CMN 548 EXAM 1 COMPREHENSIVE STUDY
GUIDE WITH SOLUTIONS
◉ Telepsychiatry Legal and Regulatory Considerations: Billing and
Reimbursement
Answer: -Reimbursement varies by state and insurance provider.•
Currently, 48 states provide Medicaid reimbursement for
telepsychiatry services.-pt made aware of any and all financial
charges that may arise from the services prior to the
commencement of initial services
◉ Best practices for determining the appropriateness of
telepsychiatry services include consideration of the following:
Answer: -cognitive capacity of the client-client history and medical
status -geographic distance to emergency facilities -client support
system
◉ Best practices related to special populations: Forensic and
Correctional
Answer: -follow applicable standards of consent in terms of client's
legal status and rights -develop clear, site-specific protocols
◉ Telemental health Children and Adolescents: environment
,Answer: should facilitate the assessment by providing an adequate
room size, furniture arrangement, toys, and activities that allow the
youth to engage with the accompanying parent, presenter, and
provider and demonstrate age-appropriate skills
◉ best practices related to special populations: Children and
Adolescents
Answer: follow the same guidelines presented for adults•modify
care based on developmental status (motor functioning, speech and
language capabilities, relatedness, and relevant regulatory issues)-
include family as appropriate-Providers should consider how the
presenter's involvement can affect service delivery -Appropriateness
for telemental care shall consider safety of the youth, the availability
of supportive adults, the mental health status of those adults, and
ability of the site to respond to any urgent or emergent situations.
◉ Best practices related to special populations: Geriatric
Answer: -include family as clinically appropriate-adapt care for
cognitive or sensory impairment
◉ best practices related to special populations: Military and Veteran
Answer: -be familiar with federal and organizational structures and
guidelines -be familiar with military cultural competence
, ◉ best practices related to special populations: Substance Use
Disorder Treatment
Answer: comply with federal, state, and local regulations related to
prescribing controlled substances
-coordinate with on-site staff as appropriate to ensure care
coordination and monitoring
◉ best practices related to special populations: Inpatient and
Residential Settings
Answer: -participate in administration and organizational meetings
as appropriate -optimize use of site-staff for consultation and care
coordination
◉ best practices related to special populations: Primary Care
Answer: leverage telepsychiatry to support integrated care
◉ best practices related to special populations: Rural
Answer: be aware of impact of rural environments in relation to
firearm ownership, kinship, and geographic barriers to care
◉ Typically, the standard operating procedures (SOP) addresses:
Answer: roles, responsibilities, licensing, client identification, and
systematic quality improvement. -backup plan to address technical
difficulties is frequently included
GUIDE WITH SOLUTIONS
◉ Telepsychiatry Legal and Regulatory Considerations: Billing and
Reimbursement
Answer: -Reimbursement varies by state and insurance provider.•
Currently, 48 states provide Medicaid reimbursement for
telepsychiatry services.-pt made aware of any and all financial
charges that may arise from the services prior to the
commencement of initial services
◉ Best practices for determining the appropriateness of
telepsychiatry services include consideration of the following:
Answer: -cognitive capacity of the client-client history and medical
status -geographic distance to emergency facilities -client support
system
◉ Best practices related to special populations: Forensic and
Correctional
Answer: -follow applicable standards of consent in terms of client's
legal status and rights -develop clear, site-specific protocols
◉ Telemental health Children and Adolescents: environment
,Answer: should facilitate the assessment by providing an adequate
room size, furniture arrangement, toys, and activities that allow the
youth to engage with the accompanying parent, presenter, and
provider and demonstrate age-appropriate skills
◉ best practices related to special populations: Children and
Adolescents
Answer: follow the same guidelines presented for adults•modify
care based on developmental status (motor functioning, speech and
language capabilities, relatedness, and relevant regulatory issues)-
include family as appropriate-Providers should consider how the
presenter's involvement can affect service delivery -Appropriateness
for telemental care shall consider safety of the youth, the availability
of supportive adults, the mental health status of those adults, and
ability of the site to respond to any urgent or emergent situations.
◉ Best practices related to special populations: Geriatric
Answer: -include family as clinically appropriate-adapt care for
cognitive or sensory impairment
◉ best practices related to special populations: Military and Veteran
Answer: -be familiar with federal and organizational structures and
guidelines -be familiar with military cultural competence
, ◉ best practices related to special populations: Substance Use
Disorder Treatment
Answer: comply with federal, state, and local regulations related to
prescribing controlled substances
-coordinate with on-site staff as appropriate to ensure care
coordination and monitoring
◉ best practices related to special populations: Inpatient and
Residential Settings
Answer: -participate in administration and organizational meetings
as appropriate -optimize use of site-staff for consultation and care
coordination
◉ best practices related to special populations: Primary Care
Answer: leverage telepsychiatry to support integrated care
◉ best practices related to special populations: Rural
Answer: be aware of impact of rural environments in relation to
firearm ownership, kinship, and geographic barriers to care
◉ Typically, the standard operating procedures (SOP) addresses:
Answer: roles, responsibilities, licensing, client identification, and
systematic quality improvement. -backup plan to address technical
difficulties is frequently included
