Slide 1 ___________________________________

Telepsychology
Best Practice 101 MARLENE M.
MAHEU, PHD
Webinar Series EXECUTIVE
___________________________________
DIRECTOR
Getting Paid: TELEBEHAVIORAL
HEALTH INSTITUTE,
Reimbursement LLC
Strategies & Marketing
CONTACT@
___________________________________
Your Professional TELEHEALTH.ORG
Services Online 619-255-2788
Segment IV
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Slide 2 ___________________________________
Telebehavioral
Health Institute, Inc.

Start-up
Consultation &
___________________________________
Staffing

Best Practice
Professional
Training
CEs & CMEs
100% Online
___________________________________

www.Telehealth.org
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Slide 3 ___________________________________

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 4 ___________________________________
Disclaimer
GOAL: Educational only. No warranty,
guarantee, or representation is made as to
the accuracy or sufficiency of the
___________________________________
information contained in this presentation
for your specific circumstance.

YOUR PART: You are encouraged to seek

practice-specific advice from your legal,
___________________________________
regulatory, ethical and malpractice bodies
before offering any online services or
programs. Get all such opinions in writing.
Ask your informed, local, legal counsel
review written responses for their full
significance.
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 5 ___________________________________
Disclosure

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❖ I have no conflicts of interest
with any groups identified in this
training.
❖ TBHI trains internationally both in-
___________________________________
person and online with the
content in this Telepsychology
101 series.
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Slide 6 ___________________________________
Optimizing
Your
Learning
❖ You may want to
___________________________________
turn off your cell
phone’s text
messaging
and/or email
___________________________________

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Slide 7 ___________________________________
With integrity, you
have nothing to fear,
since you have
nothing to hide.
___________________________________
Zig Ziglar

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Slide 8 ___________________________________
Professional Services

Training

Competencies
___________________________________
Guidelines

Ethical Standards
___________________________________
Regulations

Law
___________________________________
C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 9 ___________________________________
CTiBS Interprofessional
Framework for
Telebehavioral Health
Competencies ___________________________________
7 Domains

5 Subdomains

49 Objectives
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146 Competencies

3 Levels
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C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 10 ___________________________________
CTiBS TBH Competency
Domains
___________________________________
Legal & Practice
Clinical Regulatory Development

Telepresence
Ethical &
Evidence-
___________________________________
Based

Technical mHealth
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C 1994-2020 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 11 ___________________________________

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Reimbursement
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Slide 12 ___________________________________

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reserved.
C 1994-2019 Telebehavioral Health Institute, LLC All rights

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Polling Question #1 ___________________________________

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Slide 13 ___________________________________
Have you tried to bill
for any form of
___________________________________
telehealth service?
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Yes No
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Slide 14 ___________________________________

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

Polling
Question #2
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Slide 15 ___________________________________
Have you been successful
at billing for any form of
telehealth service? ___________________________________

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Yes No
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Slide 16 Reimbursement for ___________________________________
Telebehavioral Health
Contractual & Grants Direct Services

Government Services ___________________________________

US Department of Education Medicare

Department of Corrections Medicaid (state-based)

Department of Defense Veteran Health Administration

NIH, NIMH, SBIR, State Programs
Private Foundations
___________________________________
Indian Health Service
Bureau of Prisons in Department of
Justice
___________________________________

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Slide 17 Reimbursement for ___________________________________

Telemental Health

Private Pay / Fee for Service Private Insurance ___________________________________

General

Niche (smoking, drug/alcohol etc.) 3rd-Party Payors → CPT code

Boutique (high-end services, rich &

approval
___________________________________
famous)

B → C Digital Health companies (Flat

rate such as $40 per month for weekly
or minute-based services)
“Apps” ___________________________________

___________________________________

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Slide 18 ___________________________________
Is telehealth parity the
same as mental health
parity? ___________________________________
Fundamentals
❖ Two separate forms of
parity
Telehealth Parity: Majority
❖
of US states require ___________________________________
payment of some type
for any form of telehealth

