Sun, Sand, and Subpoenas: The Tricky Reality of Telehealth, OHP, & the Thailand Dream
10 questions from the lesson, checked as you go.
Check what you learned
10 questions from this lesson. Answers are checked as you go; nothing is recorded.
1 / 10
Where does Oregon consider the practice of telehealth to occur for licensing purposes?
Hint
The lesson states the practice occurs exactly where the patient is physically located at the time of the session.
Oregon law provides that the practice of medicine, including telehealth, occurs where the patient is physically located during the session, regardless of the provider's location.
2 / 10
Can an Oregon-licensed therapist bill OHP for telehealth sessions while physically located in Thailand?
Hint
The lesson explains that federal regulations categorically bar state Medicaid agencies from paying for services furnished by a provider located outside the United States.
Federal law (42 CFR § 438.602(i)) strictly prohibits Medicaid dollars from flowing to providers located outside the country, and OHP follows this rule.
3 / 10
What does the term 'out-of-state' mean in the context of OHP coverage?
Hint
The lesson states that OHP's 'out-of-state' provisions strictly mean within U.S. boundaries.
OHP's official guidelines clarify that 'out-of-state' coverage is limited to locations within U.S. boundaries and does not extend to international locations like Thailand.
4 / 10
What are the potential consequences of submitting OHP claims while practicing from outside the United States?
Hint
The lesson lists severe consequences including massive fines, recoupment, and permanent exclusion from federal healthcare programs.
Submitting Medicaid claims while abroad violates federal and state rules and could be construed as Medicaid fraud, carrying penalties of massive fines, recoupment, and permanent exclusion from federal healthcare programs.
5 / 10
According to Oregon Administrative Rules, where may OHP-enrolled providers be located when delivering telehealth services?
Hint
The lesson quotes OAR 410-120-1990 requiring providers to be in any location where client or member privacy and confidentiality can be ensured.
OHP-enrolled providers may only be located in any location where client or member privacy and confidentiality can be ensured, per Oregon Administrative Rules.
6 / 10
Why does the lesson describe guaranteeing HIPAA-compliant privacy from Thai coworking spaces and hotel Wi-Fi as 'playing Russian roulette' with PHI?
Hint
The lesson notes the difficulty of guaranteeing HIPAA-compliant encryption, secure connections, and absolute auditory privacy while bouncing between Thai coworking spaces and hotel Wi-Fi.
The lesson explains that ensuring HIPAA-compliant data encryption, secure connections, and absolute auditory privacy while moving between Thai coworking spaces and hotel Wi-Fi networks is extremely risky for protected health information.
7 / 10
What clinical liability concern does the lesson highlight about managing a behavioral health crisis from Thailand for a patient in Oregon?
Hint
The lesson states you cannot easily coordinate with local emergency services from half a world away during a crisis.
Managing an emergency intervention for a suicidal patient in Oregon from a time zone 14 hours ahead over a potentially unstable connection creates enormous liability because the therapist cannot easily coordinate with local emergency services.
8 / 10
Does Oregon offer a specific license for out-of-state providers to practice telemedicine across state lines?
Hint
The lesson mentions Oregon offers a specific 'license to practice medicine across state lines' for out-of-state providers.
The lesson notes that Oregon offers a specific 'license to practice medicine across state lines' for out-of-state providers, referenced in OAR 847-025-0010.
9 / 10
What is the lesson's final recommendation for therapists who want to bill OHP?
Hint
The lesson concludes by advising therapists to make sure their feet are firmly planted on U.S. soil if they want to bill OHP.
The lesson explicitly recommends that if you want to bill OHP, you must ensure your feet are firmly planted on U.S. soil, saving international locations for laptop-free vacations.
10 / 10
Which federal regulation prohibits Medicaid from paying providers located outside the United States?
Hint
The lesson cites 42 CFR § 438.602(i) as the regulation that prohibits Medicaid from paying providers outside the United States.
The lesson references 42 CFR § 438.602(i) as the federal regulation that categorically bars state Medicaid agencies from paying for services furnished by a provider located outside the United States.
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