Michigan Social Work Weekly Clinical COVID-10 Update & Resource Meeting - Shared screen with speaker view
What is significant about the 95 code? I've been told to not use that for virtual sessions by insurers like BCBS.
Also, when I have billed Medicaid for virtual sessions, on the EOBs, it will say the following: "Telehealth requires a GT or GQ modifier"
I have been told by my biller to use it as modifier code for video
I was told the GT modifier is the old modifier code
What makes the modifiers significant? Each insurer (or even within Medicaid) seems to offer conflicting information about what's best practice.
do we need two modifiers ?... AJ and GT or 95 this is confusing
Maybe we can discuss during the extended time of this meeting?
Unfortunately, I can't do that today.
ebony harvey jackson
all my Telehealth claims for Medicare were denied for last week How should we be billing?
But, I'd love to have the notes on it.
I would like to be included in private practice group , how do I proceed? thanks
for today just stay on the line. I’ll review for future group meetings at that time
Would NASW be able to look into how social workers that work contractually/in private practice i.e. gig workers”, may be able to benefit from the recent stimulus package/unemployment benefits? While many of us have been able to still supplement income via telehealth, there is still a significant loss to our income.
Hi Missy, Thank you for your comment, I am hoping to hear more about social worker who work contractually and how they may benefit from the stimulus package later this afternoon.
Thank you Algeria much appreciated!
Where can we find a link to the Nasw ethics webinars ?
I have a friend working in the Prison system in Marquette. I'm being told none of the protocals are in place here.
Oh yes, the prisons are getting hit hard.
with LARA being closed does anyone know if more malpractice insurance is needed for Telehealth sessions ?
here as of yesterday 5 are in isolation and low test avaibility
Hello, Can anyone elaborate in regards to the telehealth policy to have the client call the clinician vs the clinician call the client for the session? In video, the clinician INITIATES the invite through email invite. thanks, and be safe everyone.
Be well, all.
Any updates relative to cross state-lines services permissions?
For the states that have opened up services, how do we connect with those people who need support or get on a listing for available therapists?
Where could I find a listing for those state hotlines?
This link shows states that have opened reciprocity
Can we stay on for this part?
Are there any permission forms that a pt has to sign to say they agree to the telehealth guidelines?
What was the website? Coding ___?
Can I ask a question as a devil's advocate? … If we get reimbursed, does it REALLY matter what modifier is used?
ebony harvey jackson
that information is was for Medicare
It's just unclear to me why the modifiers REALLY matter. (I don't work with Medicare patients)
what about modifier AJ
do we have to have an emu to Bill telehealth
ebony harvey jackson
repeat the modifier for Medicare
I believe AJ is about billing under supervision
Blue Care Network plans require the AJ modifier
That's what I know, too, Jenny.
AJ is social worker
Prior to COVID, I would assess if Telehealth would be appropriate for a client (safety, suicidality, have a address to do telehealth sessions, etc.). In the past if a telehealth client expressed suicidality I would move them to face to face sessions etc. I am now doing 100% Telehealth with clients. What if I do have a suicidal client? I can not see them in person for assessment, etc. With hospitals overloaded should I ask them to still seek psychiatric help at a hospital? or call 911 and/or their emergency contact, etc. So many questions...Your thoughts?
On your teletherpy consent form you should ask for emergency contact and the number to the nearest hospital/police station
ebony harvey jackson
just to make sure for Medicare I should use modifier GT and place of service 2
I heard that right now St. Lawrence is only accepting people inpatient that come directly from Sparrow’s ER. So appears they are still accepting psychiatric emergencies.
Who initiates the call patient or clinician?
Can you release those three places with resources
Michigan Medicine's Psych ER is still operating normally, and their inpatient unit is still admitting new patients. Only their PHP is suspended.
I would have therapist initiate all contacts because if we were back in our work offices we would be greeting the client first.
Hi: When a client enrolls in a virtual platform they fillout a form...can this also serve as a release or consent?
It may also be helpful to know that you or your clients can call the Psych ER to speak with one of their social workers. They can do pretty thorough risk assessment and safety planning over the phone, but can also send law enforcement to pick up someone who needs to be admitted. 734-936-5900
I would think that we could initiate due to the platforms being used. Example on doxy- client cannot start the call
Some policies I have seen specifically state the client initiates Self determination?
watching a Pesi webinar on telehealth; as a client must come to the office so the presenter suggests the client should call once they have the initial relationship established
more on AJ modifier
Where is Michigan Medicine Psych ER?
Right across the hall from the medical ER :) At the main Ann Arbor hospital location
I agree. I love Doxy because your clients check into your "virtual" waiting room and then when therapist is ready they open the session. Doxy is extremely easy for client and therapist. You provide client with your personal link and that's it; no invite is necessary.
thank you Diana!
I use doxy.me
I’m using SImplePractice
I’m going to sign up Doxy for that reason and no one needs to rely on apps
Doxy also offers an ABA for therapist which is very important!
There should be a separate telehealth consent form, as mentioned earlier, I agree. In addition, we have a general electronic consent form as part of our intake process to cover texting and email al ready that we have used for years. This is separate from INFORMED consent
I love doxy. Same link every time. Less work for everyone
Make sure platform is HIPAA covered and provides an ABA.
Yes I did that too, modified a basic informed consent tailored to my practice, especially related to confidentiality expectations for parents related to therapy for kids/teens
Doxy is HIPAA compliant and provides an ABA.
Getting signed up for any of NASW-Michigan's workgroups. https://www.nasw-michigan.org/page/workgroups
90832 minimum of 16 minutes
Duane random request will you show us your Hogwarts pic before we end lol??
Thanks look forward to it hehe!!!
Absolute need for creativity and humor. Thank you all so much for sharing your knowledge and joining all of us together!
Due to Covid-19 my internship has been suspended. Am looking for someone to be my "new" MSW supervisor using telehealth. Spring Arbor University Student: email email@example.com I had 140 hours left to complete but with the new CSWE policy, I need 50 more hours, but would prefer to work the 140 hours.
Thoughts about how to be creative with getting metrics completed? Can we still bill 96127 for telehealth assessments versus in office assessments?
i need to head out. have a good day, everyone!
can I talk?
I appreciate you too!
I appreciate you all also!!!!
Yes I’m really appreciative of these forums, thank you!
omg love it!
this has been very helpful!! thank you for including me I’ve learned a lot Julie Dwane and everyone !
You are great Max and I can relate!!
I think it’s so important to find ways to have some levity throughout all of this, otherwise can be pretty overwhelming
Dog dispute resolved...egg carton is a success
Thank you all so much!
Thanks so much!
Thank you. Very helpful and encouraging!
Thank you so much for this!!
thanks; Nancy Trew
Thank you :) Have a wonderful day/weekend