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 19 ___________________________________
Which CPT code do I
need to use for telehealth
behavioral assessment in
Idaho?
___________________________________
Fundamentals
❖ CPT codes are not issued by
the Center for Medicare and
Medicaid services, not states ___________________________________
❖ CPT codes get reimbursed at
different rates for different
professions

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 20 ___________________________________
Which CPT code do I
need to use for telehealth
behavioral assessment in
Idaho? ___________________________________
Fundamentals
❖ Behavioral assessment is not
typically reimbursed for
independent practitioners
❖ Some professions are not ___________________________________
covered by some payers
❖ Different codes allow for
differing amounts of time
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 21 ___________________________________

New Telehealth
Codes Published ___________________________________
Annually

2019 Physicians
Fee Schedule
and Quality ___________________________________
Payment
Program

___________________________________

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Slide 22 ___________________________________

Search the
document for
“telehealth”
___________________________________

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Slide 23 ___________________________________
Largest Most
No
barrier is groups State- Many
consist-
practitione are depend Question
r payin -ent
ent
data
s ___________________________________
reluctance g

___________________________________
3rd Party Payors

Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 24 ___________________________________
3rd Party Payors

___________________________________
Typically $$ is on Not all
Differen Telehealth
follow
the lead
t in
different
parity laws
mandate
par
with in-
compli-
ant with
___________________________________
set by person state
states payment
CMS care law

___________________________________
Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 25 ___________________________________

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Which CPT
codes are used
for Telehealth? ___________________________________

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Slide 26 ___________________________________
CPT Codes
❖ For Medicare, Medicaid,
and 3rd Party Payers ___________________________________
❖ Differs by Payer
❖ Contact your payers
and ask them to send
you their list of CPT
codes for ___________________________________
telebehavioral health
❖ Get your information
in writing

___________________________________

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Slide 27 ___________________________________
CPT Codes are Available for
TBH

❖ Individual psychiatric interview

___________________________________
❖ Individual psychotherapy
❖ Neurobehavioral status examination
❖ Pharmacologic management ___________________________________
❖ Smoking cessation
❖ Individual & group health & behavior
assessment & intervention
❖ Individual & group health & behavior
assessment & intervention
___________________________________

___________________________________

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Slide 28 ___________________________________
CPT Codes

Use your standard CPT

❖
code ___________________________________
❖ Use the telehealth modifier
for procedure code and
place of service code
❖ Call the payor to get
correct information
___________________________________

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Slide 29 Reimbursement
___________________________________
❖ Medicare & Medicaid have
paid for video for more than
a decade in many areas
___________________________________
❖ Service must be furnished via
an interactive video
conferencing (VTC) system.
❖ The practitioner furnishing the
service must meet the
___________________________________
telehealth requirements, as
well as the usual Medicare
requirements.
___________________________________

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Slide 30 Reimbursement ___________________________________

❖ The service must be furnished
to an eligible telehealth
individual
❖ The individual receiving the
services must be in an eligible
___________________________________
originating site
❖ Requires HIPAA compliance
❖ Rural areas
❖ Services are not yet
reimbursable when delivered ___________________________________
to the home yet, but coming

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Slide 31 ___________________________________

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Center for Connected Health Policy

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Slide 32 ___________________________________

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Slide 33 ___________________________________
2,378-page document signals
increasing government
2019 acceptance of telehealth
Physicians and mHealth capabilities ___________________________________
Fee
Schedule
and Quality Differentiates between what is
Payment “telehealth and what isn’t. ___________________________________
Telehealth is considered by
Program CMS to be direct service
delivery over 2-way video.
Everything is not telehealth.
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 34 ___________________________________
HHS, CMS
“Telehealth ___________________________________
Services”
This document and
others can be found in
our Training Center,
when you log in to get
___________________________________
the slides. (Look to the
left-hand column.)

