N554 EXAM 1 QUESTIONS AND ANSWERS | N554 EXAM 1 STUDY
GUIDE & PRACTICE TEST 2026/2027
Telehealth is... - ANS ✔✔the use of electronic information and telecommunication technologies to
support and promote long-distance clinical health care
Telehealth can be (methods) - ANS ✔✔•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 - ANS ✔✔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 - ANS ✔✔•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 - ANS ✔✔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 - ANS ✔✔•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 - ANS ✔✔rise
rise of telemedicine in role of fighting the virus
who utilizes telehealth - ANS ✔✔•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 - ANS ✔✔•Offices
•Schools
•Emergency Departments
•Home Care Agencies
•Senior Centers
•Patient's Home
state level Medicaid covered telehealth - covered originating sites - ANS ✔✔•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 - ANS
✔✔•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 - ANS ✔✔•Is it an appropriate visit for telehealth?
Confirm reason for visit.
•Equipment works for both provider and patient. Is there a secure platform and connection? No
recording.
•You have obtained consent for visit and for anyone else present at the visit.
•Confirm the patient's identity. Identify all who are present and confirm their respective roles.
•Obtain physical location (address) of patient and an emergency contact (name and phone). Assess
patient's environment for safety.
•Obtain pharmacy information and any other provider involved in patient's care.
•Describe to patient information for format and timeframe of visit
Telehealth Etiquette - ANS ✔✔•Eye contact
•Professional attire
•Well lit, reduce background noise, professional looking background
•If using peripheral tools for examination, provide clear directions to patient, family, or other provider.
•Provide needed specific health information (verbally and written)
•Establish follow-up needs.
additional documentation for telehealth - ANS ✔✔•Confirm security of equipment and connection.
•Document patient participation and consent.
•Confirm patient's chief complaint suitable for telehealth.
•Confirm identity, age, gender, and source of information (no real names).
•Identify names and roles of all participants with patient consent for their presence.
•Patient's physical location (address) and emergency contact (name and phone), pharmacy and other
provider.
•Confirm safety of patient's environment.
•Document the format of the patient education that you provided (written via email, text, FAX)
•(Use correct CPT and billing codes)
telehealth - ANS ✔✔HRSA defines telehealth as the use of electronic information and
telecommunications technologies to support and promote long-distance clinical health care, patient and
professional health-related education, public health and health administration. Technologies include
videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and
wireless communications.
In short, it is the use of technology to support health of individuals and communities in just about any
setting, real or virtual, synchronous or asynchronously.
Tele(medicine) defined by the World Health Organization - ANS ✔✔The delivery of health care services,
where distance is a critical factor, by all health care professionals using information and communication
technologies for the exchange of valid information for diagnosis, treatment and prevention of disease
and injuries, research and evaluation, and for the continuing education of health care providers, all in the
interests of advancing the health of individuals and their communities
, mHealth or mobile health - ANS ✔✔medical and public health practice supported by mobile devices,
such as mobile phones, patient monitoring devices, personal digital assistants (PDAs), and other wireless
devices
mHealth in telehealth that is mobile and wireless. Most health care providers use mHealth to some
extent for self-care, education/information resources to support clinical practice, or to connect with
clients at a distance
Telenursing - ANS ✔✔is the use of information and communication technology to transmit data relevant
to any aspect of nursing activity, encompassing many activities, such as triage, teleconsultations, home
care, education, and research
telehealth technology - ANS ✔✔■Video Conferencing (with or without diagnostic equipment) -
synchronous
■Store & Forward - asynchronous
■Remote Monitoring
■mHealth Applications
They can be used separately or in multiple combinations depending on the needs of the clients and
populations being served by a clinical practice
video conferencing - ANS ✔✔Video conferencing is simple to explain- providers and clients link together
in a secure video conferencing program in a synchronous way to discuss and enact plans of care. Video
conferencing allows both the provider and the client to see and hear one another in real-time. The video
conference may be augmented with the use of diagnostic equipment, which is discussed later in the
presentation.
store and forward uses - ANS ✔✔In store-and-forward telehealth, data (such as digital photographs) are
captured locally, then temporarily stored (cached) for transfer at a later time, either via a secure web
server, encrypted e-mail, specially-designed store-and-forward software, or electronic health record
ex: radiology readings and consults, dermatology consults, wound care assessments, or electronic health
record communications.
remote monitoring applications - ANS ✔✔Devices used to remotely collect and send data to a home
health agency or a remote diagnostic testing facility for interpretation
Equipment such as holter monitoring, pacemaker tracking, vital signs, weights, blood sugars, and home
safety security monitoring can all be done remotely.
Abnormalities can help nurses triage patient issues and problems more quickly.
