[PC-BH-Integration] PC-BH-Integration Digest, Vol 49, Issue 10

Thu Feb 19 11:37:22 EST 2009

Thanks so much for your thoughts.  The hardest part is that I can bill MHC
codes, but the impact in 4 hours per week does not make it viable as the
demand is too high and the paperwork requirement is huge.  Any other ideas
and I am on it.  I am very saddened for these kids and their families.  What
is your "sustainable funding method?".

On Tue, Feb 17, 2009 at 12:58 PM, LAPER Marie A <
Marie.A.LAPER at co.benton.or.us> wrote:

> Jody,
>
> I hope you are hearing from others that your issues are national
> ones...related to silo-ed funding that does not support the integrated
> models of service delivery we are all trying to deliver.
>
> It is always reassuring to hear that practitioners continue to provide
> state of the art, best practices despite the lack of funding, but for
> many, this can only go on so long...sustaining best practices without
> funding in these economic times are difficult at best.
>
> Our FQHC and specialty mental health program are co-located, and we have
> come up with a sustainable funding method to support behavioral work,
> despite the inability for the LCSW to bill for all of the services
> provided. But it is a HUGE balancing act, and takes a commitment to the
> model, and practices by the Board and Exec Dir.
>
> Liz's idea of getting the MHC to let you bill under them is a good
> solution (need to convince them it is a win-win for both), but if your
> state is like ours, the paperwork requirement to serve someone in the
> MHC is a real dis-incentive....however, we do it if it is in the best
> interest of the client...
>
> You are welcome to contact me directly, if I can answer any specific
> questions you have.
>
> Marie Laper, Benton County, Oregon
>
> -----Original Message-----
> From: pc-bh-integration-bounces at lists101.his.com
> [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
> pc-bh-integration-request at lists101.his.com
> Sent: Tuesday, February 17, 2009 3:23 AM
> To: pc-bh-integration at lists101.his.com
> Subject: PC-BH-Integration Digest, Vol 49, Issue 10
>
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> Today's Topics:
>
>   1. Re: New to List (Reardon, Elizabeth)
>   2. Re: New to List (Bill Schlesinger)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Mon, 16 Feb 2009 18:15:23 -0500
> From: "Reardon, Elizabeth" <Elizabeth.Reardon at umassmed.edu>
> Subject: Re: [PC-BH-Integration] New to List
> To: pc-bh-integration at lists101.his.com
> Message-ID:
>
> <5ECA525B88314B48870E4AC72E3B9AF202FD941C at EDUNIVMAIL05.ad.umassmed.edu>
>
> Content-Type: text/plain; charset="iso-8859-1"
>
>
> Hi Jody
>
> First off, you and your FQHC colleagues are to be commended for taking
> on a commitment to kids and families - as you've indicated, it's a huge
> need and can be pretty complicated to provide.
>
> I don't know where you're writing from, so I'm nor sure what the rules
> on billing, etc. are in your area, but in Vermont there's been at least
> one example that I know of where the clinician from the mental health
> center opened up the kids she saw at the primary care practice as
> clients of the MH clinic and so was able to bill for assessment, therapy
> and case management to the mental health funder, rather than going
> through the FQHC. It's a different arrangement than the one you have now
> - you'd basically be a one person satellite clinic in the practice - but
> if you worked through your MHC you might be able to provide the services
> that your patients and their families need without stressing the billing
> capacity of the FQHC.
>
> Of course, there's always complications whichever route you try, but
> please feel free to contact me directly if you want to chat further
>
> Take care
> Liz
>
> email  liz at lizreardon.com
>
>
>
> -----Original Message-----
> From: pc-bh-integration-bounces at lists101.his.com on behalf of Jody
> Rowell
> Sent: Sat 2/14/2009 10:55 AM
> To: pc-bh-integration at lists101.his.com
> Cc: pc-bh-integration at nccbh.net
> Subject: Re: [PC-BH-Integration] New to List
>
> Hi, our primary care integration with a FQHC is failing.  As an LCSW I
> am
> there for 4 hours a week.  I have been providing consultation to the
> medical
> clinicians, seeing kids and their parents briefly, and hooking them up
> with
> other MH external services as indicated.  Because I am the only child
> therapist there it doesn't seem particularly helpful to do a full hour
> assessment (90801) to provide a few sessions, especially since there is
> an
