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10/5/21
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Telehealth 2021: Level-setting the Practice Foundation
•99201-99215: (Office or other visits)•G0425-G0427: (Telehealth consultations, emergency department or inpatient)•G0406-G0408: (F/U inpatient telehealth consultations furnished to beneficiaries in hospital/SNFs)
During Telehealth visits, patients with low health literacy compared to patients with adequate health literacy were:• less likely to have a video visit• 2X more likely to have difficulty recalling what was
discussed, • less likely to recommend telehealth to someone else, and • less likely to find telehealth very useful
• No patient app download required• Reliable, high-quality audio/video connections• Integrated provider experience with a single sign-on• Telehealth use not connected to the patient portal• Virtual patient waiting rooms• Ability for providers to send messages into virtual waiting area,
and, • See visit status • Capability for multi-party connections• Capability for screen- or image-sharing
A case manager, Lea recently attended a training on telehealth and feels ready to do virtual sessions with patients.
Lea meets with each patient to inform them of the new treatment option, “This is exciting. I’ve done plenty of Facetime calls with friends and family”.
Several individuals are not interested, telling Lea they are more comfortable meeting in person or talking on the phone. Lea insists and virtual sessions initiate.
(f) obtain informed consent from individuals using these services during initial screening or interview, and prior to initiating services.
Social workers should assess clients’ capacity to provide informed consent and, when using technology to communicate, verify the identity and location of clients.
Principle 5: keep their competency at a level that ensures each of their clients will receive the benefit of services that are appropriate and consistent for the client’s condition and circumstances
Dante has dedicated Zoom URL for his “room”; he uses it for all virtual meetings with case management patients and their families.
With a caseload of over 75 patients, Dante leaves little time between patient meetings. “I’ve have a good sense of time”, he shares with colleagues.
One day, Dante had a patient emergency that found him running over for the visit; the patient expressed suicidal ideation. As he was working a safety contract with the patient, another patient appeared in the Zoom room
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