___________________________________

___________________________________

___________________________________

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Slide 35 ___________________________________
CMS Eligible
Telehealth
Providers ___________________________________
❖ Physicians
❖ Nurse practitioners (NP)
❖ Physician assistants (PA)
❖ Nurse midwives
___________________________________
❖ Clinical nurse specialists
(CNS)

___________________________________

___________________________________

___________________________________

___________________________________

Slide 36 CMS Eligible ___________________________________

Telehealth Providers

❖ Clinical psychologists (CP)

❖ Clinical social workers (CSW) ___________________________________
❖ (CPs and CSWs cannot bill
for psychotherapy services
that include medical
evaluation and
management services under
Medicare
___________________________________
❖ Registered dietitians or nutrition
professionals
❖ (notice that counselors and
MFTs are not included) ___________________________________

___________________________________

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Slide 37 Centers for Medicare and
___________________________________
Medicaid Services (CMS)

❖ G0396 and G0397 -- Alcohol and/or

___________________________________
substance (other than tobacco) abuse
structured assessment (for example,
AUDIT, DAST) and brief intervention, 15
to 30 minutes and intervention greater
than 30 minutes, respectively. ___________________________________
❖ G0442 -- Annual alcohol misuse
screening, 15 minutes
❖ G0443 -- Brief face-to-face behavioral
counseling for alcohol misuse, 15
minutes ___________________________________

___________________________________

___________________________________

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Slide 38 Centers for Medicare and

___________________________________
Medicaid Services (CMS)

❖ G0444 -- Annual depression screening, 15 minutes

___________________________________
❖ G0445 -- High-intensity behavioral counseling to
prevent sexually transmitted infections, face-to-face,
individual, includes: education, skills training, and
guidance on how to change sexual behavior,
performed semiannually, 30 minutes
___________________________________
❖ G0446 -- Annual, intensive behavioral therapy for
cardiovascular disease, individual, 15 minutes
❖ G0447 -- Face-to-face behavioral counseling for
obesity, 15 minutes ___________________________________

___________________________________

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Slide 39 Reimbursement for ___________________________________

Psychological Testing and
Assessment*
The existing psychological testing CPT codes (96101- ___________________________________
96103) and neuropsychological testing CPT codes
(96118-96120) were retired, replaced with the
following codes, effective Jan. 1, 2019:
Psychological and neuropsychological testing
❖
evaluation services by physicians or other ___________________________________
qualified health care professionals (96130 and
+96131)
❖ Psychological and neuropsychological test admin
and scoring by physicians or other qualified
health care professionals (96136 and +96137) ___________________________________

___________________________________

___________________________________

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Slide 40 Reimbursement for ___________________________________
Psychological Testing and
Assessment*
___________________________________
❖ Codes are based on time and whether the
service was performed by a technician or
clinician.
CPT code 96146 is used to report a single
❖
psychological or neuropsychological ___________________________________
automated test using an electronic
platform. Do not bill those code if
administration is performed by a clinician.

___________________________________

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Slide 41 SAMPLE Reimbursement for ___________________________________

Psychological Testing and
Assessment*
___________________________________
❖ Psychological and neuropsychological test
admin and scoring by technicians (96138
and +96139)
❖ Psychological and neuropsychological test ___________________________________
admin and scoring via standardized
instrument via electronic platform (96146).

___________________________________

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Slide 42 ___________________________________

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Which CPT modifiers
should be used for
telehealth?
___________________________________

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Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 43 Medicare Billing & ___________________________________
Reimbursement: Modifier
Codes
___________________________________
❖ HCFA Form CPT Code Modifier
❖ “95”
❖ SAMPLE: “90834-95” ___________________________________
❖ HCFA Form Place of service (POS)
❖ “02”

___________________________________

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Slide 44 Medicare Billing & ___________________________________

