Frequently Asked Questions

Telepsychiatry is the application of telemedicine to the specialty field of psychiatry. The term typically describes the delivery of psychiatric assessment and care through telecommunications technology, usually video-conferencing. Through video-conferencing, you can see a psychiatrist face-to-face from the privacy and comfort of your own home to address common behavioral health challenges.  FAQ

A Psychiatrist is a medically trained doctor with a license to prescribe medications. A therapist however, cannot prescribe medicine. He or she with meet with you for talk therapy.

We use HIPAA-Compliant technology, which is private and secure. It provides full confidentiality during the online visit with the Psychiatrist. We recommend the use of a  private place during your visit.

An online psychiatry session is the same as an office visit but with multiple conveniences. You can conduct the sessions from a location which you prefer with the  elimination of the need for travel. FAQ

You can schedule your appointment online using the “Request an Appointment” page on our website. Once this request is received, further instructions will be sent to your e-mail in order to reserve a session. 

If you cancel or reschedule your confirmed appointment with less than a 24 hr notice, or do not show up, a $75 fee will be charged. Emergency situations will be evaluated individually.

Currently, you can only use our online video visits if you are a resident of the state that one of our Psychiatrists is licensed in. Under current laws, you will need to be physically located in your home state during each session, but if there is any change in this law, we will update you. Before each visit you will need to verify your location in case of an emergency.

FAQ

Currently, you can only use our online video visits if you are a resident of the state that one of our Psychiatrist is licensed in. Under current laws, you will need to be physically located in your home state during each session, but if there is any change in this law , we will update you. Before each visit you will need to verify your location case of an emergency.

Currently, we are only seeing patients ages 18 and up. Please check back in future as we are planning to expand our services to all ages.

Certain medication that are potentially addictive and can have detrimental effect on a person’s health are considered “controlled”, and regulated by Federal and State governments.

The federal government defines a controlled substance as any of the substances listed in the schedules of the Controlled Substances Act (CSA) of 1970. The schedules are divided into five categories: 

Schedule I – These substances have no accepted medical use, are unsafe, and hold a high potential for abuse. Examples include heroin, LSD, marijuana, peyote, and ecstasy. Schedule II – These narcotics and stimulants have a high potential for abuse and engender severe psychological or physical dependence. Examples include Dilaudid, hydrocodone, methadone, Demerol, OxyContin, Percocet, morphine, opium, codeine, amphetamine (Dexedrine, Adderall), and methamphetamine 

Schedule III – These are substances that have less potential for abuse but can still lead to moderate or low physical dependence and high psychological dependence. They include Tylenol with Codeine, Suboxone, ketamine, and anabolic steroids. 

Schedule IV – These substances have a lower potential for abuse than Schedule III drugs, and include Xanax, Soma, Klonopin, Valium, Ativan, Versed, Restoril, and Halcion. 

Schedule V – These are primarily preparations that contain limited quantities of narcotics, including cough syrups that contain codeine. 

Controlled substances cannot be prescribed via telehealth unless you have seen one of our Psychiatrist in-person first, at least one time. If you require a controlled substance (i.e., benzodiazepines), the psychiatrist may be able to coordinate with your primary care physician (who you are seeing in person) to have him or her prescribe those medications based on the psychiatrist’s recommendations. All other psychiatric medications can be prescribed by your online psychiatrist.

Under the Ryan Haight Act, a practitioner cannot issue a “valid prescription” for a controlled substance by means of the Internet (which, for all practical purposes, includes telemedicine technologies) without having first conducted at least one in-person medical evaluation, except in certain specified circumstances.

During COVID-19 (Cornonavirus) Public Health Emergency:

On March 16, 2020, the Drug Enforcement Agency (DEA) published a COVID-19 Information Page on the Diversion Control Division website, providing guidance relating to the COVID-19 public health emergency, including the ability to prescribe controlled substances via telemedicine without a prior in-person exam. This public health
emergency exemption is one of seven exceptions to the federal Ryan Haight Act’s requirement to conduct an in-person exam before prescribing controlled substances via telemedicine.

You must see our psychiatrist one time in-person to start any controlled substance medication. It is entirely upon our psychiatrist’s evaluation to determine whether you need these medications or not. We can arrange a one time in-person visit with our psychiatrist, if possible, depending on your willingness to travel. Our psychiatrists cover all of Pennsylvania State. FAQ

We can provide you with a “Super Bill” that you may submit for “Out of Network” coverage with your insurance provider. A super bill is a form completed by medical practitioners that allows patients to be reimbursed directly from their health insurance companies. A super bill does not guarantee that an insurance provider will pay for the services provided. Each insurance plan is different, and it is your responsibility to contact your insurance provider and find out exactly what will be covered.

Common codes used for these services :  For Initial psychiatric evaluation: 90792, and for follow up appointments: 99212 or 99213.

Collaborative Care Psychiatry is when our psychiatrist cares for you in coordination and partnership with your primary care provider.  It is also called Integrated Care. FAQ

You can use any computer/Laptop/Smart phone with a functioning video camera. We will send you instruction regarding the App needed for the video visit.

Please check in your spam mail or junk mail folder. Add the domain name @millmarkhealth.com in your spam filter. Make sure to check the option to never send into the spam folder. FAQ

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