Common diagnoses that be can remotely monitored are hearth failure and diabetes.
mHealth applications - ANS ✔✔■Text messaging reminders
■Self-help applications
■Just-in-time applications
■Mobile access to electronic health record information
■Geo-sensing technologies
GUIDE & PRACTICE TEST 2026/2027
Telehealth is... - ANS ✔✔the use of electronic information and telecommunication technologies to
support and promote long-distance clinical health care
Telehealth can be (methods) - ANS ✔✔•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 - ANS ✔✔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 - ANS ✔✔•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 - ANS ✔✔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 - ANS ✔✔•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 - ANS ✔✔rise
rise of telemedicine in role of fighting the virus
who utilizes telehealth - ANS ✔✔•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 - ANS ✔✔•Offices
•Schools
•Emergency Departments
•Home Care Agencies
•Senior Centers
•Patient's Home
state level Medicaid covered telehealth - covered originating sites - ANS ✔✔•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 - ANS
✔✔•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 - ANS ✔✔•Is it an appropriate visit for telehealth?
Confirm reason for visit.
•Equipment works for both provider and patient. Is there a secure platform and connection? No
recording.
•You have obtained consent for visit and for anyone else present at the visit.
•Confirm the patient's identity. Identify all who are present and confirm their respective roles.
•Obtain physical location (address) of patient and an emergency contact (name and phone). Assess
patient's environment for safety.
•Obtain pharmacy information and any other provider involved in patient's care.
•Describe to patient information for format and timeframe of visit
Telehealth Etiquette - ANS ✔✔•Eye contact
•Professional attire
•Well lit, reduce background noise, professional looking background
•If using peripheral tools for examination, provide clear directions to patient, family, or other provider.
•Provide needed specific health information (verbally and written)
•Establish follow-up needs.
additional documentation for telehealth - ANS ✔✔•Confirm security of equipment and connection.
•Document patient participation and consent.
•Confirm patient's chief complaint suitable for telehealth.
•Confirm identity, age, gender, and source of information (no real names).
•Identify names and roles of all participants with patient consent for their presence.
•Patient's physical location (address) and emergency contact (name and phone), pharmacy and other
provider.
•Confirm safety of patient's environment.
•Document the format of the patient education that you provided (written via email, text, FAX)
•(Use correct CPT and billing codes)
telehealth - ANS ✔✔HRSA defines telehealth as the use of electronic information and
telecommunications technologies to support and promote long-distance clinical health care, patient and
professional health-related education, public health and health administration. Technologies include
videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and
wireless communications.
In short, it is the use of technology to support health of individuals and communities in just about any
setting, real or virtual, synchronous or asynchronously.
Tele(medicine) defined by the World Health Organization - ANS ✔✔The delivery of health care services,
where distance is a critical factor, by all health care professionals using information and communication
technologies for the exchange of valid information for diagnosis, treatment and prevention of disease
and injuries, research and evaluation, and for the continuing education of health care providers, all in the
interests of advancing the health of individuals and their communities
, mHealth or mobile health - ANS ✔✔medical and public health practice supported by mobile devices,
such as mobile phones, patient monitoring devices, personal digital assistants (PDAs), and other wireless
devices
mHealth in telehealth that is mobile and wireless. Most health care providers use mHealth to some
extent for self-care, education/information resources to support clinical practice, or to connect with
clients at a distance
Telenursing - ANS ✔✔is the use of information and communication technology to transmit data relevant
to any aspect of nursing activity, encompassing many activities, such as triage, teleconsultations, home
care, education, and research
telehealth technology - ANS ✔✔■Video Conferencing (with or without diagnostic equipment) -
synchronous
■Store & Forward - asynchronous
■Remote Monitoring
■mHealth Applications
They can be used separately or in multiple combinations depending on the needs of the clients and
populations being served by a clinical practice
video conferencing - ANS ✔✔Video conferencing is simple to explain- providers and clients link together
in a secure video conferencing program in a synchronous way to discuss and enact plans of care. Video
conferencing allows both the provider and the client to see and hear one another in real-time. The video
conference may be augmented with the use of diagnostic equipment, which is discussed later in the
presentation.
store and forward uses - ANS ✔✔In store-and-forward telehealth, data (such as digital photographs) are
captured locally, then temporarily stored (cached) for transfer at a later time, either via a secure web
server, encrypted e-mail, specially-designed store-and-forward software, or electronic health record
ex: radiology readings and consults, dermatology consults, wound care assessments, or electronic health
record communications.
remote monitoring applications - ANS ✔✔Devices used to remotely collect and send data to a home
health agency or a remote diagnostic testing facility for interpretation
Equipment such as holter monitoring, pacemaker tracking, vital signs, weights, blood sugars, and home
safety security monitoring can all be done remotely.
Abnormalities can help nurses triage patient issues and problems more quickly.
Common diagnoses that be can remotely monitored are hearth failure and diabetes.
mHealth applications - ANS ✔✔■Text messaging reminders
■Self-help applications
■Just-in-time applications
■Mobile access to electronic health record information
■Geo-sensing technologies
