TY - JOUR
T1 - Tele-Neuropsychology
T2 - From Science to Policy to Practice
AU - Sperling, Scott A.
AU - Acheson, Shawn K.
AU - Fox-Fuller, Joshua
AU - Colvin, Mary K.
AU - Harder, Lana
AU - Cullum, C. Munro
AU - Randolph, John J.
AU - Carter, Kirstine R.
AU - Espe-Pfeifer, Patricia
AU - Lacritz, Laura H.
AU - Arnett, Peter A.
AU - Gillaspy, Stephen R.
N1 - Publisher Copyright:
© The Author(s) 2023. Published by Oxford University Press. All rights reserved.
PY - 2024/3/1
Y1 - 2024/3/1
N2 - Objective: The primary aim of this paper is to accelerate the number of randomized experimental studies of the reliability and validity in-home tele-neuropsychological testing (tele-np-t). Method: We conducted a critical review of the tele-neuropsychology literature. We discuss this research in the context of the United States’ public and private healthcare payer systems, including the Centers for Medicare & Medicaid Services (CMS) and Current Procedural Terminology (CPT) coding system’s telehealth lists, and existing disparities in healthcare access. Results: The number of tele-np publications has been stagnant since the onset of the COVID-19 pandemic. There are less published experimental studies of tele-neuropsychology (tele-np), and particularly in-home tele-np-t, than other tele-np publications. There is strong foundational evidence of the acceptability, feasibility, and reliability of tele-np-t, but relatively few studies of the reliability and validity of in-home tele-np-t using randomization methodology. Conclusions: More studies of the reliability and validity of in-home tele-np-t using randomization methodology are necessary to support inclusion of tele-np-t codes on the CMS and CPT telehealth lists, and subsequently, the integration and delivery of in-home tele-np-t services across providers and institutions. These actions are needed to maintain equitable reimbursement of in-home tele-np-t services and address the widespread disparities in healthcare access.
AB - Objective: The primary aim of this paper is to accelerate the number of randomized experimental studies of the reliability and validity in-home tele-neuropsychological testing (tele-np-t). Method: We conducted a critical review of the tele-neuropsychology literature. We discuss this research in the context of the United States’ public and private healthcare payer systems, including the Centers for Medicare & Medicaid Services (CMS) and Current Procedural Terminology (CPT) coding system’s telehealth lists, and existing disparities in healthcare access. Results: The number of tele-np publications has been stagnant since the onset of the COVID-19 pandemic. There are less published experimental studies of tele-neuropsychology (tele-np), and particularly in-home tele-np-t, than other tele-np publications. There is strong foundational evidence of the acceptability, feasibility, and reliability of tele-np-t, but relatively few studies of the reliability and validity of in-home tele-np-t using randomization methodology. Conclusions: More studies of the reliability and validity of in-home tele-np-t using randomization methodology are necessary to support inclusion of tele-np-t codes on the CMS and CPT telehealth lists, and subsequently, the integration and delivery of in-home tele-np-t services across providers and institutions. These actions are needed to maintain equitable reimbursement of in-home tele-np-t services and address the widespread disparities in healthcare access.
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U2 - 10.1093/arclin/acad066
DO - 10.1093/arclin/acad066
M3 - Review article
C2 - 37715508
AN - SCOPUS:85185494391
SN - 0887-6177
VL - 39
SP - 227
EP - 248
JO - Archives of Clinical Neuropsychology
JF - Archives of Clinical Neuropsychology
IS - 2
ER -