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The process of billing can be a great hassle for providers, and risky business. Often telehealth providers do not know how to correctly bill for their services and sometimes create legal and ethical issues by billing incorrectly. Debbie Duran the owner of Mental Health Billing & Consulting in Louisiana shares from her 28+ years of experience billing for mental health providers.

Nurse holding tablet

Telehealth services help to ensure that patients are able to receive the care they need when they need it. Same day care is available from providers using services such as virtual visits or video visits. By minimizing travel time, extending availability and increasing flexibility, caregivers can offer more opportunities for providing much-needed healthcare services.

Young Woman sitting at computer

Virtual counselors provide an array of online therapy options that include couples counseling, online marriage counseling, and online Christian counseling, to name just a few. Online therapists use a variety of mediums to communicate and "meet" with clients, providing the same standard of care as a traditional practice.

Doctor Sitting at Computer

In January, 2019 the International Society for Telemedicine & eHealth published an article by Nathaniel Lacktman, Esq. and Dr. Neil Nerwich entitled, “Teleconsultation Services for the Mobile Workforce- Considerations and Guidelines for the Provision of Global Services in Compliance with Regulations and Best Practice Clinical Standards of Care.”  The International Society for Telemedicine & EHealth (ISfTeH), founded in 2011, is a “nongovernmental and not-for-profit society that services primarily as the umbrella association for national Telemedicine and eHealth organizations,” advising on international standards and best practices for telemedicine.  

 

Many ask, “Can EMDR be provided via a video session?” Bruce Woods Patterson, a Licensed Clinical Social Worker, EMDRIA approved consultant and training facilitator, and EFT provider explains how he uses this powerful method of treatment in virtual therapy.

 

Link to Podcast

Ray Barrett of Telehealth Certification Institute, LLC recently appeared as a guest on the Mental Health News Radio Network podcast with Kristin Sunanta Walker to discuss the various aspects of telemental health services and the changes that have occurred over the years.

Doctor Holding a Stethoscope

Virtual healthcare is a burgeoning field, expanding rapidly as the technology that supports it becomes increasingly available and user-friendly.  But, is the demand for telemedicine really there?

 

Empty Conference Room

Modern technology provides an exciting opportunity for behavioral health professionals to deliver clinical services virtually, allowing many providers to significantly expand their client base and work remotely. Though many behavioral health professionals have always utilized technology for providing clinical services, more and more are accessing this option as the demand for telehealth has grown.  But, clinicians often jump into providing clinical services through the use of technology without FIRST assessing their level of competence and receiving the training to ensure legal and professional compliance.

 Texting on cell phone

As of December 2018, the Federal Communication Commission (FCC) has adopted an official ruling that text messages will be considered an informational service (such as emails) versus a telecommunication service (such as telephone calls). Click here for the ruling.  This distinction is highly relevant, as communications classified as “telecommunication services” must be transmitted by cellular carriers and are not permitted to be blocked or altered whereas informational services can be.

As text messaging has grown in popularity over the last decade, texts have carried an ambiguous status; this ambiguity has allowed cellular carriers to make independent decisions regarding transmission, with many carriers defaulting to handle texts as informational services.  For the December ruling, the FCC took into consideration that cellular providers have already been filtering text messages (in an effort to minimize spam) and that allowing all texts to go through could burden consumers.

Circle of Hands

The Office of Mental Health is currently paying for all initial certification fees for eligible candidates to earn their New York Certified Peer Specialist (NYCPS) certification.  

Peer specialists help others in recovery with a mental health condition or major life disruption.  In order to earn the NYCPS one must complete a free training, agree to the NYPSCB Code of Ethical Conduct and Disciplinary Procedures, complete at least 2000 hours of peer specialist experience under supervision, submit three references and apply for the certification.  Peer Specialists are individuals who are themselves in recovery from a mental health condition or major life disruption and have shown to provide support to others in their recovery process.