> enormous amount of backlog.  In addition, I would need a translator with
> me
> for a large majority of the assessments and treatment.  Currently there
> are
> over a 100 kids on the shared list.  Our MH clinic is billing the FQHC
> for
> my time.  The FQHC is struggling financially and is feeling that they
> cannot
> continue to pay for my presence even though they find it valuable.  I am
> not
> billing enough to cover my time there.  Upcoding through FQHC codes is
> nearly impossible because most of the peds are reluctant to do the 10
> min
> warm transfer because of their own insane schedules.
>
> If I sound a little desparate it is because I am worried that all the
> work
> we have done combined with the incredible need means we will loose this
> project.
>
> Any ideas would be very much appreciate.  Jody
>
> On Fri, Feb 13, 2009 at 3:24 PM, Jaffy Phillips <jaffy at pobox.com> wrote:
>
> > Hi,
> >
> > I've just recently signed up to join this list-serve. My impression is
> that
> > I am to send an email to this address by way of introduction? If so,
> here
> > goes:
> >
> > I've been practicing as a psychotherapist for several years, and am
> > currently back in school for a Master's in Public Health, focussing on
> > health policy. I have a strong interest in collaborative care, and I
> am
> > currently working on a research paper for the Massachusetts Health
> Data
> > Consortium, exploring the barriers to and possibilities for
> implementation
> > of shared electronic medical records between behavioral and
> non-behavioral
> > providers in Massachusetts.
> >
> > Thanks for letting me join in the conversation.
> >
> > Jaffy
> >
> >
> > Jaffy Phillips, MA
> > Psychotherapist in private practice
> > Health Policy Intern: Massachusetts Health Data Consortium
> > MPH student: Boston University School of Public Health
> >
> >
> >
> > _______________________________________________
> > Reply to this message to send to the group
> > Help can be found at
> > http://lists101.his.com/mailman/listinfo/pc-bh-integration
> > or call Bob Beckwith at (301) 984-6200
> >
>
>
>
> --
> 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
>
> This email and any files transmitted with it may contain information
> that is
> confidential under the Health Insurance Portability and Accountability
> Act
> of 1996 (HIPAA) and is intended solely for the use of the individual or
> entity to whom they are addressed.  Be advised that disclosure, saving,
> printing, copying or taking any action in reliance on the contents of
> this
> message are strictly prohibited.  If you have received this email in
> error,
> please notify the original sender immediately and no one can make you
> feel
> either by telephone No one can make you feel inferior without your
> consent.
> ephone or by reply email and delete the message and any attachments from
> your computer.
>
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> ------------------------------
>
> Message: 2
> Date: Sun, 15 Feb 2009 21:02:46 -0700
> From: "Bill Schlesinger" <pvida at WHC.NET>
> Subject: Re: [PC-BH-Integration] New to List
> To: <pc-bh-integration at lists101.his.com>
> Message-ID: <8E1476068BC2440FAC80DAB3DCEE11D1 at DGQV6V61>
> Content-Type: text/plain; charset="us-ascii"
>
> I don't know a lot about your situation, but how many Medicaid vs.
> uninsured
> children does the FQHC see?  Is the FQHC aware that they can bill for a
> mental health visit and a medical visit on the same day?  The FQHC
> should be
> able to report the Medicaid encounter and then receive the prospective
> payment ('wraparound') from Medicaid at their full rate - with no
> upcoding
> required.  Also, beginning in October, CHIP will also provide the
> prospective payment to FQHC's.   The FQHC is also eligible to apply for
> Mental Health Service Expansion (applications just went in last month on
> the
> latest round) for up to $150,000 a year to cover 'unfunded' mental
> health
> services.
>
>
>
> Bill Schlesinger
> Project Vida Health Center
> 3607 Rivera Ave
> El Paso, TX 79905
> (915) 533-7057 x 207
> (915) 490-6148 mobile
> (915) 533-7158 fax
> bschlesinger.pv at tachc.org
>
>  _____
>
> From: pc-bh-integration-bounces at lists101.his.com
> [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Jody
> Rowell
> Sent: Saturday, February 14, 2009 8:55 AM
> To: pc-bh-integration at lists101.his.com
> Cc: pc-bh-integration at nccbh.net
> Subject: Re: [PC-BH-Integration] New to List
>
>
>
> Hi, our primary care integration with a FQHC is failing.  As an LCSW I
> am
> there for 4 hours a week.  I have been providing consultation to the
