Virtual Video Physical Therapy (Telehealth or Tele-physical therapy)

 Virtual Video Physical Therapy, also known as Telehealth or Tele-physical therapy, is a modern approach to delivering physical therapy services remotely. Here’s what you need to know:

1. Definition: Virtual video physical therapy involves conducting physical therapy sessions via video calls or other digital platforms. Patients interact with their physical therapists from the comfort of their own homes, eliminating the need for in-person visits. 

   
                                                                                                   You’ll consult with a licensed and highly educated physical therapist through video on a computer, tablet, or mobile phone. The convenience of telehealth physical therapy lies in its accessibility from the comfort of your home. However, it cannot replace the hands-on treatment you receive during in-person visits.                                                                                      While it’s suitable for many patients, it’s essential to recognize that some aspects of traditional physical therapy, such as manual therapies and complete evaluations, are challenging to provide virtually.                                                                                 Internet connectivity can also impact the smoothness of appointments. Despite these limitations, reviews for virtual physical therapy have been positive, and it can be effective depending on factors like the nature and severity of your condition or injury and your provider’s ability to offer quality care online.                                                                          Related article- when-to-see-physical-therapist?
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3. Benefits:

4. • Convenience: Patients can receive therapy without traveling to a clinic. This is especially helpful for those with mobility issues or living in remote areas.
   • Safety: During the pandemic, telehealth became crucial for minimizing exposure to COVID-19.
   • Continuity of Care: Patients can continue their treatment plan even if they can’t physically visit the clinic.
   • Access: Telehealth expands access to physical therapy services, reaching patients who might otherwise face barriers.
     

5. How It Works:

   • Assessment: The initial assessment may involve a video call where the therapist evaluates the patient’s condition, medical history, and goals.
   • Treatment Sessions: Subsequent sessions focus on exercises, stretches, and other interventions. The therapist guides the patient through movements and provides real-time feedback.                                                                           Related article-can physical therapy help with chronic pain?  
   • Education: Telehealth allows therapists to educate patients about their condition, self-management strategies, and preventive measures.                         
   • Monitoring: Progress is tracked through video follow-ups, and therapists adjust the treatment plan as needed.                      
     
     

6. Challenges:

• Technology: Both patients and therapists need reliable internet connections and suitable devices (smartphones, tablets, or computers).
• Hands-On Limitations: Some physical therapy techniques require hands-on manipulation, which is challenging to replicate virtually.                                                                     Related article- what is myofascial pain release?                    
• Privacy and Security: Ensuring patient privacy and data security is essential.                                                                                                                                                   How do I Prepare for a telehealth appointment?

Certainly! Preparing for a telehealth appointment is essential to ensure a smooth and effective virtual visit. Here are some tips to help you get ready:

1. Device and Internet Connection:

   • You’ll need a device with video capabilities and an internet connection. This could be a smartphone, computer, or tablet.
   • If you don’t have access to any of these, inquire about an audio-only telehealth visit using a telephone.

2. Getting Comfortable with Telehealth:

   • Understand that a telehealth visit is similar to an in-person visit, except you and the healthcare provider are in different locations.
   • Telehealth services cover various healthcare needs, and there are benefits such as reduced wait times and convenience.
   • If you’re new to telehealth, consider reviewing the basics,

3. Preparing for Your Virtual Visit:

   • Accommodations: Let your provider know if you require any accommodations, such as a screen reader, closed captioning, or interpreter services.
   • Check Communication: Review emails, texts, or other communication from your provider’s office. They may contain instructions on how to log in and use the technology.
   • Test Technology: Test the technology before your appointment. Your healthcare team may offer assistance or send a test link to address any challenges.
   • Insurance and Costs: Inform your provider if you lack health insurance or cannot afford the costs. They can guide you to low-cost or free services.

4. Connecting to Your Telehealth Appointment:

   • Well-Lit Spot: Find a well-lit area so your healthcare provider can see your face clearly.
   • Steady Camera: Set up your computer, laptop, phone, or tablet on a flat surface. Ensure the camera is steady and at eye level.
   • Reduce Background Noise: Choose a quiet place and minimize distractions. Turn off alarms and other sounds on devices.
   • Remember, what you see on your screen is what the provider sees, so position yourself close to the screen and look directly into the camera.

1. Regulations and Insurance Coverage:

• Regulations vary by country and state. Some regions have specific guidelines for telehealth services.
• Insurance coverage for telehealth services has improved, but it’s essential to check with your insurance provider.

Private insurance providers have significantly expanded their coverage for telehealth services. Most commercial health plans now include some form of telehealth service in their coverage. If you’re curious about the specific regulations in your state, you can use the Policy Finder tool to find the most up-to-date information.

 It’s a good idea to contact the insurance providers you accept to verify if they offer reimbursement for telehealth services. Additionally, remind your patients to check their coverage before their appointments.

For Medicaid, the reimbursement policies for telehealth can vary from state to state. It’s essential to stay informed about the specific guidelines in your area.

Here are some key points regarding telehealth insurance coverage:

1. Private Insurance Plans: Many private insurance plans, including Medicare and Medicaid, cover telehealth services. However, benefits may vary, so it’s best to check with your health insurance carrier and provider’s office to understand any applicable copays and fees.

2. Major Carriers: Major carriers such as Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, and Humana offer some form of telehealth coverage. The specifics depend on your individual plan and whether your healthcare provider directly offers telehealth services or contracts with a telehealth company.

3. Medicare Part B: Medicare Part B (Medical Insurance) covers certain telehealth services. After meeting the Part B deductible, you’ll pay 20% of the Medicare-approved amount for your doctor or other healthcare provider’s services.

Remember that telehealth licensure requirements can vary at the federal, state, and cross-state levels for healthcare providers. Staying informed about the latest updates ensures you can provide the best care to your patients while navigating insurance coverage.

In summary, virtual video physical therapy offers flexibility, safety, and accessibility, making it a valuable option for patients seeking rehabilitation and wellness support from a distance.