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Latest Posts

  • TeleMental Health Certification, Credential, Certificate, Accreditation, or License

    At Telehealth Certification Institute we often hear the following questions:

    • What is the difference between a certification, credential, certificate, accreditation, or license?
    • Which of these is the best for me to show my qualification, and which is a better predictor of competence?  
    • Does my state allow me to provide telemental health services?
    • Are the Continuing Education (CE) hours you provide accepted in my state?
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  • Interview with a Distance Counselor in Texas and Utah

    In this video our CEO, Raymond Barrett, interviews Michelle Inauen LPC MFT who provides counseling by both video and phone.  Michelle Inauen shares how she got started in distance counseling, the services she offers to individuals, couples and families.  Michelle also provides some advice to other clinicians looking to get started in providing virtual counseling. 

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  • How Out-of-State Providers can Register to Provide Telehealth in Florida

    The Florida legislature has passed Chapter 2019-137, Laws of Florida. Signed into law by the governor and effective July 1, 2019, Chapter 2019-137 clarifies the definitions for health care providers who use or plan on using telehealth services in Florida, as well as the steps needed to provide ethical, legal and competent services within the state. The full text of Chapter 2019-137 can be downloaded on the home page http://www.flhealthsource.gov/telehealth/.

    It is now mandatory for practitioners who are licensed out-of-state and do NOT hold an additional Florida license to be registered with the state in order to perform telehealth services for patients located in Florida. (Licensed Florida providers are already allowed to practice telehealth with patients they would be able to see face-to-face.)

    Read more...
  • International Counseling

    Finding the right therapist for yourself or someone else can be challenging for anyone.  However, finding a psychotherapist for someone who is living abroad can be even more difficult.  To help provide some guidance with this task, our CEO, Raymond Barrett, interviewed Josh Sandoz, LMHC, who is curator of the International Therapist Directory.

    Read more...
  • Bring A TeleMental Health Expert To Your Conference

    Presenting at the Licensed Professional Counseling Association of North Carolina (LPCANC) this year was a new experience for us. One of our alumni, Tanya Guinn, LPC, both a telemental health provider in North Carolina and a member of the LPCANC, took initiative with the idea of VIRTUALLY co-presenting on TeleMental Health at the LPCANC Conference with our CEO, Raymond Barrett. 

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This course was short yet informative.
Annette Cornish
Therapist / Dust 2 Destiny Counseling & Wellness
Great training!
Jacqueline Hayes, M.Ed., LPC, LMHP
Professional Counselor 4 / State of LA
Ray was a wonderful, interactive instructor who really captured the heart of counseling in the world of Telehealth. The course was thorough and beneficial. Two thumbs up!
Rachel Morales
Licensed Professional Counselor
Ray does a spectacular job presenting the ethics in technology! Thank you!
Elaine Marie Barclay
Licensed Professional Counselor/ Assistant Professor / Shorter University/ Capella University
Very beneficial and useful to the direction i am moving of providing therapy
Linda Marie Margosian, MS, NCC, LMHC
I thought the video was very informative and gave me a good back ground on Telehealth , hippa laws and things I needed to know to run an ethical and hippa complent practice .
Meg Maginn
Director /private practitioner / Eating Disorder Associates

I believe this is a good course to take because this is the new wave of society. As a therapist I would like to be able to offer clients the best tools available.

Wihletta Michelle Davis MA, LPC
Therapist / Find the Miracle Within...
This course was very informative for me as a clinician and for my profession
Roseline Ngoeh
Community Clinician / NPS

Thank you for the introduction to telemental health.

Michele Frances Purvin
Psychotherapist / Michele Frances Purvin, LCSW, LCDC

Very good.

Franklin Castillo

Really excellent training full of valuable information and resources - surpassed my expectations!

Dori Ryherd
Therapist / The Cognitive Refinery

Great information with step by step instructions

Donna Tucker
Addiction Counselor / Spectrum Health

What a superb introduction to telemental health, well organized and packed with useful tips. I so appreciate this. Thank you.

Ann P Cahouet
Owner - Clinician / Equine Assisted Solutions LLC

Awesome job! This is a very insightful presentation.