Reimbursement – Retired
Modifier Codes
___________________________________
❖ These two CPT Code Modifiers have officially
been retired but some companies still
require:
❖ “-GT” for interactive audio and video
telecommunications system ___________________________________
❖ “-GQ” for store-and-forward applications
❖ Example:
❖ 90834-GT on HCFA form has officially
been sunsetted
❖ 90834-95 is new, correct coding
___________________________________

___________________________________

___________________________________

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Slide 45 ___________________________________
Medicare Billing &
Reimbursement
___________________________________
❖ Limited to patients who reside in
rural and Metropolitan Shortage
Areas (MSA)
___________________________________

___________________________________

___________________________________

___________________________________

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Slide 46 ___________________________________
TBH CPT Code Modifiers

___________________________________
❖ Failing to use appropriate codes
may constitute Medicare fraud
❖ Many billing services bill
inappropriately ___________________________________
❖ Most insurance carriers will only
reimburse for properly coded
services for telebehavioral health
❖ Some don’t require modifiers ___________________________________

___________________________________

___________________________________

___________________________________

Slide 47 ___________________________________

❖ Medicare Advantage
plans are more
___________________________________
experimental and
CMS & therefore will be the first
Telehealth? Medicare plans to allow
for telehealth
reimbursement in novel ___________________________________
ways

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 48 ___________________________________

❖ Providers must be on US
soil to be reimbursed for
___________________________________
telehealth through
CMS & Medicare
Telehealth?
___________________________________

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C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 49 ___________________________________

When is
credentialing
___________________________________
required for
reimbursement and
how is that best ___________________________________
accomplished?

___________________________________
Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 50 ___________________________________
Credentialing

___________________________________
❖ Needed for payment by
Medicare, Medicaid and 3rd
party carriers
❖ Similar to being credentialed
___________________________________
when we sign onto
managed care companies

___________________________________

___________________________________

___________________________________

___________________________________

Slide 51 ___________________________________
Credentialing

___________________________________
❖ The credentialing body examines
and documents:
❖ Licensure
❖ Malpractice
❖ History
coverage
___________________________________
❖ Specialty areas / required
training
❖ Background check
❖ Other areas as needed ___________________________________

___________________________________

___________________________________

___________________________________
Slide 52 ___________________________________

How is inter-state
practice relevant to
___________________________________
reimbursement?

___________________________________

___________________________________
Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 53 ___________________________________
Inter-state Practice &
Reimbursement
___________________________________
❖ Most often, professional must be
properly licensed in the
geographic location of the
client/patient at the time of
contact to practice legally ___________________________________
❖ Billing for illegal practice an be
considered insurance fraud

___________________________________

___________________________________

___________________________________

___________________________________

Slide 54 ___________________________________
Florida’s
State-Wide
Invitation
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 55 ___________________________________
What is an
eConsult?
___________________________________

___________________________________

___________________________________
Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

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Slide 56 ___________________________________
2019-
AMA
Supports
New CPT ___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

Codes
for 2020

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 57 ___________________________________
2,378-page document signals
increasing government 2019
acceptance of telehealth and
mHealth capabilities
Physicians ___________________________________
Fee
Schedule
Differentiates between what is
and
“telehealth and what isn’t. Quality ___________________________________
Telehealth is considered by
CMS to be direct service Payment
delivery over 2-way video.
Everything is not telehealth.
Program
___________________________________

___________________________________

___________________________________

___________________________________
Slide 58 ___________________________________
Largest barrier is practitioner
reluctance
___________________________________
Most large groups are paying
3rd Party
Carriers State-dependent
___________________________________
No consistent data

Difficult to make predictions

___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 59 ___________________________________

Are fees for

___________________________________
telebehavioral
health different
from in-person
care? ___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 60 ___________________________________
Reimbursement Rates

___________________________________
Traditional Private Pay
telehealth:

• About the • Whatever ___________________________________

same as in- the market
person will bear
care
___________________________________

___________________________________

___________________________________

___________________________________
Slide 61 ___________________________________
CMS Eligible
Telehealth
Providers ___________________________________
❖ Physicians
❖ Nurse practitioners (NP)
❖ Physician assistants (PA)
❖ Nurse midwives
___________________________________
❖ Clinical nurse specialists
(CNS)

