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

Jody Rowell jrowell at cliffordbeers.org
Tue Feb 17 10:56:47 EST 2009 

99213....it has to be a warm transfer if I have the correct information.
The problem with our integration is I am the only one and often there is a
language barrier so its hard to believe my time is best spent only doing
full evals when I am there only 4 hours a week.  But thank you for the
confirmation about the curbsides...that should be billable.

On Mon, Feb 16, 2009 at 10:28 AM, Meg Backas <MBackas at maryscenter.org>wrote:

> 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:
> > Send PC-BH-Integration mailing list submissions to
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> >  Today's Topics:
> >
> >    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>
> >
> >  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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> >
> >
> >  ------------------------------
> >
> >  _______________________________________________
> >  Reply to this message to send to the group
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> >
> >  End of PC-BH-Integration Digest, Vol 49, Issue 8
> >  ************************************************
> >
> >
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-- 
Jody L. Rowell, MSSW, LCSW, Advocate
Clifford W. Beers Guidance Clinic
93 Edwards Street
New Haven, CT 06511
(203)772-1270 x-238 (203)772-0051 (F)
jrowell at cliffordbeers.org

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