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Michigan Social Work Weekly Clinical COVID-10 Update & Resource Meeting - Shared screen with speaker view
Ashley Youngblood
34:55
What is significant about the 95 code? I've been told to not use that for virtual sessions by insurers like BCBS.
Ashley Youngblood
35:37
Also, when I have billed Medicaid for virtual sessions, on the EOBs, it will say the following: "Telehealth requires a GT or GQ modifier"
Julie Weckel
35:53
I have been told by my biller to use it as modifier code for video
Julie Weckel
36:41
I was told the GT modifier is the old modifier code
Ashley Youngblood
37:24
What makes the modifiers significant? Each insurer (or even within Medicaid) seems to offer conflicting information about what's best practice.
Debra Migliazzo
37:38
do we need two modifiers ?... AJ and GT or 95 this is confusing
Julie Weckel
38:17
Maybe we can discuss during the extended time of this meeting?
Ashley Youngblood
38:26
Unfortunately, I can't do that today.
ebony harvey jackson
38:32
all my Telehealth claims for Medicare were denied for last week How should we be billing?
Ashley Youngblood
38:36
But, I'd love to have the notes on it.
Julie Weckel
38:49
ok
Debra Migliazzo
39:45
I would like to be included in private practice group , how do I proceed? thanks
Julie Weckel
40:14
for today just stay on the line. I’ll review for future group meetings at that time
Debra Migliazzo
40:43
thank you
Missy Wilson
41:41
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.
Missy Wilson
41:49
Thank you!
Algeria Wilson
46:42
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.
Missy Wilson
48:51
Thank you Algeria much appreciated!
Maria Petrides
52:53
Where can we find a link to the Nasw ethics webinars ?
Judith Krause
54:01
I have a friend working in the Prison system in Marquette. I'm being told none of the protocals are in place here.
Algeria Wilson
55:17
Oh yes, the prisons are getting hit hard.
Debra Migliazzo
56:01
with LARA being closed does anyone know if more malpractice insurance is needed for Telehealth sessions ?
Judith Krause
56:22
here as of yesterday 5 are in isolation and low test avaibility
Nancy Petrides
01:01:15
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.
Summer Tambs
01:03:53
Be well, all.
Ashley Youngblood
01:03:53
Any updates relative to cross state-lines services permissions?
Ashley Youngblood
01:04:52
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?
Ashley Youngblood
01:05:57
Where could I find a listing for those state hotlines?
Algeria Wilson
01:06:44
https://www.aswb.org/covid-19
Algeria Wilson
01:06:59
This link shows states that have opened reciprocity
Judith Krause
01:07:09
Can we stay on for this part?
Dianne Hartman
01:07:31
Are there any permission forms that a pt has to sign to say they agree to the telehealth guidelines?
Ashley Youngblood
01:10:19
What was the website? Coding ___?
liz gonzalez
01:10:56
coding intel
Ashley Youngblood
01:11:00
thanks
Duane Breijak
01:11:37
https://codingintel.com/
Ashley Youngblood
01:12:35
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
01:13:07
that information is was for Medicare
Ashley Youngblood
01:13:22
It's just unclear to me why the modifiers REALLY matter. (I don't work with Medicare patients)
Debra Migliazzo
01:13:50
what about modifier AJ
Beth Schumacher
01:14:00
do we have to have an emu to Bill telehealth
ebony harvey jackson
01:14:41
repeat the modifier for Medicare
liz gonzalez
01:14:45
I believe AJ is about billing under supervision
Jenny Shea
01:14:52
Blue Care Network plans require the AJ modifier
Ashley Youngblood
01:15:02
That's what I know, too, Jenny.
Debra Migliazzo
01:15:17
AJ is social worker
SunShine Adkins
01:16:17
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?
liz gonzalez
01:18:44
On your teletherpy consent form you should ask for emergency contact and the number to the nearest hospital/police station
ebony harvey jackson
01:19:41
just to make sure for Medicare I should use modifier GT and place of service 2
Missy Wilson
01:20:11
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.
Nancy Petrides
01:20:17
Who initiates the call patient or clinician?
