Behavioral Health: The Next Tele(mental) Health Frontier

Behavioral Health: The Next Tele(mental) Health Frontier

Anxiety. Depression. Substance abuse. Treating these and other behavioral health issues has historically meant in-person meetings with practitioners, therapists and physicians. However, the isolation-induced times in which we now live have escalated both the underlying issues and restricted access to traditional forms of treatment.

According to the National Institute of Mental Health, nearly one in five U.S. adults live with mental illness. Now more than ever there is a series of barriers that keep the experts from reaching their patients – namely social distancing and quarantining. As these precautionary mandates continue, the need for behavioral health services has increased.

The Need for Telehealth Services

Even before the current pandemic, research conducted by the University of Michigan showed only 18% of those needing substance abuse disorder treatment were receiving care. Prior to COVID-19, less than 10 percent of the US population used telehealth for a clinical encounter and only 18% of physicians provided such services. The study concluded a telehealth solution was needed in order to reduce this treatment gap.

Now, everything has changed. COVID has sparked an unprecedented urgency that pushed telehealth to the top of providers’ priority lists. The underlying technology supports this fast adoption. Advances in usability and access to broadband has increased; the result, therefore, is an enormous uptick in usage.

 Telehealth not only reduces the need for travel, but also facilitates more appointments. It also address the spike in behavioral health issues caused by the novel coronavirus. One example of this comes from a report distributed by the CDC, that states 40% of U.S. adults reported struggling with mental health or substance use.

Mental health conditions are worsening. To address this growing need, the Centers for Medicare and Medicaid Services (CMS) has broadened access to Medicare telehealth services so that a wider range of services can be made available. In March, CMS explained the 1135 waiver, where Medicare can pay for office, hospital and other visits furnished via telehealth. This includes mental health.

The new focus on utilizing telehealth to reach those with behavioral health needs has spawned a new term: Telemental Health (TMH).

 

Bringing Telemental Health to Life

Nearly all who struggle with mental health can benefit from TMH especially veterans and citizens of rural communities.

Veterans Benefit

When it comes to Veterans, most of the research revolves around PTSD treatment focusing on the success of treatment delivered via video teleconferencing. According to Veterans Affairs (VA) PTSD and telehealth studies, the major benefit of TMH is the elimination of travel. Travel can be costly, transportation may be unavailable, or, more importantly, it may be disruptive to treatment.

An additional benefit, TMH can be a useful tool in unusual situations. For example, some correctional and forensic settings make it difficult to transport the patient to a clinician. And finally, telemental health allows for care when unexpected circumstances make clinic access less possible, such as the patient’s need to travel or providing service within a disaster zone.

The impact and effectiveness of Clinical Video Teleconferencing (CVT) initially raised questions, especially as it pertained to suicide. However, the VA has gathered research that proves CVT delivery is feasible and clinically effective for PTSD treatments. Therefore, the VA has expanded the populations served via telemental health.

Rural Households Benefit

Unlike other types of health care, behavioral health care includes unique challenges facing the provider and the patient. These challenges are made worse in rural areas as discussed in the University of Michigan article mentioned above, The Use of Telehealth Within Behavioral Health Settings.

Several challenges to the provision of behavioral health services exist. The first is the unequal distribution of access to behavioral health providers. These workforce shortages in certain geographic areas are driven by multiple issues, yet telehealth can help alleviate those effects. TMH provides a link between clients in their home communities and behavioral health providers in other locations.

Additionally, anonymity and privacy can be important to individuals seeking services associated with mental illness. In small rural communities, individuals may face a lack of privacy and might resist face-to-face treatment. By offering services via TMH, individuals can maintain a higher level of privacy.

Who is serving, and how?

Telemental health has opened opportunities for providers to reach patients that would otherwise not be receiving treatment for behavioral health problems. Hospitals and even pharmacists connect with patients and consulting practitioners wherever they are. Additionally, studies have found psychiatrists, specifically, are the most common behavioral health professional to use telehealth, followed by mental health counselors.

