NR 548 Psychiatric Assessment for Psychiatric-
Mental Health Nurse Practitioner
Final Exam Week 7-8
1. In2018,theAmericanPsychiatricAssociation(APA),inconjunctionwiththe
American Telemedicine Association (ATA) developed
::Ans- best practices for pro- vidingvideoconferencing-basedtelepsychiatriccare-
guidelinesinformthetechnicalconsiderations and administrative requirements needed
to provide these services
2. bestpracticesforprovidingvideoconferencing-basedtelepsychiatriccare:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be
conductedusingalternateplatforms;however,analternateplan,suchasatelephonecall,
maybe used in case of technology failure.
,-Provisions for theverification of confidential andsecure client information.-Suffi-cient
bandwidth to provide clear, appropriate video and audio quality.
-DevicecompliancewithHealthInsurancePortabilityandAccountabilityActof1996
(HIPAA) and state requirements.
3. During telepsychiatrysessions,both the providerand clientlocations
should be treated as a:::Ans- Confidential space
4. During telepsychiatry sessions, provisions must be taken to ensure
::Ans- -the discussioncannotbeoverheardbyother-adequatelightingandambianceis
provid-edthat is appropriatetothesession-placethecamerasothat theeyes andfaceof
the participants are visible
5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- -
Malpracticeinsurance-Licensurerequirements-Federalandstateprescribing
guidelines
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur-
, ance:::Ans- Malpractice insurance is required and some policies requireadditional
policies for telehealth.
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require-
ments:::Ans- Licensurerequirements differfrom in-personpractice.-Providers must
holdalicensetopracticeinthestatewheretheclientresides.-ThePMHNPisresponsible
for following standards for the state in which they are practicing.
8. TelepsychiatryLegalandRegulatoryConsiderations:Federalandstatepre-
scribing guidelines:::Ans- Federal and stateprescribingguidelines differ for
telepsychiatry.-TheRyanHaight OnlinePharmacy ConsumerProtectionAct of 2008
governsthe prescribing of controlled substances via teleconferencing.• To safely
prescribe,the provider must conduct an in-person medical evaluation at least once
every 24 months and comply with all federal and state prescribing guidelines.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim-
bursement: -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
Mental Health Nurse Practitioner
Final Exam Week 7-8
1. In2018,theAmericanPsychiatricAssociation(APA),inconjunctionwiththe
American Telemedicine Association (ATA) developed
::Ans- best practices for pro- vidingvideoconferencing-basedtelepsychiatriccare-
guidelinesinformthetechnicalconsiderations and administrative requirements needed
to provide these services
2. bestpracticesforprovidingvideoconferencing-basedtelepsychiatriccare:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be
conductedusingalternateplatforms;however,analternateplan,suchasatelephonecall,
maybe used in case of technology failure.
,-Provisions for theverification of confidential andsecure client information.-Suffi-cient
bandwidth to provide clear, appropriate video and audio quality.
-DevicecompliancewithHealthInsurancePortabilityandAccountabilityActof1996
(HIPAA) and state requirements.
3. During telepsychiatrysessions,both the providerand clientlocations
should be treated as a:::Ans- Confidential space
4. During telepsychiatry sessions, provisions must be taken to ensure
::Ans- -the discussioncannotbeoverheardbyother-adequatelightingandambianceis
provid-edthat is appropriatetothesession-placethecamerasothat theeyes andfaceof
the participants are visible
5. Telepsychiatry Legal and Regulatory Considerations: Best practices: ::Ans- -
Malpracticeinsurance-Licensurerequirements-Federalandstateprescribing
guidelines
-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur-
, ance:::Ans- Malpractice insurance is required and some policies requireadditional
policies for telehealth.
7. Telepsychiatry Legal and Regulatory Considerations: Licensure require-
ments:::Ans- Licensurerequirements differfrom in-personpractice.-Providers must
holdalicensetopracticeinthestatewheretheclientresides.-ThePMHNPisresponsible
for following standards for the state in which they are practicing.
8. TelepsychiatryLegalandRegulatoryConsiderations:Federalandstatepre-
scribing guidelines:::Ans- Federal and stateprescribingguidelines differ for
telepsychiatry.-TheRyanHaight OnlinePharmacy ConsumerProtectionAct of 2008
governsthe prescribing of controlled substances via teleconferencing.• To safely
prescribe,the provider must conduct an in-person medical evaluation at least once
every 24 months and comply with all federal and state prescribing guidelines.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim-
bursement: -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