Maria Petrides
01:21:53
Can you release those three places with resources
Diana Parrish
01:21:56
Michigan Medicine's Psych ER is still operating normally, and their inpatient unit is still admitting new patients. Only their PHP is suspended.
Margo Siegel
01:23:27
I would have therapist initiate all contacts because if we were back in our work offices we would be greeting the client first.
Maxine Thome
01:23:46
Hi: When a client enrolls in a virtual platform they fillout a form...can this also serve as a release or consent?
Diana Parrish
01:24:04
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
Maria Petrides
01:24:20
I would think that we could initiate due to the platforms being used. Example on doxy- client cannot start the call
Nancy Petrides
01:24:26
Some policies I have seen specifically state the client initiates Self determination?
Catherine Isbell
01:24:35
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
liz gonzalez
01:24:55
https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2019/feb/Record_0219r.shtml
liz gonzalez
01:25:02
more on AJ modifier
Missy Wilson
01:25:27
Where is Michigan Medicine Psych ER?
Diana Parrish
01:25:34
Right across the hall from the medical ER :) At the main Ann Arbor hospital location
Margo Siegel
01:25:58
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.
Missy Wilson
01:26:03
thank you Diana!
Diana Parrish
01:26:11
you're welcome!
Missy Wilson
01:26:24
I use doxy.me
Patrice Evans
01:26:44
I’m using SImplePractice
Debra Migliazzo
01:26:51
I’m going to sign up Doxy for that reason and no one needs to rely on apps
Margo Siegel
01:27:08
Doxy also offers an ABA for therapist which is very important!
Nancy Petrides
01:29:10
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
Maria Petrides
01:29:48
I love doxy. Same link every time. Less work for everyone
Margo Siegel
01:29:54
Make sure platform is HIPAA covered and provides an ABA.
Missy Wilson
01:30:06
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
Margo Siegel
01:30:53
Doxy is HIPAA compliant and provides an ABA.
Duane Breijak
01:36:35
Getting signed up for any of NASW-Michigan's workgroups. https://www.nasw-michigan.org/page/workgroups
liz gonzalez
01:39:45
https://www.socialworkers.org/includes/newIncludes/homepage/PRA-NL-27117.CPT-Codes-PP.pdf
liz gonzalez
01:39:57
90832 minimum of 16 minutes
Missy Wilson
01:41:06
Duane random request will you show us your Hogwarts pic before we end lol??
Missy Wilson
01:42:22
Thanks look forward to it hehe!!!
Judith Krause
01:42:30
absolutely humor!!
Margo Siegel
01:42:47
Absolute need for creativity and humor. Thank you all so much for sharing your knowledge and joining all of us together!
Catherine Isbell
01:45:49
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 ca675488@arbor.edu 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.
SunShine Adkins
01:46:12
Thoughts about how to be creative with getting metrics completed? Can we still bill 96127 for telehealth assessments versus in office assessments?
liz gonzalez
01:47:23
i need to head out. have a good day, everyone!
SunShine Adkins
01:47:59
can I talk?
Maureen Marunczak
01:53:04
I appreciate you too!
Judith Krause
01:53:26
I appreciate you all also!!!!
Missy Wilson
01:53:38
Yes I’m really appreciative of these forums, thank you!
Missy Wilson
01:55:00
omg love it!
Debra Migliazzo
01:55:07
this has been very helpful!! thank you for including me I’ve learned a lot Julie Dwane and everyone !
Judith Krause
01:55:18
You are great Max and I can relate!!
Missy Wilson
01:57:03
I think it’s so important to find ways to have some levity throughout all of this, otherwise can be pretty overwhelming
Maxine Thome
01:58:09
Dog dispute resolved...egg carton is a success
Debra Migliazzo
01:58:26
😊
Margo Siegel
01:59:57
Thank you all so much!
Maureen Marunczak
01:59:59
Thanks so much!
Catherine Isbell
02:00:08
Thank you. Very helpful and encouraging!
Judith Krause
02:00:11
Thank you so much for this!!
Nancy Trew
02:00:17
thanks; Nancy Trew
SunShine Adkins
02:00:18
Thank you :) Have a wonderful day/weekend
Judith Krause
02:00:39
yes