Whether that patient is a Veteran, living in a rural community, or at risk for COVID-19, mental health professionals have stepped up their use of TMH. Here are a few applications:

  • For assessments, providers offer online substance use questionnaires
  • Cognitive-behavioral therapy is being offered via videoconferencing
  • Medication management and monitoring is being done through text message reminders
  • Continuing care is offered through group chats, which is helping to prevent relapses
  • Webinars are offered to further educate both clients and providers
  • Interactive video is being used for collaborative consultation

What are the barriers?

First, internet connectivity issues. Patients may still face lack of reliable internet access. Especially internet-disabled rural communities. That, however, has been being addressed one county at a time. Since October of 2019, the USDA has invested $744 million to bring high-speed broadband connectivity to 34 states. Many states have their own initiatives, and many internet service providers are working closely with local governments to enable households, healthcare centers and businesses with the high speed required by TMH.

Second, implementation costs and lack of reimbursement options. DocsInk’s One-tap Telehealth solution addresses these barriers. Their Mobile Charge Capture feature allows for instant billing, drastically reducing reimbursement concerns. Hosting all solutions on a single platform reduces implementation costs making their solution an affordable fit for any size practice.

Behavioral Health Success = Telemental Health

Telehealth is important to the success of hospitals and individual practices. More importantly, it is becoming an invaluable tool for improving access to services and quality of care.

With easy integration, virtual waiting rooms and no apps for patients to download, DocsInk’s One-Tap Telehealth is the solution for improving behavioral health outcomes allowing for more timely access to providers servicing patients in need of psychiatric and mental health services.

To learn more about how your organization can benefit from Telemental Health through DocsInk’s One-Tap Telehealth Solution, email or call 888.577.7409.

Increase patient engagement. Reduce costs. Maximize efficiency. Improve health outcomes.

Telehealth and COVID19 – General Update

Telehealth and COVID19 – General Update

The healthcare industry continues to navigate the challenges caused by COVID-19. Clinicians are working tirelessly to provide high-quality care via Telehealth rather than face to face. Yet it seems that now, more than ever, there is a need for simple, secure, and reliable technology to connect patients to their care teams.

To that end, telehealth services guidelines have been relaxed. The Centers for Medicare and Medicaid Services (CMS), State Medicaid programs, and many major insurance payers including Blue Cross Blue Shield and United Healthcare have responded. This does two things: firstly, it simplifies reimbursement, and secondly, it expands patient access to care.

Telehealth changes

On March 6, 2020, CMS began paying physicians and qualified non-provider professionals (QPPs) for all telehealth visits. For example, 80 additional codes were added for use during the public health emergency.

Meanwhile, there are other highlights of note:

  • Telehealth is now available to HPSA areas (federally defined rural areas);
  • Patients may receive telehealth visits at home;
  • Providers can get paid as they would if the patient was in the office;
  • CMS will not include “established patient” audits with the billing provider. This allows clinicians to bill for medical services for new patients.

Here is another conundrum. Telehealth services are typically subject to CMS’ standard co-insurance and deductible amounts. As a result, Medicare patients can be left with a balance due. However, reducing the amounts owed by Medicare beneficiaries can violate the Federal Anti-Kickback Statute, the civil monetary penalty rule, and exclusion laws.

Consequently, new guidance has been issued. The Health and Human Services (HHS) Office of Inspector General (OIG) has determined that providers should not be subject to these sanctions. This allows for reduced or eliminated beneficiary cost share for telehealth or e-visits.

In addition, CMS is recognizing new virtual check-in codes for communication-based technology services (CBTS). These CBTS codes include remote evaluation of pre-recorded patient information (CPT code G2010) and virtual check-ins (CPT code G2012). Each has an average allowable amount of between $12 – $15.

New Resources

CMS has published two valuable resources. We recommend both: General Medicine Telehealth and Telemedicine Toolkit; and Medicare Learning Network (MLN) Booklet on Telehealth Services. They offer details on telehealth services and billing requirements in response to the COVID-19 health crisis.

