perceptions of telehealth's role in healthcare delivery.
Lesson 1 Setting Up Your Video-Based Office for Telehealth.pptxMarlene Maheu
The document provides information on setting up a video-based office for telehealth. It discusses the necessary hardware, including computers, cameras, monitors, speakers and what issues may arise. It also covers software options and how to ensure compliance with HIPAA. Additional topics covered include properly setting up the office environment, professional presentation, working with clients, emerging video technologies and their impact on telehealth, and legal and ethical considerations.
Practicing Over State Lines 1.26.24.pptxMarlene Maheu
The document discusses Marlene Maheu, founder and CEO of Telehealth.org, who has authored numerous publications on telehealth and developed over 72 hours of online training in telehealth. It lists her credentials, including founding the Coalition for Technology in Behavioral Science and chairing the first Committee for Telebehavioral Health Competencies. The document promotes one of Maheu's upcoming webinar trainings on legally and ethically practicing telehealth across state lines and international borders.
How to Build a 5-Star Practice with a Patient-Centered ApproachKareo
Valora Gurganious, MBA, CHBC, Partner, Senior Management Consultant will discuss:
-The importance of an enhanced patient experience and how it affects all aspects of your business such as your collections rate and patient retention
-How adopting technology can help you see more patients daily without the administrative burden
-The areas of your current workflow that can be enhanced to build and maintain positive relationships with your patients
Collecting Patient Payments During COVID-19 and Beyond - a Blueprint for SuccessKareo
The impact of COVID-19 is substantial and the way healthcare providers practice medicine has changed, and it’s not going back. Make sure your business has the right blueprint for success so you can continue collecting patient payments while providing quality care to keep your patients healthy and your practice profitable.
Epstein Becker & Green, P.C., is a national law firm with a primary focus on health care and life sciences; employment, labor, and workforce management; and litigation and business disputes. Founded in 1973 as an industry-focused firm, Epstein Becker Green has decades of experience serving clients in health care, financial services, retail, hospitality, and technology, among other industries, representing entities from startups to Fortune 100 companies. Operating in locations throughout the United States and supporting domestic and multinational clients, the firm’s attorneys are committed to uncompromising client service and legal excellence.
This document summarizes a teleconference between behavioral health organizations discussing policy changes and operational strategies for rapidly implementing telehealth in response to COVID-19. It outlines recent federal and state telehealth policy changes, including expanded Medicare and Medicaid coverage. Technology platforms, service models, billing codes, and strategies for transitioning to telehealth are discussed. Challenges of virtual care and ways to ensure quality of care are also addressed. The organizations aim to help providers implement telehealth quickly while maintaining standards of care.
Optimize Your Care Delivery to Prevent Burnout and Boost Your Bottom LineKareo
In this webinar, Dr. Paul DeChant will:
-Review the manifestations and drivers of burnout and how you can reduce their impact
-Help you develop a plan, including building teamwork and solutions to problem-solve
-Show you how to improve efficiencies through changes to EHR office visits and in-basket workflows
-Explore how using technology in your practice can save time and remove barriers to better connect with your patients
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.
Top Challenges & Opportunities for Spine in 2011Nicola Hawkinson
The document discusses the top challenges and opportunities for spine care in 2011, as presented by Nicola Hawkinson. The biggest challenges are healthcare reform, declining reimbursement, decreasing overhead costs, staff retention, and increasing efficiencies. The biggest opportunities are new trends, minimally invasive procedures, education advancement, electronic technology, and growth in outpatient care. ASCs will need to adapt to healthcare reform by focusing on coordinated care, outcomes, and becoming centers for multidisciplinary outpatient services.
Top 10 Medical Billing KPIs That Show Where Your Practice is Losing MoneyKareo
Kareo’s Billing Subject Matter Expert, Terri Joy, MBA, CPC, CGSC, COC, CPC-I, shares the 10 medical billing KPIs you need to know to prevent your practice from losing money.
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
Managing the medical complexities of patients with cognitive and behaviors requires an interdisciplinary approach to care. The presentation details strategies and hands-on examples of management techniques for practical application in the SNF setting to ensure patients receive medically necessary Rehabilitation and Nursing Service.
Kareo Billing Product Overview and Training: Success SummitKareo
This document provides an overview and training on Kareo's billing product. The agenda includes introductions, reviewing insurance enrollment enhancements, sending clean claims, improving patient collections, and a Q&A session. Key highlights include new insurance enrollment dashboards for tracking progress, tools for fixing rejected claims, collecting patient payments through email statements and credit card processing, and categories for managing patient collections.
