Mental Health Nurse Practitioner
Final Exam Week 7-8
1. In 2018, the American Psychiatric Association (APA), in conjunction with the
American Telemedicine Association (ATA) developed
::Ans- best practices for pro- viding videoconferencing-based telepsychiatric care-
guidelines inform the technicalconsiderations and administrative requirements
needed to provide these services
2. best practices for providing videoconferencing-based telepsychiatric care:-
: ::Ans- -Use of a designated technology platform. Telesessions should not be
conductedusing alternate platforms; however, an alternate plan, such as a
telephone call, maybe used in case of technology failure.
-Provisions for the verification of confidential and secure client information. -Suffi-
cient bandwidth to provide clear, appropriate video and audio quality.
-Device compliance with Health Insurance Portability and Accountability Act of 1996
,(HIPAA) and state requirements.
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3. During telepsychiatry sessions, both the provider and client
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locationsshould 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 discussion cannot be overheard by other-adequate lighting and
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ambiance is provid-ed that is appropriate to the session -place the camera so that
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the eyes and face ofthe participants are visible
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5. Telepsychiatry Legal and Regulatory Considerations: Best practices:
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::Ans- -Malpractice insurance-Licensure requirements-Federal and state
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prescribing guidelines
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-Reimbursement
6. Telepsychiatry Legal and Regulatory Considerations: Malpractice insur-
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ance: ::Ans- Malpractice insurance is required and some policies require
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additional policies for telehealth.
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, 7. Telepsychiatry Legal and Regulatory Considerations: Licensure require-
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C ments: ::Ans- Licensure requirements differ from in-person practice.-Providers
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C must holda license to practice in the state where the client resides.-The PMHNP is
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C responsiblefor following standards for the state in which they are practicing.
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8. Telepsychiatry Legal and Regulatory Considerations: Federal and state pre-
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scribing guidelines: ::Ans- Federal and state prescribing guidelines differ for
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C telepsychiatry.-The Ryan Haight Online Pharmacy Consumer Protection Act of
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C 2008 governsthe prescribing of controlled substances via teleconferencing.• To
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C safely prescribe,the provider must conduct an in-person medical evaluation at
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C least once every 24 months and comply with all federal and state prescribing
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C guidelines.
9. Telepsychiatry Legal and Regulatory Considerations: Billing and Reim-
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C bursement: -Reimbursement varies by state and insurance provider.• Currently,
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C 48 states provide Medicaid reimbursement for telepsychiatry services.-pt made
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C aware of any and all financial charges that may arise from the services prior to
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C thecommencement of initial services
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