One last recommended reading: COVID-19 State Medicaid & CHIP Telehealth Toolkit. Released in April, its goal is to expand telehealth services as the preferred means of delivering and receiving healthcare.

Who is DocsInk

DocsInk differentiates its software from the competition by simultaneously addressing the fiscal, communication, and connectivity needs of medical professionals. Delivered as Software-as-a-Service (“SaaS”), DocsInk is improving the way technology integrates with the various workflows of the healthcare industry. By utilizing the SMART on FHIR platform and protocols, DocsInk has set its platform to create truly integrated and system agnostic services with EHR/PM systems. Beyond our technology, that is native to Mac, PC, iOS, and Android, our team is dedicated to providing customer support and a user experience that is second to none.

Today, DocsInk provides simple, effective solutions that improve the speed, efficiency, accuracy, and adaptable methods in the delivery of patient care not just as a Telehealth Solution but also Remote Patient Monitoring (RPM), Chronic Care Management (CCM) and Mobile Charge Capture. To learn more visit us at www.DocsInk.com.

Telehealth and COVID19 – DocsInk is Your Solution

Telehealth and COVID19 – DocsInk is Your Solution

At DocsInk we understand that COVID-19 overshadows anything previously seen or experienced throughout the modern history of the world. Fears of both the known and unknown continues to wreak havoc on even the healthiest populations around the globe. Every individual is impacted, causing us to rethink the way we live, work, and care for one another. Due to this, new solutions for each have bombarded the healthcare industry with Telehealth being one of the number one buzz words.

Recently, the leading topic throughout the healthcare industry has been the shift from fee-for-service to value-based care. Lowering the costs of care and improving health outcomes are still vital goals. However, healthcare professionals must now focus on finding new ways to deliver medical care when treating patients face-to-face is not always safe or possible making Telehealth the most viable solution.

These new and daunting challenges prompted the Centers for Medicare and Medicaid Services (CMS) to issue regulatory waivers and guidelines. Telehealth is at the forefront of preferred and recommended treatment options. It uses interactive electronic communications to provide clinical services to patients in lieu of in-person visits.

Uncomplicating Telehealth

Telehealth is an effective alternative to brick and mortar office visits, when quick to adopt and easy to deploy. Healthcare heroes are working tirelessly to care for patients with acute and chronic conditions in the toughest of circumstances. Their technology, then, must be an uncomplicated and reliable solution. It must streamline their efforts and connect care teams to their patients, when and where they need it most.

Remote Patient Monitoring (RPM) and Virtual Check-Ins work in tandem with telehealth. These are effective methods to impact patient care during the pandemic. DocsInk, a leading healthcare communication technology, delivers these services in a uniquely simple and secure manner.

Practices around the nation benefit from the ability to virtualize their practice in minutes using DocsInk’s One-Tap Telehealth Solution. Our secure system lets patients use audio or video, and within seconds become linked to their providers. No need to download software or applications. Yet, it has all the systems in one place to create a seamless workflow for full continuity of care.

Telehealth Benefits

Videos provide greater insight into problems patients have trouble explaining. Now they can be used as part of an electronic patient care plan and imported into health information exchanges. And because they are secure, they can be shared with care teams and caregivers.

DocsInk integrates an appointment dashboard and scheduler. It offers secure messaging features, and the billing/charge capture functionality differentiate the solution. It’s the best way to create a seamless workflow for streamlined and reimbursable visits.

Patient monitoring is now a critical component of any successful telehealth solution. DocsInk’s Remote Patient Monitoring (RPM) Solution, also known as Remote Physiological Monitoring, relays real-time patient data back to clinicians . Particularly in the middle of the health crisis, medical providers rely on RPM to monitor a patient’s pulmonary function, temperature, blood pressure, and other vital changes in symptoms and disease progression.

