Aetna Mental Health Telehealth Information for Providers
Providers that are NOT currently enrolled in Aetna as an in-network provider and who want
to see patients via telehealth only:
Providers must enroll as an in-network providers and have a physical location on file for the
primary base state they are licensed. You do not need a physical place for each additional state
you are licensed in during the Covid 19 pandemic. However, after the Covid 19 pandemic has
been lifted, a physical location will be required for each state you are licensed in to continue to
perform telehealth sessions for patients. Also, the member must have Telehealth benefits as part
of their member’s plan. The member can verify telehealth benefits information by calling the
Member Services phone number on the back of their Member ID card.
Providers Currently Enrolled in Aetna as an in-network provider who wants to see patients via
telehealth in addition to in-person sessions:
Providers interested in seeing patients utilizing telehealth software and sessions can do so if they
are enrolled in Aetna as an in-network provider. Below are the CPT and EAP codes and Service
Descriptions approved for telehealth sessions. Also attached is the Aetna Telehealth Information
document that outlines additional services that can be billed for telehealth on pages three and
four.
Behavioral Health and EAP Counseling: Televideo or Audio
CPT Code(s) – Service Description
90791, 90792 Psychiatric diagnostic interview examination
90832, 90833, 90834, 90836, 90837, 90838 Individual psychotherapy
90839, 90840 Psychotherapy for crisis; first 60 minutes; or each additional 30 minutes
90845 Psychoanalysis
90846, 90847, 90853 Family or group psychotherapy
90863 Pharmacologic management, including prescription and review of medication, when
performed with psychotherapy services
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization
setting, approximately 45 to 50 minutes E and M codes Covered – reference the medical list of codes where the E&M codes reside
H0038 Self-help/peer support services per 15 minutes
Telemedicine Software Platforms:
DENmaar offers Twilio telehealth software as part of your portal billing platform (The
Guardian). Twilio meets all HIPAA compliance guidelines and is allowed in all states to meet
the standard of care via a telehealth encounter.
6 Benefits of Taking the E-Prescription Route
6 Benefits of Taking the E-Prescription Route
Let’s face it; handwritten prescriptions suffer from all kinds of inefficiencies. They can lack coherence, be filled with errors, be susceptible to lose or damage and be extremely costly to a practice or any other healthcare organization. Moreover, an erroneous prescription will cost practices financially and prove fatal to patients as well. For example, a recent study claims that over 440,000 deaths are reported every year due to prescriptions riddled with medication errors.Fortunately, one can argue that no other industry has benefited from the current trend of digitization more than the healthcare sector. Not only have medical billing apps helped practices save oodles of Time and Money, but the introduction of e-prescription software also seems to be on a trajectory that would finally make handwritten prescriptions obsolete.The technology behind e-prescribing has helped our healthcare sector drastically reduce mistakes in prescriptions. Moreover, they are time savers as physicians, and other medical practitioners can now send prescription information digitally to a pharmacy in an instant. There are several advantages to practitioners dropping traditional methods and taking the e-prescription route instead. This article will look into the several benefits practitioners and healthcare practices can enjoy by adopting the E-prescription or electronic prescription technology.
Benefits of E-Prescription Software
1 Reducing Errors
The most apparent advantage onthis list, e-prescriptions can eliminate the issue of error-filled prescription information. Contrary to their handwritten counterparts, electronic prescriptions have information that is clearly printed on them. Thus, there is little to no chance of a pharmacist not comprehending a digital prescription.Patients also have clear insight into the medication they have been prescribed, the dosage they should be taking, and other pertinent information. Thus, you are drastically reducing the risk an incorrect dose can pose, both to the health of a patient and the practitioner’s reputation that prescribed the dose in unclear handwriting.
2 –Tracking Patients Dosage
Apart from correcting errors, E-prescription technology can act as a means for doctors to track whether or not their patients follow the advice mentioned in the prescription given to them. Practitioners can learn in real-time whether their patients are doing as their told or have stopped taking their medication.Doctors can use this information to coax their patients into following through with their treatment, making sure they are completing it. Furthermore, keeping track of a patient’s medication schedule helps doctors prevent readmissions.
3 –Averting Patient Readmissions or Death
Every year, hospitals witness over 1.6 million readmissions, out of which 13 percent were a direct result of an adverse reaction to drugs. At least 95 percent of these reactions were because of inaccurate prescriptions. Prescriptions given without considering the potential side effects they can have on a person can have fatal consequences.E-prescriptions avert the risk of this disaster by integrating record systems that provide essential information about a particular patient’s drug history and allergies. With this information being taken into consideration, a practice can reduce the chances of such side effects ever occurring. In addition, physicians and practitioners better grasp the potential side effects a drug can cause upon interacting with a patient, thus helping them make informed prescription decisions.
4 –Saving Money
With all of its advantages combined, e-prescription can prove to be a pretty effective cost-saving machine for healthcare practices. By reducing patient visits and eliminating prescription information errors, this technology can help healthcare businesses save around $140 -$240 billion in costs, proven by the data spanning the last ten years. Furthermore, this technology is evolving; e-prescription service providers are experimenting with new features to provide an advanced user experience to their customers. Such advancements can result in further cost-savings for healthcare firms in the coming years.
5 –Reduce Loss of Prescriptions
Prescriptions written on a piece of paper are easily lost. However, this is essential information patients cannot afford to lose. In the past, patients who lost their prescriptions had to revisit the doctor to get a new one written. This was a waste of time and downright inconvenient. With e-prescribing, prescriptions can be sent directly to a pharmacy digitally. As such, there is no question of patients losing this fundamental price of information.
6 –Saves Time on Prescription Refill Requests
Medical office staff can take their own sweet time responding to prescription refill requests. On the other hand, E-prescription lets the prescriber review, authorize, and send prescription refills in a considerably fast fashion. Prescription refills are also made simple for traveling patients via e-prescription services. With so muchtime saved on refill requests, medical staff can focus on other core areas of their practice.
The Bottom line
As the world grows comfortable with an increasingly digitized world, we see more and more healthcare businesses embracing the super beneficial technology of e-prescription. From reducing hospital readmissions to aiding practices save time and Money with accurately written prescription information, e-prescription is quickly becoming the new normal.
Healthcare practices stand to gain a lot about cementing a good reputation for themselves and providing better care for their patients with the help of a convenient e-prescription technology.
E-prescribing is simply beneficial to all parties involved. Everyone from prescribers to pharmacists and patients can benefit from a well-established e-prescription service.
If you are a physician or practitioner seeking to integrate this technology with your practice, look no further than DENmaar.
DENmaar’s integration with the Rcopia e-prescribing system provides healthcare providers with an e-prescription system that is easy to use and highly effective in sending, authorizing, and tracking electronically produced prescriptions with accurate medication information
Contact DENmaar now to learn more on how to generateelectronic prescriptions with Rcopia.
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