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
This document outlines an agenda and presentation on ethics in industrial hygiene. It discusses current issues like erroneous exposure data and lack of integrity in some workplaces. It addresses elements of ethics, the need for ethics professionally and personally. It compares places of worship to workplaces and the priorities of gods versus stakeholders. It provides case studies on the benefits of ethics and concludes with emphasizing listening to one's inner voice and implementing ethics.
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.
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
201 Telehealth Law and Ethical Issues Finished 6.7.23.pptxMarlene Maheu
This document provides an overview of telehealth law and ethical issues related to practicing telehealth across state lines in accordance with HIPAA, malpractice, billing, and other considerations. The presenter, Marlene Maheu, is the executive director of Telehealth.org and founder of the Journal of Technology in Behavioral Science. She has over 100 hours of training in telebehavioral health clinical, legal, and ethical risk management and has published extensively on telehealth topics. The presentation will discuss informed consent, HIPAA compliance, interstate practice licensure issues, cultural awareness, telesupervision, and reimbursement among other topics over the course of a three hour training.
Lesson 2 Setting Up Your Video-Based Office for Telehealth.pptxMarlene Maheu
This document provides an overview of a lesson on setting up a video-based office for telehealth. It discusses who the Telebehavioral Health Institute is and their goal of education. It provides disclaimers and encourages seeking legal advice. It outlines optimizing learning from the lesson, including questions during and bonuses after. It lists learning objectives around HIPAA, technology tools, and standards/guidelines. It covers federal vs state law, why privacy is the top complaint, and HIPAA rules around privacy, security and transmission. It discusses risks of technologies like Skype and outlines HIPAA compliance requirements.
Deep Dive Into Telehealth Adoption Covid 19 and Beyond | Doreen Amatelli ClarkVSee
The document discusses telehealth utilization before, during, and after the COVID-19 pandemic based on interviews and research conducted by Doreen Amatelli-Clark of Way to Goal Business Insights. Prior to the pandemic, most physicians were skeptical of telehealth and relied solely on in-person visits. During the initial pandemic period, telehealth was seen as a temporary option due to lack of experience and uncertainty. However, after several weeks of usage physicians recognized benefits and acknowledged telehealth's potential as a long-term solution when integrated properly. Widespread adoption was accelerated by the pandemic and shifted perceptions of telehealth's role in healthcare delivery.
Lesson 1 Setting Up Your Video-Based Office for Telehealth.pptxMarlene Maheu
The document provides information on setting up a video-based office for telehealth. It discusses the necessary hardware, including computers, cameras, monitors, speakers and what issues may arise. It also covers software options and how to ensure compliance with HIPAA. Additional topics covered include properly setting up the office environment, professional presentation, working with clients, emerging video technologies and their impact on telehealth, and legal and ethical considerations.
Practicing Over State Lines 1.26.24.pptxMarlene Maheu
The document discusses Marlene Maheu, founder and CEO of Telehealth.org, who has authored numerous publications on telehealth and developed over 72 hours of online training in telehealth. It lists her credentials, including founding the Coalition for Technology in Behavioral Science and chairing the first Committee for Telebehavioral Health Competencies. The document promotes one of Maheu's upcoming webinar trainings on legally and ethically practicing telehealth across state lines and international borders.
As a community service, TBHI is honored to be offer a FREE informational course to the behavioral community of professionals at this worrisome time.
Resources are being offered by a number of key groups to help you get immediate, accurate and helpful information
Attend this webinar to hear the evidence supporting practice models that can be legitimately offered from your home. You will be delighted to see several viable models that meet all required legal and ethical mandates, are evidence-based, competency-based and are financially successful — not only in the United States but across the globe.
FREE with this coupon code: COVID
Available immediately upon registration
100% online access, 24/7 for 6 months
Available wherever you are with an internet connection
1 CME or CE Hour Available at 50% off if needed ($39.50) after viewing
Text Messaging: 12 Risk Management Considerations to Keep You Out of Hot WaterMarlene Maheu
1) The document discusses 12 risk management considerations for using text messaging in behavioral health practice.
2) It outlines various ethical codes that relate to text therapy and discusses ensuring informed consent, adhering to boundaries of competence, and using evidence-based practices.
3) The document also discusses legal issues like HIPAA compliance, using secure platforms, and addressing issues that may arise when accepting employment from online text-based employers.
HIPAA Compliant Social Media for ProfessionalsMarlene Maheu
In this webinar, we outline exactly how to protect your business by managing how your employees use social media as healthcare providers. You’ll get concrete examples of how to create effective policies surrounding uses of phones and social media around the office, as well as real life examples of HIPAA breaches that have occurred as a result of improper social media usage.
