[PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue 1

Tue Apr 10 07:24:18 EDT 2007

Hi Shelly,

I can give you some info on this if you want to call me at 719-339-9529.
Basically, our state does not recognize the 96XX CPT code series.  If they
did, it would be PhD and LCSWs who can get reimbursed.  As they do not,
there is no method to bill for service provided intigrated with an FQHC.
However, we can bill for all services outside of that and use the intigrated
chart as a vehicle to improve penetration rate.  Give a call and we can talk
more.

Sharon Raggio-Pikes Peak Behavioral health Group 

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Shelly
Burke
Sent: Thursday, April 05, 2007 5:06 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue 1

I just want to clarify then - does the State licensing and standards apply
for reimbursement under a FQHC which is a federally designated clinic?

We are looking at integration with primary care and exploring the option of
reorganizing as an FQHC and including primary care as an offering.

Shelly Burke
Chief Financial Officer
Southwest Colorado Mental Health Center, Inc.

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bill
Rosenfeld
Sent: Thursday, April 05, 2007 10:13 AM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue
1

Arizona State Medicaid included LPC's and LMFT's under the reimbursable
provider type umbrella...  We employ both and are receiving payment for the
9615X codes.

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of McGlathery,
Michael
Sent: Wednesday, April 04, 2007 2:19 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue
1

Hi Wendy; I noticed that you are an LPC. Are your clinics FQHC's? The reason
why I am asking is the limitation of provider degree with FQHC's (LCSWs or
Psychologists) and if that is a problem. I would love to hire MFTs or LPCs.
Thanks. Michael McGlathery, Ph.D.

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bradley,
Wendy D
Sent: Tuesday, April 03, 2007 5:51 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue
1

We average between 6-12 encounters per day at approximately 15-25 min per
visit. We also are available for "curbside consults" for providers.
We are available by pagers. Our ratio is about 1 Behavioral Health
Consultant per 5 provider teams (1 doctor 1 nurse case manager and 1 CMA).
Currently, there are 9 BHCs. We are located in the offices with the Primary
Care Providers. We have been able to reduce high utilization by about 33% in
the clinic, so in some ways that pays for out positions.

Thank you,
Wendy D. Bradley LPC
729-3378

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Kessler,
Rodger S.
Sent: Monday, April 02, 2007 12:46 PM
To: pc-bh-integration at lists101.his.com;
pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 30, Issue
1

 8 encounters of what length? how is 10 encounters in an integrated model
determined?? Rodger Kessler Ph.D.

________________________________

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pc-bh-integration-request at lists101.his.com
Sent: Mon 4/2/2007 12:00 AM
To: pc-bh-integration at lists101.his.com
Subject: PC-BH-Integration Digest, Vol 30, Issue 1

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Today's Topics:

   1. Re: Patient Visits (McGlathery, Michael)

----------------------------------------------------------------------

Message: 1
Date: Thu, 22 Mar 2007 09:02:17 -0700
From: "McGlathery, Michael" <MMcGlathery at solanocounty.com>
Subject: Re: [PC-BH-Integration] Patient Visits
To: <pc-bh-integration at lists101.his.com>,
        <pc-bh-integration at nccbh.net>
Message-ID:
        <DB954945ED624248B5E05CF7904BB33E0362DE8F at EXCVJ01.Solano.Sol>
Content-Type: text/plain;       charset="us-ascii"

It sounds like you have a co-located mental health department. I have social
workers working for me who average about 8 encounters a day, sometimes less
but mostly more. The standard is 10 encounters a day in a fully integrated
primary care model. Michael Mcglathery,PhD

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Susan
Markley
Sent: Wednesday, March 21, 2007 10:38 AM
To: pc-bh-integration at lists101.his.com; pc-bh-integration at nccbh.net
Subject: Re: [PC-BH-Integration] Patient Visits

We are currently struggling with this issue as well.  If anyone has more
concrete information of what has worked for the practice in making it a
viable financial entity, that would be very helpful. 

Susan Markley

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Esther
Lwanga
Sent: Wednesday, March 14, 2007 11:01 AM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] Patient Visits

Hello,

I've been following the discussion thread regarding patient visits, and had
some more specific questions. We are trying to determine effective
utilization practices. If anyone could answer any of the following as
relates to their practice, or generally held views:

- Average number of encounters/visits per child psychiatrist per year
- Average number of encounters/visits per adult psychiatrist per year
- Average number of encounters/visits per psychologist per year
- Time used for initial evaluation/psychiatric consultation
- Time used for psychotherapy (i.e. 20-30??? 40-50mins)
- Time used for group sessions?

Thank you

Esther Lwanga, MPH
Community Development Manager
Mid-Atlantic Association of Community Health Centers
4483 B Forbes Blvd
Lanham, MD 20706
Phone: (301) 577-0097  Fax (301) 577-4789

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End of PC-BH-Integration Digest, Vol 30, Issue 1
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