[PC-BH-Integration] networking

[Kessler, Rodger S.]

Re: Health and Behavior codes 96150 etc.:

In some form or other ( it varies some by region) all Medicare
reimburses those codes for what they call clinical psychologists.
Medicare specifically excludes social workers from being reimbursed by
the codes. Whether "incident to" billing inder a physician could be used
I don't know but doubt.  Medicaid in Vermont reimburses the codes. I am
told that Colorado Medicaid did, but now doesn't. Am not clear if any
other state Medicaid does. Division 38 of APA has a listserve dedicated
to the Health and Behavior codes.

 

Rodger Kessler Ph.D. ABPP
Berlin Family Health
Fletcher Allen Healthcare 

-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Wen,
Frances K. (HSC)
Sent: Monday, February 05, 2007 1:46 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] networking

 

My billing dept has told me that our state's Medicaid authority won't
reimburse for those codes, but Medicare will.

 

Thanks,

Fran

 

Frances Wen, Ph.D.

Assistant Professor

Associate Director of Research

Health Service Psychologist

Department of Family Medicine

The University of Oklahoma College of Medicine, Tulsa

1111 S. St. Louis Ave.

Tulsa, OK 74120

(918) 619-4712

 

 

CONFIDENTIALITY NOTICE:    This email, including any attachments,
contains information from The University of Oklahoma College of
Medicine-Tulsa, Department of Family Medicine, which may be confidential
or privileged. The information is intended to be for the use of the
individual or entity named above. If you are not the intended recipient,
be aware that any disclosure, copying, distribution or use of the
contents of this information is prohibited. If you have received this
email in error, please notify the sender immediately by "reply to sender
only" message and destroy all electronic and hard copies of the
communication, including attachments.

 

________________________________

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
McGlathery, Michael
Sent: Friday, February 02, 2007 4:14 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] networking

 

We are struggling with the 96,000 codes. We are having a multi agency
meeting the end of this month so please check with me after then.
Michael McGlathery, PhD. Solano County, Fairfield, Ca

 

________________________________

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Lori
Partee
Sent: Thursday, February 01, 2007 7:06 AM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] networking

 

Greetings,

I am hoping to network with other Health Integration Specialists,
providing behavioral health services in a medical care setting.  I have
been in this setting for the past 4 years.  We started with 4 positions
and once the MH incentives stopped, and the Medical agency was required
to pay for the service, it was reduced to 1 position.  We  have been
billing for the past 2 years the 96150-96151 codes.  We are looking for
ways to improve the program by checking with others who are doing
similar work.  Some questions are: How is your agency billing if at all?
Are they getting reimbursed for services?  Does anyone use the disease
model for services?  Productivity measures--Do you have specific
expectations?  What were they when you started vs. now?

I believe in the value of the service provided and would like to
strengthen this program.  Please respond if you would like to share
information about your job and program.

Thanks,

Lori Partee, LMSW

Behavioral Health Clinician

InterCare Community Health Network

Benton Harbor, MI

269*927-2608 Ext 108



Confidentiality Notice:
This message, and any attachments, may contain information that is confidential, privileged, and/or protected from disclosure under state and federal laws that deal with the privacy and security of medical information. If you received this message in error or through inappropriate means, please reply to this message to notify the Sender that the message was received by you in error, and then permanently delete this message from all storage media, without forwarding or retaining a copy.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists101.his.com/pipermail/pc-bh-integration/attachments/20070206/8c394752/attachment.html