Visit: https://vsee.com/blog/telemedicine-101-reimbursement/ for more info
Anjali and Mary Jean will present on the changing landscape of telemedicine reimbursement what it was in the past, where it is now during the National Emergency, and probable future outcomes based on her experience and insight. Additionally, she will provide practical guidance on coding to avoid fraud and abuse issues to avoid post-pandemic audits and investigations
Learning Objectives:
Allowable Telemedicine Reimbursement Past, Present, Future
Telemedicine Reimbursement Codes and How to Example
Considerations for Practicing Across State Lines and Documentation
Avoiding investigations: Fraud & Abuse
The document discusses legal and ethical issues related to using therapist AI and ChatGPT. It outlines three primary areas where AI and ChatGPT are being used: 1) information retrieval and research, 2) personalized case analysis, diagnosis, and treatment plans, and 3) client and patient education. For each use, it notes both benefits and ethical considerations that must be addressed, such as ensuring privacy, transparency, and avoiding biases. It also discusses other related topics like FDA regulations of clinical decision software, potential tort liability for AI errors or harms, and whether AI owes a duty of care to clients.
McMenamin - Slidedeck for Slideshare - Therapist AI & ChatGPT- How to Use Leg...Marlene Maheu
This document discusses some of the legal and ethical issues involved in using AI systems like therapist AI and ChatGPT. It outlines that while AI shows promise in areas like information retrieval, diagnosis, and treatment planning, there are also significant risks regarding privacy, bias, lack of explanation for results, and lack of empathy. The document also discusses regulatory issues involving licensure of AI systems, FDA oversight of clinical decision support tools, potential tort liability for harms caused by AI, and whether patients could establish a standard of care for AI. Overall it aims to help mental health professionals minimize ethical risks when using AI tools.
Dr. Robert Kelly discusses pressures facing the Irish health system including resources, costs, quality, and efficiency. Barriers include doctors' limited time and resources, and patients' issues with access, time, mobility and costs. Telemedicine can help overcome these barriers by giving patients more convenient lower-cost access supported by information to high-quality care. VideoDoc is an Irish telemedicine platform provider that operates a virtual clinic model and enables doctors to integrate the platform into their practices to develop telemedicine solutions for patients. The platform aims to improve healthcare experiences and outcomes at affordable costs through more engaged patients.
Lesson_2 of 3_Telepractice_Telehealth_Law__Ethics_Implementation_Workshop.pptxMarlene Maheu
This document provides information about telehealth laws and regulations in California and New Jersey. It discusses what services are covered by Medicaid/Medi-Cal in each state, technology requirements, reimbursement policies, documentation standards, and other guidelines for delivering telehealth services in accordance with each state's laws and rules. Requirements addressed include informed consent, privacy/security, licensing, and establishing the provider-patient relationship for telehealth.
Informed Consent in Telemedicine
How can we explain to the patient informed consent in telemedicine
Security Measures
APA & ATA Guidelines
Advantages and Disadvantages of Informed Consent in Telemedicine
The Risks of Informed Consent in Telemedicine
This document summarizes a presentation on telemedicine given by Dr. David Voran to the Southwest Clinical Society in Kansas City on October 29-31, 2015. The presentation reviewed the current status and growth of telemedicine globally and locally, including expanding specialty telemedicine, provider consultations, and retail clinics. It also examined new technologies like mobile telemedicine applications and devices. Dr. Voran projected that telemedicine adoption will continue growing as technologies advance, regulations change to support reimbursement, and its use becomes more integrated into daily healthcare through patient portals, remote monitoring devices, and direct-to-consumer services.
767W Redo_Telehealth Jobs from Home.pptxMarlene Maheu
This document discusses legal and ethical considerations for clinicians working from home via telehealth. It covers topics like ensuring proper licensure, complying with HIPAA, maintaining clear boundaries, and addressing potential issues with payers, employers or family members. Specific ethical issues that can arise working from home include maintaining boundaries to avoid distractions, ensuring proper informed consent discusses the remote nature of services, and protecting privacy. Legal issues that may need attention include verifying any zoning rules for home businesses and complying with credentialing and licensure requirements in the patient's location. The document provides guidance on optimizing the benefits of home telehealth work while avoiding common mistakes.
