[PC-BH-Integration] New to List

[Jody Rowell]

Hi Mary Jean, can you tell me what codes specifically you are talking
about?  THanks.

On Thu, Mar 12, 2009 at 12:09 PM, Mary Jean MORK <morkm at mmc.org> wrote:

> Hello, Have you considered using the Health and Behavior codes if you are
> offering behavioral support for a medical diagnosis? These are specifically
> intended for medical concerns, and not mental health diagnoses - when there
> is an underlying physical illness or injury where a biopsychosocial factor
> may be affecting the medical treatment. The Medicare rules are fairly clear
> about the intention and documentation required. Medicare in some regions
> (like ours in New England) limits this to PhD's only, but the states can
> decide if Medicaid will allow LCSW's to also deliver this. Our state (Maine)
> does. Because kids generally have Medicaid (or Commercial) and not Medicare,
> this is worth looking into. Let me know if you want any more specifics.
> Thanks, Mary Jean
>
> Mary Jean Mork
> Program Manager
> SHH/MMC/ Maine Health
> 39 Forest Ave
> Portland, Maine
> 662-2490
>
> >>> Jody Rowell <jrowell at cliffordbeers.org> 2/14/2009 10:55 AM >>>
>  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
>
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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
>



-- 
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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