[PC-BH-Integration] Registris for Behavioral Health

[Jody Rowell]

Hi curious....so are those the E&M codes?  We have been warned to be vary
careful about those codes because of the documentation requirements
(immense) and as a flag for audit and that is with our psych.  Has anyone
else heard this?  I may be way off base if they are not the E&M codes.
Thanks.

On Wed, Mar 4, 2009 at 8:04 PM, MARIE Susan
<susan.marie at co.multnomah.or.us>wrote:

> This is a bit complex-
> We provide fully integrated mental health care within a primary care
> clinic.  We (the physical health Medicaid insurer and our organization)
> developed an operational definition of "primary care behavioral health" that
> would be covered. (How we got there requires more than an email).    SO,
> they pay 99212 or 99213 regardless whether a psych NP or regular primary
> care provider provides the visit.  We also agreed it was discriminatory to
> limit it to some diagnoses- so someone with bipolar disorder who is
> appropriately treated with this level of services is covered as well as
> someone with anxiety or depression or  medical problem.  The insurer saves
> money in eliminating some billing screens and not having to work the
> denials.
> The key concepts are:
> Services are provided directly in the clinic alongside PCPs in one clinical
> record as part of the team.
> Services are in a "primary care template"- briefer, more patients per day
> than traditional mental health.  (that's why we didn't include the longer
> 992xx codes).  All our medication management visits are covered with this.
> Hope this helps- I'm happy to provide more info if you'd like.
>  Susan Marie, Portland, OR
>
> ________________________________
>
> From: pc-bh-integration-bounces at lists101.his.com on behalf of Meg Backas
> Sent: Tue 3/3/2009 11:49 AM
> To: pc-bh-integration at nccbh.net
> Subject: [PC-BH-Integration] Registris for Behavioral Health
>
>
>
> Are you saying that you can use the 992xx series without a mh diagnosis, or
> does the diagnosis not require a diagnostic assessment?
>
>
>
> Meg Backas, LICSW
>
> Director of Social Services
>
> mbackas at maryscenter.org <mailto: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 <http://www.maryscenter.org/>
>
>
>
>
>
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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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