Similar to Telehealth Clinical Best Practices Part I June 13, 2020 (20)
When Sex Gets Complicated: Porn, Affairs, & CybersexMarlene Maheu
This document discusses how technology has impacted human sexuality and relationships. It notes that digital technologies have blurred boundaries between imagination and behavior, making infidelity harder to define. When issues like affairs or cybersex occur, both betrayed and betraying partners experience pain through emotions like guilt, shame, anger and grief. Rebuilding trust is challenging as no one can fully prove their faithfulness. The document explores power dynamics, self-discipline, and existential issues that arise for couples dealing with betrayal. It provides perspective on topics like disclosure, recovery, pornography, masturbation, cybersex and relationships with robots. Ultimately, it argues that technology will continue redefining human sexuality and intimacy, requiring thoughtful consideration of how values and relationships may evolve.
This document provides instructions for taking a post-test on Telehealth.org, noting that test-takers have unlimited attempts to pass with a score of 80% or higher, and the test is open book with no time limit. It outlines starting the post-test, submitting answer sets for scoring, reviewing score summaries, and completing the process upon passing.
This document provides instructions for taking a post-test on Telehealth.org, noting that test-takers have three attempts to achieve a score of 80% or higher, after which they will receive a certificate of completion if passed or a non-CME/CE certificate if not passed. It describes starting the post-test by clicking a button, selecting responses, reviewing scores, and completing the process by passing with 80% or higher.
Cybersecurity is important for medical practices. In 3 sentences or less, the document discusses 5 actions a practice can take in the morning to improve cybersecurity including enabling multi-factor authentication, updating software, backing up data, training staff, and having an incident response plan.
7 Tips for Educating Patients/ Clients for Telehealth & Teletherapy Best Prac...Marlene Maheu
This professional training will give concise suggestions for optimally approaching 7 key issues related to client/patient education for safe, effective clinical interventions.
Need CME(s), CNE(s), or CE(s)?
Register for full CME, CNE, or CE credit(s) for multi-modal, 100% online, on-demand telehealth professional training programs. Registration gives you access to slides, handouts, course materials, and course completion certificates for your licensing board: http://telehealth.org/course-catalog.
Read our 700+ no-cost blog posts at https://blog.telehealth.org, and register for one of our 55+ no-cost telehealth newsletters at https://telehealth.org/signup. If you are seeking telehealth-specific vendors to provide technology, visit https://guide.telehealth.org.
802b_Lesson 5_Developing eBooks Audio Books_Kindles and More for Maximum Prof...Marlene Maheu
The document discusses five easy strategies for writing an eBook in 3 months or less. The strategies are: 1) Write your own eBook by outlining 10 chapters of 10 pages each for a 100 page eBook. 2) Transcribe a webinar you have recorded into an eBook. 3) Conduct an expert interview and transcribe it into an eBook. 4) Hire help from sites like Fiverr to assist with writing, layout, or recording content. 5) Look for contributors to write portions or chapters of the eBook.
802b_Lesson_4_Developing Webinars & Podcasts for Maximum Profit.pptxMarlene Maheu
This document provides information on developing webinars and podcasts for profit, including tips for structuring, recording, marketing, and monetizing webinars and podcasts. It discusses choosing a webinar platform, the difference between webinars and podcasts, interview tips, making recordings accessible, and legal and ethical considerations for program development and marketing.
Developing Webinars & Podcasts for Maximum ProfitMarlene Maheu
This document provides information on developing webinars and podcasts for profit, including tips for structuring, recording, marketing, and monetizing webinars and podcasts. It discusses choosing a webinar platform, the difference between webinars and podcasts, legal and ethical considerations, and places to market online content, such as various social media sites. The document is a guide for professionals looking to create and profit from webinars and podcasts.
Advanced Telehealth Clinical Best Practices: Crisis Planning.pptxMarlene Maheu
Crisis planning is an important part of telehealth and should be addressed during the initial contact and consent process. Providers must understand involuntary hospitalization laws and emergency procedures for the patient's location. For unsupervised patients, consent should include contact information for a support person and plans for involuntary hospitalization or if the support person is uncooperative. Providers must also consider any limitations patients have in accessing transportation during a crisis.
Maheu & Armstrong - 2023 - Using Apps for Clinical Care 5 Steps to Legal, Eth...Marlene Maheu
The document provides an overview of 5 steps for using mental health apps in clinical care legally, ethically, and with evidence-based practices. Step 1 discusses the differences between self-help apps and clinical apps. Step 2 covers understanding client needs when selecting apps. Step 3 reviews clinical and ethical issues. Step 4 discusses legal issues. Step 5 identifies free, evidence-based resources for finding appropriate apps. The document provides guidance on app selection, implementation, privacy, security, and ongoing evaluation for clinical use.
