CTA Education

NCC 6th Annual Conference
Live in Las Vegas
Saturday, October 16, 2021

Alicia M. Yochum, RN, DC, DACBR, RMSK 

"Spondylolysis in the Athlete, Disc Lesions and Unknown Cases"

Dr. John Maltby

10CEs NV23-095

7:30am Registration

8:00 am – 5:30pm

Artisan Hotel Boutique 

1501 West Sahara Ave. / Las Vegas, NV 89102

Early-bird Registration by 9.1.21: NCC Members: $150 / Nonmembers $200 

After 9.2.21: NCC Members $200 / Nonmembers $250

Early-bird Registration by 9.1.21: CA $75 / After 9.2.21: $60

Register Today!

   CLICK HERE TO REGISTER ONLINE

 Please Click Here for Dr. Alicia Yochum's Syllabus
 

Telehealth Considerations
For Chiropractors 
In The Age of Covid-19

By: Ayesha Mehdi, Esq.

The Telehealth arena is evolving quickly due to regulatory and technological changes that have occurred and will continue to develop in the age of Covid-19. As such, frequent review and adjustment of telemedicine platforms and policies, will be required in order to remain compliant.

Licensure requirements for practitioners providing telemedicine varies from state to state, and many of the current authorizations for telemedicine are temporary, and in place for the coronavirus pandemic. Furthermore, the definitions of “telemedicine” also varies depending on the state. In Nevada, "Telehealth" is defined as the delivery of service from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile, or electronic mail.

The current Federal regulations focus on the privacy and data security concerns for telemedicine platforms, as well as the services Medicare and Medicaid will deem reimbursable. For now, temporary authority has been granted to provide certain reimbursement of telemedicine services “during the pendency of the coronavirus pandemic”. This authority is temporary, and may expire at any time. The prior approach was "no reimbursement" for telemedicine services. A revised rule would need to be implemented in order for a permanent change to be established.

Similar temporary measures or executive orders have been put into place in the states. 

Currently, Nevada's emergency directive 011 remains active until the end of the COVID-19 emergency. Professional licensing boards regulating practitioners shall temporarily waive certain licensing requirements to allow the practice of certain currently unlicensed skilled medical professionals during the pendency of the COVID-19 crisis. 

When adding telemedicine for your chiropractic practice in response to COVID-19, please be aware of the many considerations necessary. Steps to consider include: 

     • Contacting your state board to make sure you can perform telehealth as part of your licensure (Please see below)
     • Contacting your malpractice carrier to ensure you have telemedicine coverage;
     • Contacting the payers you plan to bill regarding coverage of telemedicine services;
     • Finding a telemedicine platform that is compliant; and,
     • Retaining qualified healthcare counsel.

*This article is for informational purposes only and is not intended to constitute, nor does it constitute, legal advice or guidance. 

Ayesha Mehdi, Esq. is a Partner in the Las Vegas office of Spencer Fane LLP, where she represents healthcare providers as a member of the firm’s healthcare group. She can be reached at 702-408-3416 or amehdi@spencerfane.com

Nevada Telehealth Findings and Declarations

629.510 Legislative NRS 
Findings and Declarations. 
The Legislature Hereby Finds and Declares That:

     1. Health care services provided through telehealth are often as effective as health care services provided in person;
     2. The provision of services through telehealth does not detract from, and often improves, the quality of health care provided to patients and the relationship between patients and providers of health care; and
     3. It is the public policy of this State to:
Encourage and facilitate the provision of services through telehealth to improve public health and the quality of health care provided to patients and to lower the cost of health care in this State; and      (a)
Ensure that services provided through telehealth are covered by policies of insurance to the same extent as though provided in person or by other means.      (b)
     (Added to NRS by 2015, 621)

629.515 Valid license or certificate required; exception; restrictions; jurisdiction over and applicability of laws.      NRS
     1. Except as otherwise provided in this subsection, before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license issued pursuant to NRS 630.261. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization, as defined in 25 U.S.C. § 1603.
     2. The provisions of this section must not be interpreted or construed to:
Modify, expand or alter the scope of practice of a provider of health care; or      (a)
Authorize a provider of health care to provide services in a setting that is not authorized by law or in a manner that violates the standard of care required of the provider of health care.      (b)
     3. A provider of health care who is located at a distant site and uses telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient:
Is subject to the laws and jurisdiction of the State of Nevada, including, without limitation, any regulations adopted by an occupational licensing board in this State, regardless of the location from which the provider of health care provides services through telehealth.      (a)
Shall comply with all federal and state laws that would apply if the provider were located at a distant site in this State.      (b)
     4. As used in this section:
“Distant site” means the location of the site where a telehealth provider of health care is providing telehealth services to a patient located at an originating site.      (a)
“Originating site” means the location of the site where a patient is receiving telehealth services from a provider of health care located at a distant site.      (b)
“Telehealth” means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including standard telephone, facsimile or electronic mail.      (c)
_  (Added to NRS by 2015, 621)

Data Base for Docs and CAs Who Need Help Finding Employees or Work

During these unprecedented times, the NCC realizes that due to quarantines and personal decisions of your staff, the work force may be changing daily. We want to help our fellow Docs. With responses from our statewide survey, we have created a resource for Docs and CAs who need help finding employees or work.

These are the positions that are currently available as per emails.

• Chiropractor's Assistant
• The Neck and Back Clinics 
• Email: claudiar@neckandback.org
• Telephone: 702-757-7717 

• Full or Part Time Chiropractic Associate 
• Summerlin Las Vegas Chiropractic office
• Email: DRMRC@cox.net

• If you would like to post a job opening or are searching for work, please contact: info@nevadachiropractic.org

Click Here for 2020 Data File

Thank you,

The NCC Board

Meet our Board of Directors:

President:  Dr. Adam Ingles, DC
Vice President:  Dr. Ted Sim, DC
Secretary:  Dr. Kevin Kaldy, DC
Treasurer:  Dr. John Brown, DC
Northern Nevada Directors:  Dr. Josh Byers, DC and Dr. Dennis Verner, DC
Southern Nevada Directors:  Dr. Rachel Box, DC and Dr. Benjamin Lurie, DC
Columnist for the NCC: Attorney Ayesha Mehdi
Past President / Chairman of the Board:  Dr. Stephanie Youngblood, DC