ZUNILDA CHAUDRY
Licensed Therapist, LPC / Seasons of Change Behavioral Health Services, Inc
Ray is down-to-earth, warm, pragmatic and exceptionally well-informed.
G. Reid Doster, LPC, LMFT
Director of Behavioral Health, EXCELth Inc.Primary Health Network & Private Practice Psychotherapist / www.excelth.com

An excellent course, but needs more legal information regarding where the patient needs to reside.

Barry Barmann
Clinical Psychologist / Behavior Therapy & Family Counseling Clinic
This legal course was phenomenal saturated with much detail and clarity!
Elaine Marie Barclay
Licensed Professional Counselor, Assistant Professor / Capella University and Shorter University
Great and very informative! Will help me take my skills to a new level. Gave me a great idea of how the session should go.
Jessica Latin
LPC / JL Counseling

Course provided several case scenarios regarding Interstate counseling and resource websites for further research.

Cowenda Jefferson
Clinical Director / Wise Life Choices LLC
Course provided additional information regarding the legal aspects of TeleMental Health.
Cowenda Jefferson
Clinical Director / Wise LIfe Choices LLC
I have completed prior training by Raymond and greatly appreciate his detailed and thorough trainings.
Dr Lynn Duffy, PsyD, LCPC, NCC, CCMHC, BCPCC, BC-TMH, Diplomate/CMH in Trauma
Director/Counselor/Mediator / Lighthouse Counseling & Consulting Services
This course was most helpful in helping me make my practice more compliant for me and my clients.
Marlene Small
Private Psychotherapist
This is the 4th TMH course I have taken with Ray and it is BY FAR the best TMH training out there. I've learned so much that I can use every day in my practice.
Dawn Ferrara
LPC-S, LMFT

Very Informative

Naomie Pierre
community clinician / nps
I loved this course. It was very informative and provide a great deal of information about ethics.
Tracey Marshall
Easy to learn and easy to follow. User friendly on-line course.
Kelly Johnson
Licensed Mental Health Therapist

Awesome

Melissa J Davis
LAPC- counselor
This was a phenomenal training and necessary for the continued growth of all helping professionals. This will certainly improve the manner in which I conduct counseling.
Elaine Marie Barclay
This training was extremely informative and supportive for professionals looking to gain further knowledge in Telemental health.
Marcy Abramsky
LCSW / Marcy Abramsky LCSW, InspireAmind TM Counseling and Consulting
I found this video to be very informative and helpful.
Michelle Parker
Contract Therapist

Great course, very informative!

Ashley Simmons
BCBA / Northstar Psychological Services

Love the course, worth every penny!!! Definitely helped jump start my Tele-mental health services!

Nakia Clark
Owner/ Therapist / Insightfullly You, LLC

This gave me and my staff some important insights and information regarding telehealth..

Larry Cowan
Executive Director / Samaritan Counseling and Growth

This course was easy and user friendly

Vanessa Reiser
Social Worker / JBFCS

I learned a great deal from this program and look forward to implementing telemental health in my therapy practice.

Michelle Hitchcock
Therapist

It was fantastic! Just the forms he provides are worth the cost of the course!

Mark Wagemaker, LPC, NCC, DCC, CPCS
Counselor, Clinical Supervisor / Transitions Counseling

This was an excellent class and worth my time.  Ray provided great information and is clearly an expert in TMH!

Jennifer Stuckert
Director / Restoration Counselor of Atlanta, LLC

I found these courses informative and helpful. They make establishing best practices policies and procedures for telemental health services and supervising those who provide them. so much easier. I highly recommend his courses.

Nena Rybarczyk, MA, EMBA, LPC, NCC, CPCS
Counselor / Strategies for Life Counseling, LLC

Ray's workshop was one of the most informative I have taken in years. He brought clarity to took a topic which has been intimidating and I left feeling empowered!

TRUDY POST SPRUNK, LMFT-S LPC CPCS RPT-S CPT-S EMD
Clinical Supervisor and Play Therapist / Georgia Association for Play Therapy