Understanding Fundamentals of Behavioral Legal & Ethical MarketingMarlene Maheu
This document discusses legal and ethical marketing fundamentals for behavioral health professionals. It covers existing ethics codes from various professional organizations and provides guidance on developing a business plan and website that adhere to regulations. Homework assignments include continuing work on a business plan, listening to a marketing podcast, and participating in online discussion forums. The document emphasizes delivering services ethically and honestly, obtaining proper licensure, and substantiating any claims made to clients or in advertising.
For a full-service telehealth training segment associated with this topic, see https://telehealth.org/legally-ethically-marketing-your-telehealth-services/
Need CME(s), CNE(s), or CE(s)?
Register for full CME, CNE, or CE credit(s) for multi-modal, 100% online, on-demand telehealth professional training programs. Registration gives you access to slides, handouts, course materials, and course completion certificates for your licensing board: http://telehealth.org/course-catalog.
Read our 700+ no-cost blog posts at https://blog.telehealth.org, and register for one of our 55+ no-cost telehealth newsletters at https://telehealth.org/signup. If you are seeking telehealth-specific vendors to provide technology, visit https://guide.telehealth.org.
This document discusses legal and ethical considerations for telehealth jobs that can be done from home. It identifies several key issues, including:
1. Legal issues like ensuring proper licensure for the state where clients are located, complying with zoning laws, and addressing questions from insurance companies.
2. Ethical issues like maintaining appropriate boundaries and preventing interruptions, ensuring informed consent addresses the home setting, and protecting privacy and limiting distractions.
3. Technical issues like ensuring adequate bandwidth and connectivity for video sessions and protecting virtual waiting areas from other home occupants.
The document provides guidance on addressing these issues, such as developing clear protocols for sessions, notifying family of appointment times, and checking insurance policies for
Lesson 5 Developing eBooks Audio Books, Kindles, and More for Maximum ProfitMarlene Maheu
This document provides strategies for writing and publishing an eBook in 3 months or less. It discusses 5 strategies: 1) writing your own eBook by outlining 10 chapters of 10 pages each and writing 1 page per day, 2) transcribing a webinar, 3) conducting an expert interview, 4) hiring help from online platforms, and 5) finding contributors. It also covers costs of publishing an eBook, designing covers and formatting, using titles/images/keywords effectively, and reasonable pricing between $4.95-$10.58. Legal and ethical considerations for marketing are also addressed.
Lesson 4 - Marketing Your Telehealth Services Successful, Legal and Ethical O...Marlene Maheu
This document provides information and guidance about marketing telehealth services through webinars and podcasts. It discusses that the goal is educational and recommends seeking legal and ethical advice specific to one's practice. Various topics are covered like how to structure webinars and podcasts, finding people to help with production, legal and ethical considerations, marketing strategies, and monetization options. Throughout, it emphasizes the importance of compliance with all applicable laws and standards.
The document discusses optimizing websites and monetizing online content. It provides tips on choosing a domain name and content management system for creating and publishing website pages. The document also outlines various ways to generate revenue from a website or blog, such as creating an email newsletter, publishing content on social media platforms, developing videos, and writing press releases. Overall, it offers strategies for establishing an online presence and marketing professional services through a website, blog, and social media engagement.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
Actionable Insights: Receive practical advice on preparing for audits and avoiding common mistakes.
Clarity on Compliance: Clear up misconceptions and understand the reality of HIPAA regulations.
Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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2. This is your workshop
