[PC-BH-Integration] PC-BH-Integration Digest, Vol 51, Issue 4
Eric Christian
Eric.Christian at mahec.net
Wed Apr 15 15:48:26 EDT 2009
One of the issues that has popped-up related to billing is when the patient's MH benefit is exercised and they did not expect it. For example, they may have signed the global consent (including behavioral health) at some point in the past. They may continue to attend traditional medical appointments and are accustomed to their ususal medical co-pay. They may even have met the behaviorist who joined the doctor's session = may still have the usual financial scenario.
Then, a follow-up is planned with the behaviorist, their MH benefit is used, and they receive a different bill (there is the possibility that their behavioral health benefit is quite different or does not exist). This could lead to a surprisingly large bill for the patient who thought they knew what to expect when going to their medical home.
So, wether or not behaviorists use a global practice consent alone or have a secondary traditional consent for f/u planned appointments, it is important that patients are made aware of the financial differences when planning a f/u appointment that uses their mental health benefit.
Eric
Eric Christian, MAEd, LPC, NCC
Integrated Care Coordinator
MAHEC
501 Biltmore Avenue
Asheville, NC 28801
O: 828.257.4432 F: 828.257.4768
Eric.christian at mahec.net ( mailto:Eric.christian at mahec.net )
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>>> <pc-bh-integration-request at lists101.his.com> 4/15/2009 11:47 AM >>>
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Today's Topics:
1. integrated consent (Crystal Miner)
2. Re: PC-BH-Integration Digest, Vol 51, Issue 3 (Eric Christian)
----------------------------------------------------------------------
Message: 1
Date: Tue, 14 Apr 2009 12:06:49 -0800
From: "Crystal Miner" <CMiner at matsuhealthservices.org>
Subject: [PC-BH-Integration] integrated consent
To: <pc-bh-integration at lists101.his.com>
Message-ID:
<EDADA05655ED8940819DDDF7175B97820189CA0C at bhs-mail.lifequest.local>
Content-Type: text/plain; charset="us-ascii"
Our consent currently states:
I consent to receive services by a team of professionals; I understand
that health information may be shared between the Primary Care Clinic
and Behavioral Health Services in order to coordinate care.
I'd have to see the specific requirements of your boards to see what
they constitute as a "consent/disclosure" but you should be able to put
one into the normal "New Patient" paperwork that you have everyone sign
when they first start with your clinic. For us, this line is part of a
"signoff" sheet that contains Financial Responsibility statements and
the Acknowledgement statement for HIPAA. We haven't had any
patients/clients make any comments about it, and neither has anyone from
behavioral or primary clinics.
Good luck,
Crystal Miner
Practice Manager
Mat-Su Health Services, Inc.
1363 West Spruce Avenue
Wasilla, AK 99654
PHONE: 907-352-3316
FAX: 907-352-3363
www.matsuhealthservices.org
<file:///C:\Documents%20and%20Settings\cminer\Application%20Data\Microso
ft\Signatures\www.matsuhealthservices.org>
Hi all,
I've got a question for the list about how those who are working in
fully integrated primary care settings are working with the consent to
treat/disclosure statement. We're in Boulder, CO and have behavioral
health clinicians in a number of medical sites, working alongside
primary care providers in a very integrated way, entering notes into the
same EMR, etc.
One kink we've come up against is the requirements of our licensing
boards to have a consent/disclosue signed with each patient. Though we
go over confidentiality, etc. verbally, it's rather clunky to "the flow"
to introduce a disclosure signing into the visit. It also feels more
like setting up a "specialty mental health" model, which we are trying
to stay away from.
I've thought the best solution would be to have patients sign a
behavioral health disclosure/consent to treat when they enroll at the
clinic along with the briefer medical consent to treat. Some may not use
the behavioral health service, but some will. This way, we would also be
advertising the integrated model we offer. The medical clinic is
reluctant to do this. We're working on this reluctance--seeing if the
shift in frame from "psychotherapy" to "behavioral health consultation"
helps to also shift people's reluctance about it.
I thought I'd see what other people have come up with. Any suggestions?
Michael Dow, MA, LPC
Behavioral Health Consultant
People's Clinic
Clinica Campesina Family Health Services
3303 N. Broadway, CO
Boulder, CO 80304
(720) 565-4232
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Message: 2
Date: Mon, 13 Apr 2009 10:11:03 -0400
From: "Eric Christian" <Eric.Christian at mahec.net>
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 51,
Issue 3
To: <pc-bh-integration at lists101.his.com>
Message-ID: <49E30FBB.DCF5.002C.0 at mahec.net>
Content-Type: text/plain; charset="us-ascii"
Michael,
Think you are on the right track = A general consent for the practice that includes behavioral health. This should cover you when invited in by the physician to help out. One of our peer groups which represents an array of practices has almost unanimously decided that when the behaviorist and patient then have a planned appointment that a more traditional consent/disclosure statement should be signed. Since the number of patients scheduled for follow-up is smaller and they may be exercising their mental health insurance benefit, this seems manageable and aligns with licensing boards (depending on your interpretation)
I will be curious to see what others have to say.
