Overview

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Under the emergency waiver, HIPPA regulations have been relaxed meaning that you can communicate with your patient using any technology that is available.  This includes telephone calls, Skype, FaceTime or other means.  It is, however LifeCare’s intent to uphold the HIPAA Standards of Privacy to the extent that we are able.    

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Clinicient has included “Uber-Conferencing” as an option on InsightGO (the mobile-friendly version of Insight).  It is free, allows for two-way audio and visual (or just audio)  communication with a patient, is HIPAA compliant and is very easy to use. You can learn more about Uber-Conferencing from within the  InsightGO Help Section or click here to see a quick video.

 

LifeCare requests that all therapists use the Uber-Conferencing feature on InsightGO for e-visits but understand that not all patients will be able to independently use this option.  

 

How to Provide Virtual Care

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The first requirement of e-visits is that are “patient initiated” and provided  with “informed consent”.   This criteria can be met simply by calling the patient to advise of this service and obtaining verbal agreement at this time. Then, follow the traditional steps to Schedule, and Arrive the Patient.  

 

Schedule Requirements:

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• Visit Type is Virtual Check In x ___ Minutes (this is how we know what to pay you)

• Place of Service = Home (NOT Telehealth

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Chart Requirements:

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• Apply the E-Visit Template that matches the time chosen for Type of Visit;

• Document in narrative format a summary of the communication, progress/regression toward goals and recommendations.

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Billing Requirements:

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• You must manually add a -CR Modifier to the CPT/G-Code.  To do this, simply "right-click" in the Modifier column and select -CR.

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The Signature Log

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The Signature Log for an E-visit will be documentation of the call.  This is either a screen shot from your phone of the phone number and time spent or Uber-Conference record.

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Sample Structure/Questions

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Intro

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1.    Overall health and well-being

2.    Any recent changes, falls, near falls

3.    Vital signs, medications, sleep habits 

 

Program

 

1.    Review program goals and patient progress (i.e., when we started therapy, you wanted to be able to walk to the mailbox - have you been able to do this since I last saw you?)

2.    Compliance/performance

3.    Clarify recommendations for frequency/duration of home activities and home program

 

Close

 

1.    Does patient still desire to remain on hold?

2.    Does patient know how to reach LifeCare, physician, etc.?

3.    Recommend date/time for next follow up

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