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
MAKE
COMMENT
S AND ASK
QUESTION
S, PLEASE
STAY ON
TOPIC
WE WILL
TURN THE
CHAT
ROOM OFF
IN
BETWEEN
DISCUSSIO
N PERIODS
THE
SYSTEM
MONITORS
YOUR
PARTICIPAT
ION
DURING
THOSE
PERIODS
4. Today’s Program
Today’s program includes a quick COVID-19 overview
Followed by a 3-hour clinical best practices interactive
session
Sound will be muted to limit uncontrollable distractions
Please interact at designated times
LIVE CME or CE – not mandatory to keep camera on,
but please show yourself if you can
5. Today’s Schedule
Times: 2 – 6:30 PM Eastern
A 15 min. break will be from 3:00-3:15
PM Eastern
A 15 min. break will be from 5:00-5:15
PM Eastern
Q&A – chat will be opened 15 before
end of program for you to ask
questions
8. Make a To-Do List – Not Same As
Post-Test Questions
Make a To-Do List to
Optimize Your Learning
1. Make a To-Do List
2. Rank order your to-dos by
priority
3. Consider meeting with like-
minded colleagues to discuss
your implementation plan
10. Evidence-Base
Evidence base has been building for
telebehavioral health since 1959
Many people have made many mistakes,
which you do not have to repeat
The Telebehavioral Health Institute has
documented more than 4,500 published
journal articles and books related to
telebehavioral health alone
See telehealth.org/bibliography
11. Evidence Based Care?
Key Studies,
Clinical
Reviews,
Consensus
Documents
01
Clinical
Judgment
02
Client/Patient
Preferences
and Values
03
12. Fundamentals of Telehealth
The fundamentals of
responsible clinical practice do
not change with telehealth
delivery
Good clinical practice remains
the same regardless of delivery
vehicle
Adoption is changing
13. Fundamentals of Telehealth
We are experiencing forced adoption
Regardless of HOW you deliver
services, you are responsible through
your legal and ethical codes to
maintain the same quality of care as
in-person.
Not the wild west at all…
At TBHI we teach you HOW with over
90 hours of telehealth training
14. Group Therapy
Learning legal & ethical telehealth
is like learning how to conduct
group therapy
Learn/master similar but
different skills
Safe response sets/clinical
reflexes
Be aware of impact of
interventions on entire group
Identify /anticipate negative
repercussions
15. Group Therapy
May need additional skill sets/
training depending on several
factors
Purpose of group
Size of group
Age of members
Your setting / support
16. Fundamentals of
Telehealth
Telehealth is similar.
Many clinicians are untrained
Trust the evidence-base, not
colleagues
Keeping clients/patients safe
is primary
17. Telehealth
Ethical codes are always in full
effect, online or offline
Since 2009, TBHI has been
acutely aware of these
similarities/differences and
teaches:
Legal and ethical compliance
Safe, practical & evidence-
based protocols
18. With integrity, you have
nothing to fear, since you
have nothing to hide.
― Zig Ziglar
19. Focus on Competencies
All ethical codes require competence in
our professional practices
Competence in behavioral health is NOT
equivalent to competence as a
telebehavioral health professional
Competencies have been published and
continue to be researched in
telebehavioral health
21. Download your free copy of: An
Interprofessional Framework for
Telebehavioral Health Competencies
Competencies are in the table at the back
of the article
Click link in the middle of the page:
https://telehealth.org/blog/an-
interprofessional-framework-for-
telebehavioral-health-competencies/
22. How Do You
Demonstrate
Your
Telehealth
Competence?
Education & Training
Documentation
Graduate Courses
Course Completion
Certificates
Supervision
Practice Documentation
Informed Consent
Intake Forms
Progress Notes
Termination notes
Risk Assessments
Referrals
23. How Do You
Demonstrate
Your
Competence in
Healthcare
Practice?
Documentation (cont.)
Informed consent
Regular, in-person
informed consent
Statement that service
was provided via
telehealth, including the
type of telehealth being
utilized and that
client/patient
agreed/understands risks
and benefits
Safety plan w/ emergency
contacts
24. How Do You
Demonstrate
Competence in
Healthcare
Practice?
Documentation (cont.)
Progress Notes
The potential use of a
non-HIPPA compliant
technology should be
mentioned (PIPEDA in
Canada)
Practicing over state
lines without an
appropriate license
“beneficence over
malfeasance”
25. How Do You
Demonstrate
Competence in
Healthcare
Practice?
Documentation
Progress Notes (cont.)
The location of the patient
and provider
The roles of people
participating if not
otherwise clearly stated
Documentation to support
appropriate
reimbursement coding
28. Practicing
telehealth is
not intuitive
Naively
jumping into
telehealth can
lead to “Zoom
Fatigue”
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Lack of knowledge,
attitude and skills
(competence)
Sense of overwhelm
Burnout – attribute
fatigue to technology
31. Avoid
Distractions
Understand the
Risks/Benefits of
the Technology
that You Choose
…TP and TBH care can be improved by
concepts of TPr, avoiding distractions,
understanding the technology-
human interface, measures of TPR for
clinical use and the use of simulation
for training.
Reference: Hilty DM, Randhawa K,
Maheu MM, McKean AJS, Pantera R.
Therapeutic relationship of
telepsychiatry and telebehavioral health:
Ideas from research on telepresence,
virtual reality and augmented reality
Psychol Cogn Sci Open J. 1994-2020;
5(1): 14-29. doi: 10.17140/PCSOJ-5-
145
34. HIPAA, HITECH,
GDPR and/or
PIPEDA
Requirements?
Look for A company’s public
declaration of HIPAA, GDPR
or PIPEDA compliance
Get A business associate’s
agreement in the US, or other
compliance statement from the
company in other countries
35. Some people are uncomfortable
with technology
Different technologies are better
for specific tasks
36. Difficult to stay
focused with the
telephone for long
meetings. Easy to
get bored or
distracted.
