Special COVID-19 Webinar: Navigating COVID-19 Challenges with Telehealth

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The webinar titled "Navigating COVID-19 Challenges with Telehealth," held on May 13, 2020, featured experts from the West Health Institute, Northwell Health, and HCCI. The session aimed to share strategies and practical tips for implementing a direct-to-patient telehealth model for home-based primary care, and to discuss documentation and coding requirements for telehealth services. <br /><br />Primary objectives included ensuring the continuation of telehealth post-COVID-19 and reviewing reimbursement options for different practice models. The experts presented the advantages of telehealth, such as limiting travel for vulnerable populations and reducing exposure to COVID-19.<br /><br />Key points discussed were:<br /><br />1. **Implementation Steps:**<br />   - Practicing login, call initiation, and training for documentation requirements.<br />   - Setting up electronic medical records (EMR) for telehealth billing with necessary templates.<br />   - Pre-visit preparations like device compatibility checks, caregiver presence, and mock visits.<br /><br />2. **Operational Considerations:**<br />   - Establishing a reliable workflow with support from administrative staff.<br />   - Obtaining verbal or written consent from patients, documenting it, and setting backups for connectivity issues.<br /><br />3. **Visit Execution and Etiquette:**<br />   - Conducting clinical evaluations and documenting observations while maintaining professionalism.<br />   - Using solid-colored attire and clear communication to ensure a smooth telehealth experience.<br /><br />4. **Post-Visit Actions:**<br />   - Monitoring quality metrics, sharing data, and having daily huddles for continuous improvement.<br />   - Highlighting the importance of user experience and integrating feedback mechanisms.<br /><br />The session also covered billing codes for various telehealth services, emphasizing the need for proper documentation and coding to ensure reimbursement. Services referenced included home and domiciliary visits, annual wellness visits, and transitional care management, among others.<br /><br />The webinar concluded by emphasizing the potential longevity of telehealth beyond the pandemic, advocating for the home as the originating site for medical services, and promoting better care continuity through telehealth innovations. Future regulatory changes and lasting impact were anticipated, positioning telehealth as a transformative tool for healthcare delivery.

Keywords

Telehealth

COVID-19

Home-based primary care

Documentation

Reimbursement

Electronic medical records

Clinical evaluations

Telehealth billing

Patient consent

Healthcare delivery