TelePsychiatry News & Information


Telehealth used to reduce treatment delays PDF Print E-mail

This chart created by David Lloyd shows the harm caused by delaying appointments to see the Doctor.  Cancellations and No-shows increase by 10% for every seven days delay. 

Secure Telehealth suggests using telehealth as a service delivery method to reduce delays.David_Lloyd_Chart

Last Updated on Saturday, 22 January 2011 10:33
 
Medicare 2011 Telehealth reimbursement changes PDF Print E-mail

Medicare will pay for more telehealth in 2011

 

The Centers for Medicare and Medicaid Services (CMS) finalized all of their proposed telehealth code additions that were originally published in June 2010.   These changes will go into effect January 1, 2011.
 
CMS finalized their proposals to add the following requested services to the list of Medicare telehealth services for CY 2011:
Individual and group kidney disease education (KDE) services (HCPCS codes G0420 and G0421, respectively);
Individual and group diabetes self-management training (DSMT) services, with a minimum of 1 hour of in-person instruction to be furnished in the year following the initial DSMT service to ensure effective injection training (HCPCS codes G0108 and G0109, respectively);
Group medical nutrition therapy (MNT) and health and behavior assessment and intervention (HBAI) services (CPT codes 97804, and 96153 and 96154, respectively);
Subsequent hospital care services, with the limitation for the patient's admitting practitioner of one telehealth visit every 3 days (CPT codes 99231, 99232, and 99233); and
Subsequent nursing facility care services, with the limitation for the patient's admitting practitioner of one telehealth visit every 30 days (CPT codes 99307, 99308, 99309, and 99310).
 Furthermore, CMS is revising §410.78(b) and §414.65(a)(1) accordingly. Specifically, the agency is adding individual and group KDE services, individual and group DSMT services, group MNT services, group HBAI services, and subsequent hospital care and nursing facility care services to the list of telehealth services for which payment will be made at the applicable PFS payment amount for the service of the practitioner. In addition, CMS reordered the listing of services in these two sections and removed "initial and follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals and SNFs" in §410.78(b) because these are described by the more general term "professional consultations" that is in the same section. Finally, CMS is continuing to specify that the physician visits required under §483.40(c) may not be furnished as telehealth services.
 
The telehealth originating site facility fee was raised to $24.10.
 
The full final rulemaking is available at http://www.ofr.gov/OFRUpload/OFRData/2010-27969_PI.pdf with the major telehealth section from pages 486 to 526.  There are other provisions addressing more specific forms of telehealth, such as cardiac event monitoring. 
 
This final rule is scheduled to be printed in Federal Register on November 29, 2010.

Last Updated on Friday, 17 December 2010 09:39
 
Proposed Medicare Telehealth Additions PDF Print E-mail

CMS has proposed the following (8) additions to the list of approved procedures delivered via telehealth for 2011.

(1) Individual kidney disease education (KDE) services;

(2) individual diabetes self-management training (DSMT) services;

(3) group KDE, DSMT, MNT, and HBAI services;

(4) initial, subsequent, and discharge day management hospital care services;

(5) initial, subsequent, and other nursing facility care services;

(6) neuropsychological testing services;

(7) speech-language pathology services; and

(8) home wound care services.

 

CMS is proposing to add the following requested services to the list of Medicare telehealth services for CY 2011:

• Individual and group KDE services (HCPCS codes G0420 and G0421, respectively);

• Individual and group DSMT services, with a minimum of 1 hour of in-person instruction to be furnished in the year following the initial DSMT service to ensure effective injection training (HCPCS codes G0108 and G0109, respectively);

• Group MNT and HBAI services (CPT codes 97804, and 96153 and 96154, respectively);

• Subsequent hospital care services, with the limitation for the patient’s admitting practitioner of one telehealth visit every 3 days (CPT codes 99231, 99232, and 99233); and

• Subsequent nursing facility care services, with the limitation for the patient’s admitting practitioner of one telehealth visit every 30 days (CPT codes 99307, 99308, 99309, and 99310).

Specifically, CMS is proposing to add individual and group KDE services, individual and group DSMT services, group MNT services, group HBAI services, and subsequent hospital care and nursing facility care services to the list of telehealth services for which payment will be made at the applicable PFS payment amount for the service of the practitioner. In addition, we have reordered the listing of services in these two sections and removed ‘‘initial and follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals and SNFs’’ in § 410.78(b) because these are described by the more general term ‘‘professional consultations’’ that is in the same section. Finally, CMS is continuing to specify that the physician visits required under § 483.40(c) may not be furnished as telehealth services.

 
Secure Telehealth vs Skype PDF Print E-mail

skypeHere is a good article by Troy Heidesch which explains why Skype security is not up to tele-mental health standards.

 

Here are the differences between Secure Telehealth and Skype:

1. Secure Telehealth quality is better (larger, clearer full-screen video image with less latency + better audio)
2. Secure Telehealth security is significantly better (better encryption, no bouncing our signal off unknown supernodes).
3. Secure Telehealth allows more than two participants.  We routinely use this feature to provide training and support.  The best training and support are provided when we can meet collectively in a video conference with both endpoints present with us.   Note:  many Secure Telehealth clients use our multi-party call feature for clinical and/or administrative meetings, such as for ACT team meetings.
4. Secure Telehealth has option to move our service into your private network if/when you grow into this option.  Skype cannot do this.
5. Functionality - with Secure Telehealth, you can securely share powerpoints, your desktop, documents, videos, etc. with all participants.   Skype cannot do this.
 

Secure Telehealth includes unlimited user support and training for all endpoints in our price (inside and outside your organization).  If physicians outside of your organization have problems or questions, they may contact us directly for prompt resolution.   With Skype you are on your own.
 

Last Updated on Wednesday, 30 November 2011 09:21
 
US Psychiatric and Mental Health Congress PDF Print E-mail

We'll be in Orlando on November 18-21, presenting at the US Psychiatric and Mental Health Congress.

uspc10_header

 

Will you be there?

For more information, click here:   http://www.cmellc.com/psychcongress/index.html

 

Last Updated on Sunday, 29 August 2010 15:03
 
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