___________________________________

___________________________________

___________________________________

___________________________________

Slide 62 CMS Eligible ___________________________________

Telehealth Providers
❖ Clinical psychologists (CP)
Clinical social workers
❖
(CSW) ___________________________________
❖ (CPs and CSWs cannot bill
for psychotherapy services
that include medical
evaluation and
management services under
Medicare ___________________________________
❖ Registered dietitians or
nutrition professionals
❖ (notice that counselors
and MFTs are not included)
___________________________________

___________________________________

___________________________________

___________________________________

Slide 63 ___________________________________
HHS, CMS
“Telehealth ___________________________________
Services”
This document and
others can be found
in our Training
Center, when you ___________________________________
log in to get the
slides. (Look to the
left-hand column.)

___________________________________
Copyright 2019 Telebehavioral Health Institute, Inc. All rights reserved.

___________________________________

___________________________________

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Slide 64 ___________________________________

Which other ___________________________________

services are
reimbursable for
telehealth? ___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 65 ___________________________________
2019 CPT Codes

New codes issued

___________________________________
and published in the
federal register in
January of 2019
1. Evisit ___________________________________
2. Interprofessional
collaboration
3. Remote patient
monitoring (RPM)
___________________________________

___________________________________

___________________________________

___________________________________

Slide 66 ___________________________________
Remote Patient
Monitoring

❖ CPT code 99454: “Remote

___________________________________
monitoring of physiologic
parameter(s) (e.g., weight,
blood pressure, pulse
oximetry, respiratory flow
rate), initial; device(s)
supply with daily
___________________________________
recording(s) or
programmed alert(s)
transmission, each 30
days.”
___________________________________

___________________________________

___________________________________

___________________________________
Slide 67 2019 - AMA Creates 6 Remote ___________________________________
Patient Monitoring CPT Codes

___________________________________
The AMA has created six new CPT codes for
digital evaluation services (e-visits) for care
providers to connect with patients at home.
❖ Three codes – 99421, 99422 and 99423 –
relate to patient-initiated digital ___________________________________
communication provided by a physician
or other qualified healthcare professional.
❖ Three others – 98970, 98971 and 98972 –
focus on communications with a “non-
physician healthcare professional.” ___________________________________

___________________________________

___________________________________

___________________________________

Slide 68 Reimbursement for ___________________________________

Psychological Testing and
Assessment*
___________________________________
❖ Services involving testing by computer can
be furnished remotely without the patient
being present, and are payable in the CMS-
1612-FC 194 same way as other physicians’
services. ___________________________________
❖ These remote services are not Medicare
telehealth services as defined for telehealth
❖ Restrictions that apply to telehealth services
do not apply to these services.
___________________________________

___________________________________

___________________________________

___________________________________

Slide 69 Reimbursement for ___________________________________

Psychological Testing and
Assessment*
The existing psychological testing CPT codes (96101- ___________________________________
96103) and neuropsychological testing CPT codes
(96118-96120) were retired, replaced with the
following codes, effective Jan. 1, 2019:
❖ Psychological and neuropsychological testing
evaluation services by physicians or other
___________________________________
qualified health care professionals (96130 and
+96131)
❖ Psychological and neuropsychological test admin
and scoring by physicians or other qualified health
care professionals (96136 and +96137)
___________________________________

___________________________________

___________________________________

___________________________________
Slide 70 Reimbursement for ___________________________________
Psychological Testing and
Assessment*
___________________________________
❖ Codes are based on time and whether
the service was performed by a
technician or clinician.
❖ CPT code 96146 is used to report a single ___________________________________
psychological or neuropsychological
automated test using an electronic
platform. Do not bill those code if
administration is performed by a clinician.
___________________________________

___________________________________

___________________________________

___________________________________

Slide 71 ___________________________________

How is inter- Who ___________________________________

are
state practice you?
relevant to
reimbursement? ___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 72 ___________________________________
Telephone-Based Models

