[PC-BH-Integration] PC-BH-Integration Digest, Vol 49, Issue 8

[Meg Backas]

How do you bill for your time?  Our mh program is employed by the FQHC and we are expected to pay for ourselves through billing Medicaid, yet if we see someone on the same day as a provider there is only one reimbursement.  This isn't a problem with referrals for assessments or therapy since those are often scheduled for another day, but for quick assessments, brief interventions, curbside consultations, all of which are crucial to integration, we would not be able to bill for the service separately.  In another stream of emails someone mentioned "upcoding" which I am not familiar with.  Is this something that others think might help with our situation?

Meg Backas, LICSW
Director of Social Services 
mbackas at maryscenter.org
Mary's Center for Maternal and Child Care, Inc.
2333 Ontario Rd, NW
Washington, DC 20009
202-420-7122 (direct)
202-797-2628 (fax)
www.maryscenter.org


-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Michael Dow
Sent: Saturday, February 14, 2009 9:56 AM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 49, Issue 8

Hi Jaffy!

How funny that you're on this list! I didn't realize you were
interested in this area. We'll have to talk.

Anyway, I'm working in an integration project in Boulder at the
People's Clinic and can tell you what we're doing here in terms of
shared records. It's fairly complex so email me back channel if you
want to talk more about it (michaelmdow at gmail.com).

Our behavioral health staff work alongside the pcps in a fully
integrated team and enter their notes directly into the EMR just like
providers, except we generally use a behavioral health template. Focus
is on treatment plan, and they are kept brief. Sensitive information
(sexual abuse history, substance abuse treatment) is documented in a
confidential note for which patients would need to explicitly specify
consent before it would be released.

The unique aspect of our integration project is that though our
behavioral health team all work in the same way, half are employed on
the primary care side, and half by community mental health. The
community mental health staff (like myself) have access to the CMHC
data base, which is very helpful, since the two agencies share a lot
of clients. Those of us employed by the CMHC can look at the database
without a release, though to disclose information to primary care
providers we need to get a release from patients.

That make sense?

Anyway, email me if you want to talk more. We have some other
interesting stuff in the works.

Hope Boston is treating you well!

michael

On 2/13/09, pc-bh-integration-request at lists101.his.com
<pc-bh-integration-request at lists101.his.com> wrote:
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>  Today's Topics:
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>    1. Re: Electronic records in collaborative care? (Kessler, Rodger S.)
>
>
>  ----------------------------------------------------------------------
>
>  Message: 1
>  Date: Fri, 13 Feb 2009 16:24:04 -0500
>  From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
>  Subject: Re: [PC-BH-Integration] Electronic records in collaborative
>         care?
>  To: "'pc-bh-integration at lists101.his.com'"
>         <pc-bh-integration at lists101.his.com>
>  Message-ID:
>         <4CF36A3AB2AEF1408C6593AAE50EDD348439E7062E at EMAIL1.fahc.fletcherallen.org>
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>  Content-Type: text/plain; charset="us-ascii"
>
>  See paper reviewing issues and rules in March Journal of Clinical Psychology in Medical Settings. Most of resistance to combing in is a straw man. There are only a couple of regulatory issues that must be respected-psychotherapy notes under HIPPA and CFR rules for sending SA records. We have just moved to combined paper record and development of EMR in Vermont is geared towards an integrated record. R
>
>  Rodger Kessler Ph.D. ABPP
>  Research Assistant Professor
>  Department of Family Medicine
>  Center for Translational Science
>  University of Vermont College of Medicine
>  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 Jaffy Phillips
>  Sent: Friday, February 13, 2009 3:25 PM
>  To: pc-bh-integration at lists101.his.com
>  Subject: [PC-BH-Integration] Electronic records in collaborative care?
>
>  Hi,
>
>  I'm interested in the "shared records" aspect of collaborative care-
>  particularly electronic records shared between different providers
>  and/or organizations. How have issues of privacy, consent and record
>  access (who has access) been addressed, in terms of the behavioral
>  health content? Has the content of the shared behavioral health data
>  been limited to medications and diagnoses, or is the complete record
>  made available to the the primary care physician? What has been the
>  response from patients? I'm interested in anything on the spectrum
>  from research papers to personal/anecdotal experiences (most of the
>  literature I have been able to find on collaborative care and/or EMRs
>  has not included this information).
>
>  Thanks very much.
>
>  Jaffy
>
>
>  Jaffy Phillips, MA
>  Psychotherapist in private practice
>  Health Policy Intern: Massachusetts Health Data Consortium
>  MPH student: Boston University School of Public Health
>
>  Jaffy at pobox.com
>  781-752-9599
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>  End of PC-BH-Integration Digest, Vol 49, Issue 8
>  ************************************************
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