Limit distractions
Close your eyes?
Video is better for
healthcare to stay
engaged
C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
37. Variations in Connectivity
When at Home
Commercial vs. residential connectivity
Differences in bandwidth
Bandwidth speed can also differ by time of
day. After school is often a high traffic time
and Internet speed can be significantly
slower.
41. Legal Issues of
Relevance to
COVID-19
(TBH Domain VI)
C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
42. Temporary
Relaxing of
HIPAA vs
Privacy
Enforcement
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights
reserved.
We are in a state of
international emergency
Laws are getting
relaxed, just as they
would be in a hurricane
HIPAA is being relaxed
in some very specific
ways
43. Temporary
Relaxing of
HIPAA versus
Legal and
Ethical Privacy
Requirements
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
It is our job to know the laws, and
only relax the ones that we MUST
relax
State laws and ethical principles
related to privacy (and other
areas) are not going out the
window
They will hopefully change, but we
must assume that they were put
into place to protect citizens and
most of them will go back into
effect post-COVID-19
45. Temporary
Relaxing of
Enforcement w/
HIPAA and
Many Waivers
(See updated
“Documents”
link in your
TBHI Digital
Training
Account)
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Only release what you
MUST release
Laws have been changing
but COVID-19 has changed
rate
Basic safety protections
will return
46. HIPAA COVID-19 Update
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Not impose penalties
for noncompliance
under good faith
provision of telehealth
Can use any non-
public facing remote
communication
product during during
COVID-19 emergency
47. HIPAA COVID-19 Update
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Notify patients that
these third-party
applications
potentially introduce
privacy risks
Use all available
encryption and
privacy modes when
using such
applications
48. HIPAA COVID-19 Update
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
•For added protections,
these are some options
of HIPAA-Compliant
services
Skype for Business,
Updox, Vsee, Zoom
for Healthcare,
Doxy.me, Google G
Suite Hangouts Meet
49. HIPAA COVID-19 Update
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
•Some public-facing
video technologies
should not be used
Facebook Live, Twitch,
TikTok, and similar
video communication
applications are public
facing, and
should not be used
50. Licensing
Boards
Traditionally with telehealth, you
must be licensed where you
client or patient is at the time of
the contact
NOW with COVID-19, Check
with your state board’s website
Get on any mailing lists
Check the Center for Connected
Health Policy
51. Copyright 2020 Telebehavioral Health Institute, LLC All rights reserved.
https://www.cchpca.org/
US Federal & State Issues
55. Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Kentucky State Board Affidavit to practice in Kentucky during COVID-
19 search for state board websites in your profession
56. Ethical Issues of
Relevance to
COVID-19
C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
58. Informed Consent Issues
Informed consent involves a discussion
between you and your patient/client that
leaves you reasonably assured that they
know the risks and benefits associated
with your services, and that they’ve
agreed to try
Document proves that the discussion
occurred
Note which questions that were
discussed with them
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
59. Informed Consent Issues
Static informed consent
Might be too much for the first session
Stagger discussion over first 2-3
sessions
Note each session
Dynamic informed consent
Every subsequent discussion of
technology risks/benefits
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
61. Update Your Website
Show image depicting COVID-19
State definitions of legal services that you can deliver at this
time
Will spend same amount of time in session
Will not be recorded
May need tech check the first time to make sure everything
is adequate on client/patient side
Directions for how to schedule a virtual appt. with you
1-page written instructions for meeting you
62. What does COVID-19
mean for your work?
Weigh decisions using a risk/benefit analysis for the
person in front of you
1. What is their diagnosis?
2. What does that diagnosis tell you about their
ability to tolerate change? Push boundaries now
or later, after the current situation subsides?
3. Can you expect compliance?
4. Can they find a private space to connect with you
and control their environment?
63. What does COVID-19
mean for your work?
You may also want to consider any communication
channel that you determine to be necessary to keep
people safe
Videoconferencing
Telephone
Other?
64. What does COVID-19
mean for your work?
If you choose to proceed, advise your clients
and patients that rules have been lifted
temporarily, much as they would be in a flood
zone or other natural disaster experiencing an
emergency
65. What does COVID-19
mean for your work?
Email?
Send email to keep everyone informed? If
yes, email the message to yourself, and
BCC your intended recipients so they won’t
see each other on the TO: line of your
email
67. What does COVID-19
mean for your work?
Text Messaging?
Communicate with your clients and patients in
unsecured text messaging already built into
your devices? If yes, think about what you
write, how it might be mis-interpreted, and
document your communications.