❖ Dependent on state definitions of

___________________________________
telehealth
❖ Contact your payer and ask how to
bill for telephone
❖ Why bill accurately? ___________________________________
❖ Insurance fraud is considered a
serious offense
❖ In some states, insurance fraud
is considered a “criminal
activity”
___________________________________

___________________________________

___________________________________

___________________________________
Slide 73 ___________________________________
US
Healthcare
Funding is
Flowing to
Private practice is a
shrinking “market”
___________________________________
Larger
Systems &
Movement is toward
Businesses
population health ___________________________________
Key focus is managing
illness and wellness: High
risk / Rising Risk
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.
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Slide 74 ___________________________________
US
US healthcare practitioners 17
Healthcare years behind the evidence base
Funding is
Flowing to Key focus is managing illness and
___________________________________
wellness: High risk / Rising Risk
Larger
Systems & Change to ICD-10 Codes
Businesses
Audits to monitor use of
___________________________________
techniques based on codes

Next round of audits will verify

use of evidence base

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 75 ___________________________________
US Healthcare
Funding is
Flowing to Current administration is more ___________________________________
Larger favorable to telehealth than
any previous
Systems & Big
Business
Telehealth is mainstream to
___________________________________
the point of being embedded
into systems - not using
“telehealth” anymore
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 76 ___________________________________
Silicon Valley
Claiming the
Market ___________________________________
❖ Form → Function →
Market
❖ Startup funding ___________________________________
❖ Big Business Funding
❖ Convenience
“Sells”

___________________________________

___________________________________

___________________________________

___________________________________

Slide 77 ___________________________________
Amazon

___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 78 ___________________________________
Amazon

___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 79 ___________________________________
Google

___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 80 ___________________________________
Walgreens
& Microsoft

___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 81 ___________________________________
Uber
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 82 ___________________________________
Comcast

___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 83 ___________________________________
CVS
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 84 ___________________________________
Publix

___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 85 ___________________________________
FaceBook

___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 86 ___________________________________
FaceBook
was fined 5B
a few weeks
ago
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

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Slide 87 ___________________________________
Comments from
Professionals about TBH News

Pro ___________________________________
This is wonderful. I'm not ready yet but will be when I retire.

Con
Big business is taking control of healthcare! Is there nothing to
___________________________________
stop them?

I am concerned about us giving Facebook visibility without

making any comment about its making money through
exploitation of personal health care information. ___________________________________

___________________________________

___________________________________

___________________________________
Slide 88 ___________________________________
Trump
Orders
Telehealth
___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

and
mHealth
Adoption

___________________________________

___________________________________

___________________________________

___________________________________

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Slide 89 ___________________________________
Free
Telebehavioral
Health Institute
(TBHI) ___________________________________
Reimbursement
Resources

❖ Blog
http://telehealth. ___________________________________
org/blog
❖ Newsletter
http://telehealth.
org/signup
___________________________________

___________________________________

___________________________________

___________________________________

Slide 90 ___________________________________
Find Employment with a Tech
Company?

___________________________________
Not either/or.
What can we
Consider joining
bring to them?
them?
___________________________________
Values, Perhaps we
sensitivities, can benefit by
consumer being on their
protection? teams?
___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

___________________________________

___________________________________

___________________________________
Slide 91 ___________________________________
Some of these
telehealth settings
will allow you to ___________________________________
work from home.
___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 92 ___________________________________

___________________________________

___________________________________
Employee Assistance Programs (EAPs)
___________________________________

___________________________________

___________________________________

___________________________________

Slide 93 ___________________________________

___________________________________

___________________________________
Nursing Homes
___________________________________

___________________________________

___________________________________

___________________________________
Slide 94 ___________________________________

___________________________________

___________________________________
Rural Hospitals
___________________________________

___________________________________

___________________________________

___________________________________

Slide 95 ___________________________________

___________________________________

___________________________________
Schools
___________________________________

___________________________________

___________________________________

___________________________________

Slide 96 ___________________________________

___________________________________

___________________________________
Specialty Schools, Residential
Treatment, Hospitals
___________________________________

