767W Redo_Telehealth Jobs from Home.pptx
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Telehealth Jobs from Home
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767W Redo_Telehealth Jobs from Home.pptx
- 1. Telehealth Jobs from Home: Legal & Ethical Considerations/ Opportunities © 1994-2023 Telehealth.org, LLC All Rights Reserved.
- 2. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Consulting, Staffing, Credentialing and Professional Training (CEs) in Ethically – Required Competencies www.telehealth.org Telehealth.org, LLC 2
- 3. © 1994-2023 Telehealth.org, LLC All Rights Reserved. • The Telehealth.org has affiliated with the HIPAA Compliancy Group to bring you not only this webinar, but a range of products and services at a discounted fee. Such purchases must be made through the HIPAA Compliancy Group website. (Be sure to mention Telehealth.org) In return, Telehealth.org earns a small fee when one of our referrals makes a purchase from HCG. Disclosure 3
- 5. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 5 • CMEs & CEs: Telehealth.org is approved by AMA, AOA, APA, ASWB and NAADAC. • Please note if you attend this course in real time, you will be getting a course completion certificate that indicates that you attended a “Synchronous Interactive” webinar. • If you participate in this course as an "on- demand" event, then your course completion certificate will indicate that you attended an "Asynchronous Non-Interactive" event. Optimizing Your Benefits
- 6. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 6 • To pass the post-test and claim the CME or CE hour that is part of your fee for this event, you must log into our password- protected Learning Center. • You may want to turn off your cell phone, close your email & lock your door. • I often, take questions as I go instead of only at the end of the hour. Optimizing Your Benefits
- 7. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 7 • If you want to learn more about telemental or telebehavioral health and can demonstrate financial hardship, consider our Work/Study program, where you can work for Telehealth.org in exchange for free “Level II Plus" training. • Your webinar handout has a link at the end for you to click to give us feedback about today’s event. We hold a drawing to give free training to a lucky webinar participant who gave us feedback of our webinar. Help us help you. We are here to help. Let us know what you need: www.telehealth.org/contact Optimizing Your Benefits
- 8. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 8 • You will be automatically enrolled to our in-house mailings and will be notified of our insider news every month • This training includes a FREE profile page for you to network with our community of like-minded professionals • Discussion forums can be found at the end of every course Optimizing Your Benefits
- 9. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 9 • If you want our news, go to https://telehealth.org/signup • Recording and slides in Telehealth.org Training Center https://training.telehealth.org/ • Requires a login • Available 24/7 for 6 Months • Ask Questions Optimizing Your Benefits
- 10. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Learning Objectives 10 • Intelligently discuss the broad pros and cons of working from your home telehealth practice • Identify three specific ethical issues that are of relevance when working from your home • List two legal issues that are of relevance with a telehealth job from home • Outline how to deal with payors who may choose to list your home-based office address on their website or unexpectedly visit your home to conduct an inspection of your "office“
- 11. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Learning Objectives 11 • Describe how to deal with family issues with your home telehealth practice • Name at least three areas in which job opportunities are available for clinicians who want to work from home • Name three independent authorities to inform regarding your home telehealth practice to minimize risk • Outline at least seven evidence-based models for treating specific populations with a home telehealth practice
- 12. Intelligently discuss the broad pros and cons of working from your home as a clinician
- 13. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Location vs. Modality 13 • Practitioners have traditionally been free to practice from their homes, but cautioned to exercise good clinical judgment • Practitioners have a history of reimbursement denials for written correspondence, telephone, video, email, text-messaging
- 14. List two legal issues that are of relevance when you work from your home
- 15. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 15 • Insurance companies may ask legal questions: • Your office address? • State of licensure? • Does your home have zoning regulations against commercial or other business entities? • Do you have a business license for your address? • They may also ask you to attest to other non-telehealth or home- based requirements: • Have parking lot? Handicap accessible? • Have Medicare sign in your window? Health Insurers
- 16. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 16 • Insurance companies may ask legal questions (cont.): • Their forms may also ask you to attest to non-telehealth or home- based requirements: • Have parking lot? Handicap accessible? • Have Medicare sign in your window? • Some insurance companies require you to be on US soil if you are billing for services delivered to their recipients (Medicare) Health Insurers
- 17. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 17 • Billing inaccurately (insurance fraud) • Wrong licensure (practicing without a license) • Practicing anonymously (precludes mandated reporting) • No continuity of care • Wrong technology (privacy, security, data integrity) HIPAA and HITECH) Other Telehealth Legal Errors
- 18. © 1994-2023 Telehealth.org, LLC All Rights Reserved. How to handle? 18 • Realize that employer, insurance company and other forms are legal declarations • Always tell the truth • Look for employers/payors who appreciate your professionalism • Always inform your malpractice carrier
- 19. Name two common technical mistakes made by professionals when working from their homes
- 20. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 20 • Commercial vs. residential connectivity • Differences in bandwidth • Bandwidth speed can also differ by time of day. After school is often a high traffic time and internet speed can be significantly slower. Variations in Connectivity
- 25. Name two common clinical mistakes made by professionals when working from their homes
- 26. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 26 • You may forget to notify family and friends of your professional appointment schedule - they may unknowingly interrupt your professional time • You may be flustered when dealing with an emergency because you have not practiced coping with crisis through technology, and are "practicing” on your clients and patients Boundaries Are Key
- 27. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 27 • Always to start session with an opening protocol • That protocol includes formal procedures to secure both ends of the meeting • Ask your client/patient to identify where they are, but you do not need to do the same • Ask them to scan room with camera if needed Procedures Are Also Key
- 28. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 28 • Develop a non-verbal, fail-proof system to notify family or friends when you are in session • Lock your home office door • “Do no disturb" note on door • Note on kitchen counter • Text message others • Face camera away from the door Procedures Are Also Key
- 29. 1. HIPAA, HITECH and Other Federal Regulations
- 30. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 30 Most federal laws are silent about home- based professional offices – check your states of licensure to know for sure
- 32. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 32 Most state privacy laws are silent about home-based professional offices
- 33. 3. State Licensing and Other Regulations
- 34. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Licensing Boards 34 • Licensing laws are in flux. • To be in compliance with licensing law in most US states and Canadian provinces, you must be licensed in the state (or province) where your client/patient is at the time of the contact, regardless of where you live or work.
