n554 exam 1 WITH CORRECT ANSWERS
Telehealth is... - CORRECT ANSWERS ✔✔the use of electronic information and
telecommunication technologies to support and promote long-distance clinical
health care
Telehealth can be (methods) - CORRECT ANSWERS ✔✔•Real-time two-way
communication via telephone, internet, or television
•Asynchronous communication that is stored using technology, and then forwarded
to a health care provider at a later time
Paying for Telehealth - CORRECT ANSWERS ✔✔Medicare (federal) reimbursement
for telehealth service has increased since the ACA
As of January 2016, NYS has increased reimbursement for telehealth services
through Medicaid (state) and commercial health insurance
•Applies to Medicare B - which is NOT free or automatic at age 65. Premiums are
required.
•Patient pays 20% (c0-insurance) of Medicare approved services. Part B Deductibles
apply as well. Similar to covered in-office visits.
•Certain telehealth Psychotherapy, Occupational and Physical Therapy services are
covered.
•Substance use and co-occurring mental health disorders are covered.
•Virtual check-ins and e-visits are covered.
,telehealth consent requirements - CORRECT ANSWERS ✔✔•Medicaid members
must provide consent to participating in services utilizing telehealth.
•Telehealth sessions/services shall not be recorded without the member's consent.
•Culturally competent translation and/or interpretation services must be provided
when the member and distant practitioner do not speak the same language.
•If the member is receiving ongoing treatment via telehealth, the member must be
informed of the following patient rights policies at the initial encounter.
•Documentation in the medical record must reflect that the member was made aware
of patient rights policies.
forms of telehealth covered vs not - CORRECT ANSWERS ✔✔Real-time and
asynchronous telehealth remote monitoring from the patient's home are included
Telephone, electronic messaging, and facsimile transmissions are not reimbursed
historic examples of telehealth - CORRECT ANSWERS ✔✔•Post WWII era: in 1948,
radiological images were transmitted by phone line nearly 25 miles to Philadelphia
•University of Nebraska employed the use of two-way television in its education of
medical students by transmitting clinician neurological exams to the students
•In 1963, clinicians at Massachusetts General Hospital communicated with nurses
stationed at the Logan Airport in Boston.
•Starting in 1965, ships transmitted electrocardiograms and x-rays to clinicians on
shore
In 1967, fire departments in the City of Miami transmitted electrocardiogram results
to the University of Miami Hospital
•1973-1977: first large-scale inter-agency uses of telemedicine was the Space
Technology Applied to Rural Papago Advanced Health Care (STARPAHC). Project
,considered unsuccessful because the model of health care delivery was not widely
adopted at this time in history. •Positive: it demonstrated that telemedicine can
deliver "feasibility of remote consultation,...clinical effectiveness...and education"
COVID lead to a __ in use of telehealth - CORRECT ANSWERS ✔✔rise
rise of telemedicine in role of fighting the virus
who utilizes telehealth - CORRECT ANSWERS ✔✔•Physicians and Specialists
•Nurse Practitioners and Physician Assistants
•Nurse Midwives
•Clinical Psychologists
•Licensed Clinical Social Workers
•Registered Dieticians
•Nutritional Specialist
•Registered Nurses
where can telehealth occur - CORRECT ANSWERS ✔✔•Offices
•Schools
•Emergency Departments
•Home Care Agencies
•Senior Centers
•Patient's Home
, state level Medicaid covered telehealth - covered originating sites - CORRECT
ANSWERS ✔✔•Licensed health facilities in Articles 28 (hospitals) and 40 (hospice);
•A facility as defined in Section 1.03, subdivision six of the Mental Hygiene Law;
•Certified and non-certified day and residential programs funded or operated by the
office for people with developmental disabilities.
•Private physician's or dentist's offices located in New York;
•Public, private and charter elementary and secondary schools, school age childcare
programs and child day care centers within the state of New York;
•Adult care facility licensed under title two of article seven of the social services law;
•Public, private and charter elementary and secondary schools, school age child care
programs and child day care centers;
•The patient's place of residence located within the state of New York or other
temporary location located within or outside the state of New York.
Telehealth has been successful in improving various indicators of health and
wellness - CORRECT ANSWERS ✔✔•Reduced hospitalizations, readmissions and
emergency department visits
•Lowered hospital length of stay
•Improved quality of life, patient control, and patient satisfaction
•Improved patient sense of empowerment and self-management
•Improved functional status
•Cost savings
•Greater connection and access to care geographically
•Decreased depression
Organizational MUSTS for your Telehealth Visit - CORRECT ANSWERS ✔✔•Is it an
appropriate visit for telehealth? Confirm reason for visit.
