Planning for Telepsychiatry PDF Print E-mail

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Psychiatrists use their PC's and web cams to provide highly effective assessments, therapy, and med checks with their clients via an online video conferencing service from Secure Telehealth.  Physicians may present from any location, including their professional offices or their homes. Physicians who travel less are more productive!

Physicians who purchase Secure Telehealth meeting rooms ($300/month) may securely connect to clients at any number of facilities at multiple organizations through the Internet cloud. Quality is excellent (HD resolution at 30 frames per second). Security is excellent (AES encryption end-to-end). The service is HIPAA-compliant, and Secure Telehealth signs a HIPAA Business Associate Agreement with its customers.

Licensure

As of June, 2013, 9 states (AL, LA MD, MT, NV NM OH TN TX) allow physicians to apply for telemedicine licenses or certificates.   Click here to see a summary from The Federation of State Medical Boards.

You must possess a license to practice in the other 41 states.

 

Two Monitors

Psychiatrists use two monitors for telepsychiatry.  One monitor shows the video full-screen.  The other monitor shows the EMR software full-screen so patient notes can be typed in real-time.

EMR Software

Secure Telehealth does not provide any integration with EMR software.   Secure Telehealth just provides the video conferencing and does not collect any patient information or pass any information to the EMR.  Secure Telehealth works along side your EMR software.  If you have no EMR software, check out Practice Fusion.  It is free.

E-Prescribing Controlled Substances

The Drug Enforcement Administration (DEA) Office of Diversion Control released an interim final rule on March 31, 2010 that provides physicians with the option of writing prescriptions for controlled substances electronically. However, there has been some confusion about whether or not these regulations which took effect on June 1, 2010 have given physicians full authority to e-prescribe Schedule II through IV drugs. To view the interim final rule, please visit DEA's web page here.

Q: If the rule provides me with the option of e-prescribing electronically, then where does the confusion lie?
A: Although regulations have given physicians permission, the problem remains that a physician’s e-prescribing software must first be certified to meet DEA requirements. Make sure to ask your software vendor for documentation that confirms that your product has been certified to meet the DEA’s requirements for prescribing controlled substances. Not only must the software be certified, but the pharmacies that wish to receive and process these prescriptions must be signed up to participate with one of the major e-prescribing exchanges such as Surescripts or RxHub as well.
 
Q: When will my software become certified?
A: Part of the problem has been that the focus as of late for software vendors has been to meet “meaningful use” requirements so that “eligible providers” are able to receive incentive payments beginning in 2011. That being said, e-prescribing software certification was pushed aside and has taken longer than desired. Speculation has it that certification will begin by late summer 2011.

Practice Fusion (free practice management/EMR software) uses Surescripts for their e-Prescribing module.  Practice Fusion stated here that they will alert all users as soon as sending prescriptions for schedule II, III, IV and V drugs is available.

Factors affecting quality

Secure Telehealth quality is excellent.  Click here for a 20-second look at our quality.   For a better look at our quality, email This e-mail address is being protected from spambots. You need JavaScript enabled to view it for a 30-minute live demo.

Quality is affected by Internet bandwidth (we need 750kbits/second upload and download)

Quality is affected by computer speed (we need a dual-processor computer or a 2.8 GHz processor)

Quality is affected by which hardware (webcam and microphone) you use.  See our hardware recommendations here.

Insurance Reimbursement for Telepsychiatry

Medicaid - Depends on your state.  Click here then click on your state.

Medicare - Depends on the location of the beneficiary.  Medicare will only pay for telepsychiatry if the beneficiary presents from an approved facility type in a non-metro county (light green or white on the map) Click here then click on your state to see the map.  Exceptions:  

1. Medicare will pay if the beneficiary presents from a Health Professional Shortage area in a Metro county.  See http://hpsafind.hrsa.gov/
2. Medicare will pay if the beneficiary presents from a Federally Qualified Health Center (FQHC)

Private Insurance - Depends on the State and on the insurance company.

License Requirement - You must be licensed to practice in the state from which the consumer presents.

Practice Guidelines - The American Telemedicine Association publishes practice guidelines for telemental health here.

Malpractice Insurance - You must notify your carrier that you are practicing via telemedicine.

HIPAA - Live video conferencing sessions are considered protected health information (PHI) and fall under the scope of HIPAA.  Secure Telehealth meets all of the HIPAA standards for technical safeguards and will sign a HIPAA business associate agreement with you or the covered entity.  In addition, you or the covered entity must safeguard the physical surroundings of the workstation that provides access to protected health information, among other things.

 

Last Updated on Thursday, 30 June 2016 15:55