Telehealth for Commercial Payers

 

What is Telehealth?

  • Telehealth is a physical therapy evaluation and/or treatment that is performed using a HIPAA compliant video conferencing platform.

  • Each Telehealth visit is run just like a visit that you would have in the office.  Your physical therapist will want to hear about your symptoms, have a clear understanding of your medical history, they will evaluate any changes in your physical ability and then they will provide treatment. 

Treatment could include: 

1) Therapeutic exercises 

  • An exercise program prescribed just for your symptoms at a level best recommended for you. 

  • The therapist will observe your technique in performing the exercise, they will provide cues and feedback so you can improve upon that technique.

  • The therapist will make certain that you are performing the exercises safely.

  • If indicated, the therapist will demonstrate the proper performance of the exercise(s).

 

2) Self-care instruction which could include:

3) Your therapist will then establish a plan of care.

  • Your therapist will discuss that plan with you and your physician as indicated. 

  • Your therapist will schedule follow-ups as indicated, exactly the same as if you were seeing your therapist in person.

Are you ready for video conferencing?

  • Be ready for technical difficulties - the therapist’s internet provider may be inundated with use, your internet provider may be busy, the therapist’s modem may need to be updated, your modem may need to be updated, the therapist’s laptop may not be new, your laptop may not be new.  Be patient, we are working on making certain we are ready on our end. Please assume that all of us have the very best of intentions.

  • Have a plan B.  If your telehealth system does not work, specifically during this COVID 19 crises, you can switch to Skype or Facetime (see the tab from the Office of Civil Rights), however, please understand it isn’t HIPAA compliant.  You can reschedule and attempt to troubleshoot or solve the problem.  

  • Do you plan to use a computer or laptop?  Does that computer or laptop have a front-facing camera?

  • Do you plan to use a phone or a tablet?

  • Do you have a private/quiet space?

  • Is your WIFI fast enough?

Are you interested in trying to use your insurance to cover your Telehealth costs?

  • If yes, please provide your insurance information and we will call you back and let you know what your coverage is and what your out of pocket expenses are.

 

 

Are you going to have someone attend your physical therapy Telehealth session with you?

 

  • Patients might benefit from having a family member assist them for the first or subsequent visits. Do you have a family member you would want to sit in on the appointment with you?  Will they be with you at your evaluation? At your follow-up visits? Please let your therapist know so that they can document their attendance and come up with ways, in advance, that this person could assist you in your telehealth physical therapy session.

If you have Blue Cross Please see below:

Healthcare Providers | CareFirst BlueCross BlueShield

"During this public health emergency, CareFirst is encouraging members to call their doctor’s office and utilize telemedicine options when available. We understand the use of telemedicine is a practical option for members who wish to or should stay home, therefore, we are waiving cost-sharing* (copays, coinsurance, and deductibles) for members when they have a telemedicine visit with an in-network provider. Providers are encouraged not to collect member cost-sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. For these purposes, we’ve defined telemedicine as a combination of interactive audio and video."

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