> medical
> clinicians, seeing kids and their parents briefly, and hooking them up
> with
> other MH external services as indicated.  Because I am the only child
> therapist there it doesn't seem particularly helpful to do a full hour
> assessment (90801) to provide a few sessions, especially since there is
> an
> enormous amount of backlog.  In addition, I would need a translator with
> me
> for a large majority of the assessments and treatment.  Currently there
> are
> over a 100 kids on the shared list.  Our MH clinic is billing the FQHC
> for
> my time.  The FQHC is struggling financially and is feeling that they
> cannot
> continue to pay for my presence even though they find it valuable.  I am
> not
> billing enough to cover my time there.  Upcoding through FQHC codes is
> nearly impossible because most of the peds are reluctant to do the 10
> min
> warm transfer because of their own insane schedules.
>
> If I sound a little desparate it is because I am worried that all the
> work
> we have done combined with the incredible need means we will loose this
> project.
>
> Any ideas would be very much appreciate.  Jody
>
> On Fri, Feb 13, 2009 at 3:24 PM, Jaffy Phillips <jaffy at pobox.com> wrote:
>
> Hi,
>
> I've just recently signed up to join this list-serve. My impression is
> that
> I am to send an email to this address by way of introduction? If so,
> here
> goes:
>
> I've been practicing as a psychotherapist for several years, and am
> currently back in school for a Master's in Public Health, focussing on
> health policy. I have a strong interest in collaborative care, and I am
> currently working on a research paper for the Massachusetts Health Data
> Consortium, exploring the barriers to and possibilities for
> implementation
> of shared electronic medical records between behavioral and
> non-behavioral
> providers in Massachusetts.
>
> Thanks for letting me join in the conversation.
>
> Jaffy
>
>
> Jaffy Phillips, MA
> Psychotherapist in private practice
> Health Policy Intern: Massachusetts Health Data Consortium
> MPH student: Boston University School of Public Health
>
>
>
> _______________________________________________
> Reply to this message to send to the group
> Help can be found at
> http://lists101.his.com/mailman/listinfo/pc-bh-integration
> or call Bob Beckwith at (301) 984-6200
>
>
>
>
> --
> 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
>
> This email and any files transmitted with it may contain information
> that is
> confidential under the Health Insurance Portability and Accountability
> Act
> of 1996 (HIPAA) and is intended solely for the use of the individual or
> entity to whom they are addressed.  Be advised that disclosure, saving,
> printing, copying or taking any action in reliance on the contents of
> this
> message are strictly prohibited.  If you have received this email in
> error,
> please notify the original sender immediately and no one can make you
> feel
> either by telephone No one can make you feel inferior without your
> consent.
> ephone or by reply email and delete the message and any attachments from
> your computer.
>
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> ------------------------------
>
> _______________________________________________
> Reply to this message to send to the group
> Help can be found at
> http://lists101.his.com/mailman/listinfo/pc-bh-integration
> or call Bob Beckwith at (301) 984-6200
>
>
> End of PC-BH-Integration Digest, Vol 49, Issue 10
> *************************************************
> _______________________________________________
> Reply to this message to send to the group
> Help can be found at
> http://lists101.his.com/mailman/listinfo/pc-bh-integration
> or call Bob Beckwith at (301) 984-6200
>

-- 
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

This email and any files transmitted with it may contain information that is
confidential under the Health Insurance Portability and Accountability Act
of 1996 (HIPAA) and is intended solely for the use of the individual or
entity to whom they are addressed.  Be advised that disclosure, saving,
printing, copying or taking any action in reliance on the contents of this
message are strictly prohibited.  If you have received this email in error,
please notify the original sender immediately and no one can make you feel
either by telephone No one can make you feel inferior without your consent.
ephone or by reply email and delete the message and any attachments from
your computer.
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