___________________________________

___________________________________

___________________________________
Slide 97 TBH Model
___________________________________
“Commonalities”

❖ Provider panel or service delivery companies

___________________________________
do client/patient recruiting for you
❖ Physician or nurse is on site / or employer has
records
❖ Patient is delivered to your desktop ___________________________________
❖ Companies choose a technology vendor
and maintain that relationship / paperwork
❖ Companies help you with credentialing

❖
companies pay you
Evidence-based treatment protocols
___________________________________

___________________________________

___________________________________

___________________________________

Slide 98 ___________________________________

___________________________________

___________________________________

Migration Model
___________________________________

___________________________________

___________________________________

___________________________________

Slide 99 ___________________________________
Migration Model Strategy

❖ Choose current clients/patients who are

___________________________________
reliable, have good support systems and
with whom you have a good working
relationship
❖ Consider diagnosis ___________________________________
❖ Prepare them well in advance
❖ Plan in-person sessions at regular intervals
❖ Use the same procedures as in-person
___________________________________

___________________________________

___________________________________

___________________________________
Slide 100 ___________________________________
❖ Direct
Consumers
❖ Private
Companies
___________________________________
Serving
Consumers
Online* ___________________________________
Register your
profile at Provider
Panel.com ___________________________________

___________________________________

___________________________________

___________________________________

Slide 101 Other models offer jobs with ___________________________________

built-in risk management
___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 102 ___________________________________

___________________________________

___________________________________
Home Health
___________________________________

___________________________________

___________________________________

___________________________________
Slide 103 ___________________________________

___________________________________

___________________________________
Correctional
Facilities ___________________________________

___________________________________

___________________________________

___________________________________

Slide 104 ___________________________________

___________________________________

___________________________________

Military & Veteran’s Administration

___________________________________

___________________________________

___________________________________

___________________________________

Slide 105 ___________________________________

___________________________________

College Counseling
Centers ___________________________________

___________________________________

___________________________________

___________________________________

___________________________________
Slide 106 ___________________________________

Rehabilitation
counselors and
psychologists
___________________________________
work in a variety
of state-funded
settings, such as
hospitals,
substance use
___________________________________
settings,
transitional
homes &
agencies
___________________________________

___________________________________

___________________________________

___________________________________

Slide 107 ___________________________________

Telepractice
Development ___________________________________
Part 2
Social Media Tips &
Strategies
___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 108 Social Media and Digital

___________________________________
Information Collection
___________________________________
Social media is typically defined as
web-based services that allow
individuals to construct a public or
semi-public profile within a
bounded system, share a
connection with specific users and
___________________________________
traverse their list of connections
and those made by others within
the system (Boyd and Ellison, 2007).
___________________________________

___________________________________

___________________________________

___________________________________
Slide 109 ___________________________________
Social Media and Digital
Information Collection
___________________________________
❖ Professionals need to reflect, be
aware of, encourage discussion
and respect social versus
therapeutic frames of reference
and boundaries as clinicians.
❖ Professionals also need to
___________________________________
explore, educate and adhere to
privacy requirements for social
media related to
clients/patients.
___________________________________

___________________________________

___________________________________

___________________________________

Slide 110 Have you considered ___________________________________

creating an online
product or service?