The ability to easily launch a Telehealth session between provider and patient enables RPM data to become actionable. Expedite critical medical decision making. Change treatment plans and medication management. Help patients avoid preventable declines in their health status.

CMS has recognized RPM to be such a critical component to patient care that they changed their regulations. Patients with acute conditions and those suffering from one or more chronic conditions are now allowed to receive these services.

Virtual Care

DocsInk is more than just a telehealth solution. The Virtual Care options, such as automated Check-Ins and Customized Surveys, give clinicians the unique ability to monitor their patients and improve their overall health and well-being. Customize electronic check-in intervals with DocsInk, and personalize the questions you ask.

Popular use cases include post-discharge check in’s, post-surgery questionnaires, standardized mental health scale tests, etc. Clinicians use these tools to mold the DocsInk technology to fit their workflows, protocols, and patient needs.

Beyond the unparalleled functionality and ease of use, DocsInk also does not overlook the importance of data privacy. The Office for Civil Rights (OCR) waived the enforcement of HIPAA regulations, yet we remain committed to privacy and security. Both providers and patients can depend on us to protect them from personal, financial, reputation, and operational harm.

DocsInk is unique. We securely connect patients and providers, using simple technology built for improving patient lives, streamlining practice workflows, and revenue generation. DocsInk is the only choice for HIPAA Compliant communication-based technology and virtual care. Especially when time, money, and health matter.

Is Telemedicine the New Normal?

Is Telemedicine the New Normal?

The landscape of healthcare has dramatically changed since the onset of the COVID-19 pandemic. E-visits have replaced traditional Doctor’s offices visits. Mobile devices are the norm now that quarantines have pushed the fast forward button on the adoption of telemedicine.

Before the pandemic, Telemedicine use was limited. Lower-level services, such as diabetic teaching and hospital-based specialty visits in rural areas, were its domain. Although accepted in theory, providers and patients alike were slow to warm up to virtual care. Medicare only covered telemedicine visits in very limited situations; reimbursement rates from both government and private payers were very low.

And then along came COVID-19.

Everything changed. Telemedicine guidelines relaxed.

The Centers for Medicare and Medicaid Services (CMS) began paying for telemedicine visits at the same rate as in-person visits. They relaxed many rigid guidelines which made virtual visits more accessible for Medicare patients.

Private insurance companies quickly followed suit, which led to an onslaught of new telehealth visits. The Wall Street Journal reported that CMS telemedicine visits increased from 100,000 to 300,000 per week as of March 28, 2020, with an expectation that it will continue to grow at a steady rate.

Frost and Sullivan research reported total telemedicine visits increased by 50% nationwide, and expected to hit nearly 1 billion by the end of 2020.

The question remains: what will happen when the COVID-19 crisis is over? No one knows how many of the new telemedicine administrative guidelines and reimbursement rates will remain in effect. Yet, it appears safe to say that virtual visits will remain a viable treatment option.

Virtual healthcare aligns well with the value-based-care mandate. If that continues, providers and payers will find great value in quality care which boasts efficiencies and lowers costs. Patients appreciate the convenience of receiving healthcare when and where they choose, without wait times, missed work, or transportation complications.

The Genie’s Out of the Bottle.

Seema Verman told the Wall Street Journal just that. A CMS administrator, Verma was adamant. “… the advent of telehealth has been completely accelerated. It’s taken this crisis to push us to a new frontier, but there’s absolutely no going back.”

In short, telemedicine is here to stay.

Who is DocsInk

DocsInk differentiates its software from the competition by simultaneously addressing the fiscal, communication, and connectivity needs of medical professionals. Delivered as Software-as-a-Service (“SaaS”), DocsInk is improving the way technology integrates with the various workflows of the healthcare industry. By utilizing the SMART on FHIR platform and protocols, DocsInk has set its platform to create truly integrated and system agnostic services with EHR/PM systems. Beyond our technology, that is native to Mac, PC, iOS, and Android, our team is dedicated to providing customer support and a user experience that is second to none.

