Telehealth

Question 1

What was the original use for Telehealth

Answer 1

rural areas with poor access to specialty care
mental health care

Question 2

The use of technology to deliver health care, health information or health education at a distance

Answer 2

Telehealth

Question 3

a site where the patient is located at the time health care services are provided to him or her by means of telehealth

Answer 3

originating site

Question 4

a person that is onsite with the patient
-originally designed where the patient goes to/or is at another heath care site and specialist is at the distant site

Answer 4

originating provider

Question 5

a site where the provider is located while providing health care service by telehealth

Answer 5

Distant site

Question 6

Providing the consultation via telehealth

Answer 6

distant provider

Question 7

what is remote patient monitoring for

Answer 7

machine is in the pt room and continuously monitoring the patient values and sent to a provider somewhere
like a glucose monitor or oxygen monitor

Question 8

most used by specialist physicians for patients who don’t have access due to distance

Answer 8

asynchronous

Question 9

most similar to a regular visit but without travel

Answer 9

synchronous

Question 10

Does medicare pay for PT telehealth?

Answer 10

NO

Question 11

Does medicare pay for asynchronous or monitoring?

Answer 11

NO only synchronous

Question 12

who are medicare approved providers for telehealth

Answer 12

physicians
nurse practitioners
PA
nurse midwife
clinical psychologist and clinical social workers
registered dietitians or nutritional professionals

Question 13

Do private payer insurance companies pay for telehealth

Answer 13

highly variable across state

Question 14

What about private payer insurance companies in colorado according to the CO Law that was passed in 2015

Answer 14

removed the previous population restriction of 150,000 or fewer residents in the area of the patient

bars health plans from requiring an initial physical encounter, separate limits the benefit received via telehealth

requires health plans to reimburse providers the same amount for a telelhealth encounter as a physical encounter

providers do not have to demonstrate that a barrier to in person care exist before engaging in telehealth

Question 15

who are at the forefront that integrate financing and delivery of healthcare

Answer 15

kaiser
department of defense
VA

Question 16

is there cost saving by combining all 3 types of telehealth?

Answer 16

yes there is an estimated $4.28 billion per year in US health care spending

Question 17

does colorado have a parity law and what does that mean for telehealth

Answer 17

yes they have to pay the same for inpatient and telehealth visit. They also must not require an initial in person visit

Question 18

Explain the regulatory issues

Answer 18

If a PT is treating patients in other states they must have a license in that state as well

Question 19

How does the PT compact help with regulatory issues with telehealth

Answer 19

if someone is licensed in Colorado and they treat patients via telehealth in other states then they just have to pay the license fee in that state so it helps access

Question 20

During the pandemic how did telehealth change

Answer 20

nearly all will pay for telehealth physical therapy
may require some specific new documentation/coding