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 111 Benefits of Marketing ___________________________________

Online Products vs. Only
Online Services
___________________________________
❖ Builds reputation
❖ Rotary Club Meeting of yesteryear
❖ Larger Audience
❖ Often no or low cost ___________________________________
❖ No commitment
❖ Utmost privacy
❖ Can access 24/7
❖ Can access anywhere ___________________________________

___________________________________

___________________________________

___________________________________
Slide 112 ___________________________________
Social Media Competencies

❖ Comply with your social media

___________________________________
policy, as stated in your informed
consent agreement
❖ Comply with all regulatory
requirements
❖ Educate clients/patients about
___________________________________
routine use of clinician’s social
media, cautions with such use, and
common errors/pitfalls (e.g.
client/patient is not to send suicidal,
homicidal comments to social
media/networking websites).
___________________________________

___________________________________

___________________________________

___________________________________

Slide 113 ___________________________________

Social Media Competencies

___________________________________
❖ Your personal and financial
information may be found by
clients/patients (e.g. social
media, property ownership,
political activism). ___________________________________
❖ Create a culture whereby key
issues about social media
discovery can openly be
discussed.
___________________________________

___________________________________

___________________________________

___________________________________

Slide 114 ___________________________________

Social Media Competencies

___________________________________
❖ Regularly monitor and adjust personal
and professional corridors of
information, correct inaccuracies,
prevent/manage boundary violations,
and inquire if clients/patients have ___________________________________
accessed personal/professional
information on-line

___________________________________

___________________________________

___________________________________

___________________________________
Slide 115 ___________________________________

___________________________________

___________________________________

❖Write down your social media plan

❖Run it by your colleagues ___________________________________

___________________________________

___________________________________

___________________________________

Slide 116 ___________________________________

All
Existing
Legal
and
___________________________________
Ethical
Rules
Still Apply When ___________________________________
Engaging
Prospective
Clients/Patients
Online ___________________________________

___________________________________

___________________________________

___________________________________

Slide 117 ___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________
Slide 118 Understand
___________________________________
your media

___________________________________
Be
inclusive

___________________________________
Monitor
your
reputation

Be
rigorously
honest:
pricing,
plagarism,
etc.
___________________________________

___________________________________

___________________________________

___________________________________

Slide 119 ___________________________________

American Psychological
Association: Ethical Standards

Standard 5: Advertising and Other Public ___________________________________

Statements
❖ Avoidance of False or Deceptive
Statements
❖ Statements by Others ___________________________________
❖ Descriptions of Workshops Media
Presentations
❖ Testimonials – “undue influence”
❖ In-person Solicitation -- “undue influence”
___________________________________

___________________________________

___________________________________

___________________________________

Slide 120 ___________________________________

___________________________________
No “big promise” followed by “adjusting
expectations”

___________________________________
No exaggeration

___________________________________

___________________________________

___________________________________

___________________________________
Slide 121 ___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 122 ___________________________________

You are responsible if your hired help
violates your legal or ethical requirements

You can’t pay news media for publicity

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 123 ___________________________________

___________________________________
No testimonials on your website, brochure,
book covers, Yelp, or anywhere.

___________________________________
Do not ask clients/patients or other vulnerable
people to sell your products or services

___________________________________

___________________________________

___________________________________

___________________________________
Slide 124 ___________________________________

NASW ___________________________________
Technology
Standard
2.14
Electronic ___________________________________
and Online
Testimonials

___________________________________

___________________________________

___________________________________

___________________________________

Slide 125 ___________________________________

NASW ___________________________________
Technology
Standard
2.27 Social
Media ___________________________________
Policies

___________________________________

___________________________________

___________________________________

___________________________________

Slide 126 Blog → Search engines

___________________________________
LinkedIn

Newsletter

Facebook ___________________________________
Social Twitter
Media YouTube
Process Pinterest ___________________________________
Instagram

Press Releases

Slideshare ___________________________________
C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

___________________________________

___________________________________

___________________________________
Slide 127 ___________________________________

___________________________________

C 1994-2019 Telebehavioral Health Institute, LLC All rights reserved.

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

Slide 128 ___________________________________

Questions?
___________________________________
Marlene M. Maheu, Ph.D.
Telebehavioral Health
Institute, Inc.
Phone: 619-255-2788 ___________________________________
Email:
mmaheu@telehealth.org

___________________________________

___________________________________

___________________________________

___________________________________