Today, DocsInk provides simple, effective solutions that improve the speed, efficiency, accuracy, and adaptable methods in the delivery of patient care not just as a Telehealth Solution but also Remote Patient Monitoring (RPM), Chronic Care Management (CCM) and Mobile Charge Capture. To learn more visit us at www.DocsInk.com.

5 Benefits of DocsInk’s Telehealth Solution

5 Benefits of DocsInk’s Telehealth Solution

Both medical professionals and patients alike greatly benefit from telemedicine services. For example, the adoption of communication based technology services (CBTS) is becoming widespread; Medicare, Medicaid and many private insurance payers have relaxed their administrative guidelines and improved their reimbursement models. FH Health Indicators reports that telemedicine visits grew 53% nationally from 2016 to 2017. Here are the top five reasons for clinicians to adopt DocsInk’s Telehealth Solution:

1. Better Access to Care

Making medical care more available is essential to achieving a healthy patient population. The Centers for Disease Control and Prevention reports that 46 million Americans, 15% of the U.S. population, live in rural areas. The nearest medical center is 20+ miles away. With restricted access to public transportation, DocsInk’s Telehealth Solution allows them to get the care they need when they need it. Patients are more likely to be compliant and engaged when they have easy access to prompt, quality medical treatment. In many rural areas, telemedicine provides direct access to specialists which would not otherwise be accessible by patients. In addition, the COVID-19 pandemic makes it every more critical for clinicians to reach patients at home.

2. Cost Effectiveness

As the healthcare industry continues to transition from fee-for-service to value-based care, it is critical to reduce expenses. Avoidable readmissions account for $17B  in expenses, and preventable emergency use represents $8.3B in costs each year. Both of these numbers may be reduced with improved patient/care team communication via telemedicine visits. Further prooft comes from the Veterans Administration, which reaped an annual savings of $6,500 per patient when using telemedicine services. Other studies have shown a 50% reduction in emergency room visits and 90% reduction in overall hospitalizations of chronically-ill patients. DocsInk’s Telehealth Solution allows for quality value-based care and reduction of readmission costs.

3. Improved Patient Outcomes

Convenience and access to care have proven to be key in maximizing patient engagement and compliance. DocsInk’s Telehealth Solution facilitates high-touch, efficient care options for patients who require frequent monitoring. Whether the impetus is prescription adherence, post-surgical care, chronic disease management or inpatient discharge instructions, this option delivers.

Johns Hopkins reported that medication nonadherence is one of the largest factors negatively impacting health outcomes. In short, these issues can be addressed with DocsInk’s Telehealth Solution, and is recommended the Health Information Technology Playbook

4. Boost Patient Satisfaction and Engagement

Patient satisfaction is a key indicator for measuring the quality of healthcare. Patient satisfaction scores help ensure optimal reimbursements and higher patient retention rates. But a satisfied patient is also more apt to be engaged in their overall health. 

Telemedicine has proven to increase patient satisfaction scores, and in turn, health outcomes. In a Massachusetts General Hospital study, 68% of patients rated their telemedicine visits a 9 or above on a 10 point scale. Their quality of care and convenience of access expectations were exceeded. Another study published in the Annals of Vascular Surgery shows that telemedicine may significantly improve a patient’s satisfaction with postoperative care — as well as their views on quality of life. DocsInk’s Telehealth Solution can help you stay on top of your patients overall quality of care satisfaction and in turn, their overall health outcome.

5. Improved Revenue

There are a number of ways that DocsInk’s Telehealth Solution impacts revenue. Because it’s convenient, virtual care can translate into fewer no-shows and cancellations. These cost practices a great deal of time and money, ranging from 3 – 14% of total clinic income. Telemedicine also facilitates a more efficient clinical schedule with increased billable time. Plus, it allows for the transition of non-paid patient phone calls into revenue generating visits and virtual check-ins.

Finally, DocsInk’s Telehealth Solution can substantially reduces overhead costs per visit, which then promotes improved staff productivity and time savings.