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Mental Health Nurse Practitioner
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Final Exam Week 7-8 j j j
1. In2018,theAmericanPsychiatricAssociation(APA),inconjunctionwiththe
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American Telemedicine Association (ATA) developed
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::Ans- best practices for pro- vidingvideoconferencing-basedtelepsychiatriccare-
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guidelinesinformthetechnicalconsiderations and administrative requirements needed
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j to provide these services
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2. bestpracticesforprovidingvideoconferencing-basedtelepsychiatriccare:-
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: ::Ans- -Use of a designated technology platform. Telesessions should not be
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j conductedusingalternateplatforms;however,analternateplan,suchasatelephonecall,
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maybe used in case of technology failure.
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,-Provisions for the verification of confidential and secure client information.-Suffi-cient
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bandwidth to provide clear, appropriate video and audio quality.
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-DevicecompliancewithHealthInsurancePortabilityandAccountabilityActof1996
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(HIPAA) and state requirements.
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3. During telepsychiatry sessions,both the provider and client locations
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should be treated as a:::Ans- Confidential space
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4. During telepsychiatry sessions, provisions must be taken to ensure
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::Ans- -the discussioncannotbeoverheardbyother-adequatelightingandambianceis
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provid-ed that is appropriate to the session -place the camera so that the eyes and face of
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the participants are visible
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5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- - j j j j j j j jj
Malpracticeinsurance-Licensurerequirements-Federalandstateprescribing
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guidelines
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-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur- j j j j j j
, j ance:::Ans- Malpractice insurance is required and some policies require additional
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jpolicies for telehealth. j j
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require- j j j j j j
j ments:::Ans- Licensure requirements differ from in-person practice.-Providers must
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holdalicensetopracticeinthestatewheretheclientresides.-ThePMHNPisresponsible
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for following standards for the state in which they are practicing.
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8. TelepsychiatryLegalandRegulatoryConsiderations:Federalandstatepre- j j j j j j j j
scribing guidelines:::Ans- Federal and state prescribing guidelines differ for
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jtelepsychiatry.-The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 j j j j j j j j j
governsthe prescribing of controlled substances via teleconferencing.• To safely
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j prescribe,the provider must conduct an in-person medical evaluation at least once
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j every 24 months and comply with all federal and state prescribing guidelines.
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9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim- j j j j j j j
j bursement: -Reimbursement varies by state and insurance provider.• Currently, 48
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j states provide Medicaid reimbursement for telepsychiatry services.-pt made aware of
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jany and all financial charges that may arise from the services prior to the
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