68. Other Tips
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
TELEHEALTH
IS NOT FOR
EVERYONE
SOCIAL MEDIA IS NOT AN ACCEPTABLE
FORUM TO BE ACKNOWLEDGING
CLIENTS OR PATIENTS IN ANY WAY.
SOCIAL IS THE OPPOSITE OF
PRIVATE…
69. Other Tips
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
THE MOST FREQUENTLY REPORTED PROBLEM
RELATED TO TELEHEALTH BY LICENSING BOARDS IS
POOR BOUNDARIES
71. Current Technology is
Probably Fine
Camera on your current device is probably fine
Stabilize device to put camera at eye level
Use biggest monitor that you can find
Get all permissions needed – website download, send
empty form via email (during COVID-19); Send via
surface mail
Have 1 person in charge of tech issues if possible
Noise canceling microphone
Lighting illuminating your face
72. What does COVID-19
mean for your work?
Video Conferencing
Backbone of telehealth
Deep evidence base
Many proven models
Mistakes made and corrected
Protocols for many areas, including
neuropsychological assessment
Often reimbursable
73. Ryan Haight Act
Limited the ability of prescribers
to prescribe over state lines
Drug Enforcement
Administration (DEA) officially
missed its deadline to submit its
plans to Congress in late 2020
New waiver as of March 2020
allows for the prescribing of
controlled substances via
telemedicine.
75. Summary
I’m not your advisor, but given the circumstance, a
reasonable way to proceed could be:
1. Consider diagnosis, risk analysis, history, living
situation, physical health and make your
determination for each person individually
2. Give your patients or client dynamic informed
consent about risks and benefits
3. Document rationale and time/day of IC
4. Help as many people as you can
77. COVID-19 Funding
Changes put into effect by the Centers for Medicare and
Medicaid Services (CMS) have been changed for
COVID-19
Telehealth services are reimbursable by Medicare,
Medicaid and in some states, the 3rd party payors.
See handouts by the Center for Medicare and Medicaid
Services (CMS)
Telephone service is now covered – but only for
Medicare
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
78. Reimbursement
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Medicare
Bill Medicare for
telehealth services the
same way you bill for an
office visit by using the
appropriate CPT® code
for the service provided.
79. Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Covered
Telehealth
Services for
PHE for the
COVID-19
pandemic
Verify your
status by
checking the
handout
under the
“Documents”
tab for this
course
83. COVID-19 CMS Funding
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
https://telehealth.org/blog/reimburs
ement-covid-19-telephone/
84. Can you bill
Medicare for
telehealth via
telephone?
Please read handouts in
the “Documents” link of
this training to
determine your specific
status. TBHI is not
responsible for how you
interpret or apply the
information provided
with this training.
Effective April 30, 2020,
behavioral professionals
can provide many typical
services by audio-only
telephone.
Audio-only phone
services may be covered
retroactive to March 1,
2020.
85. Can you bill
Medicare for
telehealth via
telephone?
Please read handouts in
the “Documents” link of
this training to
determine your specific
status. TBHI is not
responsible for how you
interpret or apply the
information provided
with this training.
Covered services include
diagnostic interviews,
psychotherapy,
psychological and
neuropsychological
evaluations, along with
other commonly billed
mental health services.
86. Can you bill
Medicare for
telehealth via
telephone?
Please read handouts in
the “Documents” link of
this training to
determine your specific
status. TBHI is not
responsible for how you
interpret or apply the
information provided
with this training.
Claims for traditional
audio-visual telehealth
services should include
modifier “95.”
CMS has not yet provided
guidance on whether a
different modifier is
needed for audio-only
phone services.
Check the TBHI Blog for
updates:
telehealth.org/blog
87. Telehealth Modifier Codes
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
“95” IS NEW
STANDARD CPT
CODE
“11” IS USED FOR
PLACE OF SERVICE
(POS)
89. Virtual
Visits &
E-visits
Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.
Variety of CPT
codes amounting to
about $14 per visit
Brief communication,
typically by
telephone or other
technology
92. Group Therapy COVID-19 Billing
Two Medicare code sets for telehealth group therapies
under the emergency guidelines for COVID-19:
Group Psychotherapy by Telehealth (CPT Code
90853), which, as of March 30, 2020, was added to the
temporary emergency provision of services rules
changes for Medicare.
Health Behavior Assessment and Intervention Group
codes (96164 and 96165).
93. Copyright 1994-2020 Telebehavioral Health Institute, LLC All rights
reserved.
ACCESS HERE: https://telehealth.org/blog/telehealth-group-therapy/