- 35. © 1994-2023 Telehealth.org, LLC All Rights Reserved. What if you are traveling out of your state(s) of licensure? 35 • Licensing laws are in flux. • To be in compliance with licensing law, you must be licensed in the state (or province) where your client/patient is at the time of the contact, regardless of where you live or work. • Some state however mandate that you be licensed in their state when you deliver services from that state. (Florida, Alaska)
- 39. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 39 Most state licensing laws are silent about home-based professional offices
- 41. Identify three specific ethical issues that are of relevance when working from your home
- 42. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Telebehavioral Health Standards & Guidelines 42 • American Medical Association • American Counseling Association • American Mental Health Counselors Association • American Psychological Association • American Telemedicine Association • Australian Psychological Society • British Psychological Society • Canadian Psychological Association
- 43. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Telebehavioral Health Standards & Guidelines 43 • Federation of State Medical Boards • National Association of Social Workers • New Zealand Psychological Psychologists Boar • Ohio Psychological Association • For specific documents see: http://telehealth.org/ethical-statements
- 44. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 44 Boundaries of Competence • Technical • Legal • Ethical • Clinical
- 45. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 45 BOUNDARIES: • You may inadvertently violate your own boundaries • Noises / sounds (spouse yelling at children) • Personal items visible in background • Children / adults in background, seen through windows, doors Home-Based Ethical Issues
- 47. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 47 IC is Not Directly Relevant in Home-Based Telehealth Delivery • IC is a legal as well as ethical issue • Most state laws and ethical codes do not ask you to describe where you are at any given time when using telehealth • If you mention it however, you will need to deal with consequences as a therapeutic boundary issue Informed Consent Issues
- 52. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 52 Most professional association ethical codes and guidelines are silent about home-based professional offices
- 54. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 54 • Think back to your malpractice renewal applications • Did the application include any questions about whether or not your office is home-based? • Has anyone heard of a professional being dropped from a malpractice policy because of having a home- based office? Malpractice Insurance Renewal Applications?
- 55. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 55 • Working from your home may increase your liability under any circumstance, both in-person and with video • Speaking with your malpractice carrier and getting their opinion in writing is suggested Malpractice Carriers
- 56. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 56 Most malpractice carriers are silent about home-based professional offices
- 58. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 58 • Insurance companies may send someone to your home to do a site inspection in the day you decide to wash the dog • Someone in a suit can ring your doorbelI and want to take a look around • Payer may accidentally publish your home address on their provider network website, although they collected your PO box or other office address Health Insurers
- 59. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 59 • Some payers require that you work from a "designated telehealth site" which means a professional office • Your home can be such an office (Medicare, Medicaid or 3rd Party) slides • Must meet all local, state and federal laws • Contact them to get their determination in writing Health Insurers
- 60. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 60 • If you are on provider panels, look back to your credentialing and recredentialing applications • Did the application include questions about whether or not your office is home- based? • Again, contact them if unsure Managed Care Credentialing Applications?
- 61. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 61 Many payers (Medicare, Medicaid, 3rd Party) are silent about home-based offices – but some may prohibit home- based care.
- 62. 8. Employers
- 63. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 63 If you are employed, your employer is the only one who may have a policy for or against your working from home as a telepractitioner.
- 64. Name at least 5 areas in which job opportunities are available for clinicians who want to work from home
- 69. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 69 5. Specialty, Schools, Residential, Treatment, Hospitals
- 70. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 70 • 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 Telehealth.org Model “Commonalities”
- 72. © 1994-2023 Telehealth.org, LLC All Rights Reserved. 72 7. Private Companies Serving Consumers Online* * Register for employment with these companies here: www.providerpanel.com
- 73. © 1994-2023 Telehealth.org, LLC All Rights Reserved. Online Employer Questions? 73 Legal & Ethical Online Therapy Jobs? 35 Easy Questions to Ask Online Therapy Employers Go to: https://blog.telehealth.org/online-therapy-jobs/