Eric Christian, MAEd, LPC, NCC
Integrated Care Coordinator
MAHEC
501 Biltmore Avenue
Asheville, NC 28801
O: 828.257.4432 F: 828.257.4768
Eric.christian at mahec.net ( mailto:Eric.christian at mahec.net )
Please consider the environment before printing this email
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.
>>> <pc-bh-integration-request at lists101.his.com> 4/13/2009 12:00 AM >>>
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Today's Topics:
1. Re: PC-BH-Integration Digest, Vol 51, Issue 1 (Michael Dow)
----------------------------------------------------------------------
Message: 1
Date: Sat, 11 Apr 2009 13:12:07 -0600
From: Michael Dow <michaelmdow at gmail.com>
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 51,
Issue 1
To: pc-bh-integration at lists101.his.com
Message-ID:
<d64d76d70904111212h6b89c30ci60dba89ff5bb911d at mail.gmail.com>
Content-Type: text/plain; charset="iso-8859-1"
Hi all,
I've got a question for the list about how those who are working in fully
integrated primary care settings are working with the consent to
treat/disclosure statement. We're in Boulder, CO and have behavioral health
clinicians in a number of medical sites, working alongside primary care
providers in a very integrated way, entering notes into the same EMR, etc.
One kink we've come up against is the requirements of our licensing boards
to have a consent/disclosue signed with each patient. Though we go over
confidentiality, etc. verbally, it's rather clunky to "the flow"
to introduce a disclosure signing into the visit. It also feels more like
setting up a "specialty mental health" model, which we are trying to stay
away from.
I've thought the best solution would be to have patients sign a behavioral
health disclosure/consent to treat when they enroll at the clinic along with
the briefer medical consent to treat. Some may not use the behavioral health
service, but some will. This way, we would also be advertising the
integrated model we offer. The medical clinic is reluctant to do this. We're
working on this reluctance--seeing if the shift in frame from
"psychotherapy" to "behavioral health consultation" helps to also
shift people's reluctance about it.
I thought I'd see what other people have come up with. Any suggestions?
Michael Dow, MA, LPC
Behavioral Health Consultant
People's Clinic
Clinica Campesina Family Health Services
3303 N. Broadway, CO
Boulder, CO 80304
(720) 565-4232
On Tue, Mar 31, 2009 at 10:00 PM, <
pc-bh-integration-request at lists101.his.com> wrote:
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> Today's Topics:
>
> 1. Integrated Care organization executive (Blount, Alexander)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Tue, 31 Mar 2009 10:45:00 -0400
> From: "Blount, Alexander" <Alexander.Blount at umassmemorial.org>
> Subject: [PC-BH-Integration] Integrated Care organization executive
> To: <pc-bh-integration at lists101.his.com>
> Cc: "deGruy, Frank" <Frank.deGruy at ucdenver.edu>, "Miller, Benjamin"
> <Benjamin.Miller at ucdenver.edu>
> Message-ID:
> <
> 1BB849C1E05F0F448C0A46B1B7B2F11B0160ED91 at UMMHCEXCHMB04.umassmemorial.org>
>
> Content-Type: text/plain; charset="iso-8859-1"
>
>
>
>
> > Executive Director, 1/2 time, work from home. The Collaborative Family
> Healthcare Association, www.CFHA.net <http://www.cfha.net/> seeks a
> self-starting individual with an interest in changing healthcare, experience
> as an administrator and grant getter, and some experience with a membership
> organization to be our Executive Director. We are a 501c3 organization that
> runs a successful conference every year and is growing very quickly as
> interest in integrated or collaborative healthcare grows around the US.
> Most of the work can be done out of your home. The Board is distributed all
> over the US and works well as a distributed group. There will be travel a
> few times a year to conferences or meetings. Salary: 30 to 35K for half
> time. This could easily grow to full time. Contact Alexander Blount, EdD,
> Chair of the Search Committee. blounta at ummhc.org.
> >
> >
> > Alexander Blount, EdD
> > Clinical Professor of Family Medicine and Psychiatry
> > University of Massachusetts Medical School
> > Director of Behavioral Science
> > Department of Family Medicine and Community Health
> > Editor, Families, Systems, & Health
> > 55 Lake Avenue North
> > Worcester, MA 01655
> > O. 508 856-2147, F. 508 856-7799
> > blounta at ummhc.org
> > http://www.umassmed.edu/fmch/faculty/Blount.cfm
> > www.integratedprimarycare.com
> >
> >
> >
>
>
> The information transmitted is intended only for the person or
> entity to which it is addressed and may contain confidential and/or
> privileged material. Any review, transmission, re-transmission,
> dissemination or other use of, or taking of any action in reliance
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> intended recipient is prohibited. If you received this in error,
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