Telehealth is... - CORRECT ANSWERS ✔✔the use of electronic information and
telecommunication technologies to support and promote long-distance clinical
health care
Telehealth can be (methods) - CORRECT ANSWERS ✔✔•Real-time two-way
communication via telephone, internet, or television
•Asynchronous communication that is stored using technology, and then forwarded
to a health care provider at a later time
Paying for Telehealth - CORRECT ANSWERS ✔✔Medicare (federal) reimbursement
for telehealth service has increased since the ACA
As of January 2016, NYS has increased reimbursement for telehealth services
through Medicaid (state) and commercial health insurance
•Applies to Medicare B - which is NOT free or automatic at age 65. Premiums are
required.
•Patient pays 20% (c0-insurance) of Medicare approved services. Part B Deductibles
apply as well. Similar to covered in-office visits.
•Certain telehealth Psychotherapy, Occupational and Physical Therapy services are
covered.
•Substance use and co-occurring mental health disorders are covered.
•Virtual check-ins and e-visits are covered.
,telehealth consent requirements - CORRECT ANSWERS ✔✔•Medicaid members
must provide consent to participating in services utilizing telehealth.
•Telehealth sessions/services shall not be recorded without the member's consent.
•Culturally competent translation and/or interpretation services must be provided
when the member and distant practitioner do not speak the same language.
•If the member is receiving ongoing treatment via telehealth, the member must be
informed of the following patient rights policies at the initial encounter.
•Documentation in the medical record must reflect that the member was made aware
of patient rights policies.
forms of telehealth covered vs not - CORRECT ANSWERS ✔✔Real-time and
asynchronous telehealth remote monitoring from the patient's home are included
Telephone, electronic messaging, and facsimile transmissions are not reimbursed
historic examples of telehealth - CORRECT ANSWERS ✔✔•Post WWII era: in 1948,
radiological images were transmitted by phone line nearly 25 miles to Philadelphia
•University of Nebraska employed the use of two-way television in its education of
medical students by transmitting clinician neurological exams to the students
•In 1963, clinicians at Massachusetts General Hospital communicated with nurses
stationed at the Logan Airport in Boston.
•Starting in 1965, ships transmitted electrocardiograms and x-rays to clinicians on
shore
In 1967, fire departments in the City of Miami transmitted electrocardiogram results
to the University of Miami Hospital
•1973-1977: first large-scale inter-agency uses of telemedicine was the Space
Technology Applied to Rural Papago Advanced Health Care (STARPAHC). Project
,considered unsuccessful because the model of health care delivery was not widely
adopted at this time in history. •Positive: it demonstrated that telemedicine can
deliver "feasibility of remote consultation,...clinical effectiveness...and education"
COVID lead to a __ in use of telehealth - CORRECT ANSWERS ✔✔rise
rise of telemedicine in role of fighting the virus
who utilizes telehealth - CORRECT ANSWERS ✔✔•Physicians and Specialists
•Nurse Practitioners and Physician Assistants
•Nurse Midwives
•Clinical Psychologists
•Licensed Clinical Social Workers
•Registered Dieticians
•Nutritional Specialist
•Registered Nurses
where can telehealth occur - CORRECT ANSWERS ✔✔•Offices
•Schools
•Emergency Departments
•Home Care Agencies
•Senior Centers
•Patient's Home
, state level Medicaid covered telehealth - covered originating sites - CORRECT
ANSWERS ✔✔•Licensed health facilities in Articles 28 (hospitals) and 40 (hospice);
•A facility as defined in Section 1.03, subdivision six of the Mental Hygiene Law;
•Certified and non-certified day and residential programs funded or operated by the
office for people with developmental disabilities.
•Private physician's or dentist's offices located in New York;
•Public, private and charter elementary and secondary schools, school age childcare
programs and child day care centers within the state of New York;
•Adult care facility licensed under title two of article seven of the social services law;
•Public, private and charter elementary and secondary schools, school age child care
programs and child day care centers;
•The patient's place of residence located within the state of New York or other
temporary location located within or outside the state of New York.
Telehealth has been successful in improving various indicators of health and
wellness - CORRECT ANSWERS ✔✔•Reduced hospitalizations, readmissions and
emergency department visits
•Lowered hospital length of stay
•Improved quality of life, patient control, and patient satisfaction
•Improved patient sense of empowerment and self-management
•Improved functional status
•Cost savings
•Greater connection and access to care geographically
•Decreased depression
Organizational MUSTS for your Telehealth Visit - CORRECT ANSWERS ✔✔•Is it an
appropriate visit for telehealth? Confirm reason for visit.
