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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Tele-Neuropsychology: From Science to Policy to Practice.

Scott A Sperling¹, Shawn K Acheson², Joshua Fox-Fuller^3,4

¹Department of Neurology, Center for Neurological Restoration, Cleveland Clinic, Cleveland, OH, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists

|September 16, 2023

Summary

This summary is machine-generated.

More randomized studies are needed to validate in-home tele-neuropsychological testing (tele-np-t). This is crucial for its inclusion in telehealth lists and equitable healthcare access.

Keywords:

Billing and reimbursement Current procedural terminology Health disparities Healthcare access Tele-neuropsychology Telehealth

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Area of Science:

Neuroscience
Health Services Research

Background:

The number of tele-neuropsychology publications has stagnated since the COVID-19 pandemic.
There's a notable scarcity of experimental studies on in-home tele-neuropsychological testing (tele-np-t) reliability and validity.

Approach:

A critical review of existing tele-neuropsychology literature was conducted.
The research was contextualized within the U.S. healthcare payer systems, including CMS and CPT coding.
Existing healthcare access disparities were considered.

Key Points:

Foundational evidence supports the acceptability, feasibility, and reliability of tele-np-t.
However, randomized studies specifically examining the reliability and validity of in-home tele-np-t are limited.
This gap hinders the integration of tele-np-t services.

Conclusions:

Increased randomized studies on in-home tele-np-t are essential for its inclusion on CMS and CPT telehealth lists.
This will facilitate the integration and delivery of tele-np-t services across healthcare providers and institutions.
Such advancements are vital for equitable reimbursement and addressing healthcare access disparities.