[PC-BH-Integration] PC-BH-Integration Digest, Vol 64, Issue 14

Kessler, Rodger S. Rodger.Kessler at vtmednet.org
Wed Jun 23 21:17:24 EDT 2010


Rodger Kessler Ph.D. ABPP
Coordinator, Behavioral Health in the Patient Centered Medical Home
Fletcher Allen Healthcare Blueprint for Health
Research Director, Collaborative Care Research Network
Senior Scientist, National Research Network
American Academy of Family Physicians
Research Assistant Professor
Department of Family Medicine
Faculty Scholar
Center for Clinical and Translational Science
University of Vermont College of Medicine
________________________________________
From: pc-bh-integration-bounces at lists101.his.com [pc-bh-integration-bounces at lists101.his.com] On Behalf Of Michael Lardiere [mlardiere at NACHC.COM]
Sent: Wednesday, June 23, 2010 5:06 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] PC-BH-Integration Digest, Vol 64, Issue 14

Under Medicare NGS now allows LCSWs to bill for these codes.  Please see attached.

Mike

Michael R. Lardiere, LCSW
Director, Health Information Technology
Sr. Advisor, Behavioral Health
National Association of Community Health Centers
7200 Wisconsin Avenue, Suite 210
Bethesda, MD 20814
(301)347-0400 (voice) xt 2069
(301)347-0459 (fax)
mlardiere at nachc.com
www.nachc.com

Celebrate National Health Center Week - August 8-14, 2010.  Visit www.healthcenterweek.org for more information!
Visit www.nachc.com for more information.
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Sent: Wednesday, June 23, 2010 4:46 PM
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Subject: PC-BH-Integration Digest, Vol 64, Issue 14

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Today's Topics:

   1. Using 96100 Health & Behavior codes in primary    care settings
      (Laurie Alexander)
   2. Re: Using 96100 Health & Behavior codes in        primarycare
      settings (Blount, Alexander)
   3. Re: Using 96100 Health & Behavior codes in primary        care
      settings (Kessler, Rodger S.)
   4. Re: Using 96100 Health & Behavior codes   in      primarycare
      settings (Mary Jean MORK)


----------------------------------------------------------------------

Message: 1
Date: Wed, 23 Jun 2010 06:49:59 -0700
From: Laurie Alexander <laurie.alexander09 at gmail.com>
To: pc-bh-integration at nccbh.net, Kandy Templeton
        <ktempleton at vbhcs.org>
Subject: [PC-BH-Integration] Using 96100 Health & Behavior codes in
        primary care settings
Message-ID:
        <AANLkTikruIXN9bnUKCyoXPhdyHIT27UssnTHs24lILFD at mail.gmail.com>
Content-Type: text/plain; charset="iso-8859-1"

Hello, everyone! I'm posting these questions for Kandy Templeton, Sr. VP for
Clinical Services at Volunteer Behavioral Health Care System in TN. Please
respond to her at ktempleton at vbhcs.org. Thanks in advance for your help!
Laurie Alexander


I am looking for feedback on the use of 96150-96155 by behavioral health
clinicians in a primary care setting. How are these codes being used? What
are the rules/regs associated with the codes in different states? Are there
rules associated with diagnosis? Who can bill for the codes? Are there rules
associated with documentation of these codes?
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Message: 2
Date: Wed, 23 Jun 2010 09:56:23 -0400
From: "Blount, Alexander" <Alexander.Blount at umassmemorial.org>
To: <pc-bh-integration at lists101.his.com>
Subject: Re: [PC-BH-Integration] Using 96100 Health & Behavior codes
        in      primarycare settings
Message-ID:
        <09E9C21FEF79BF4E981C6EFAFC444024026680A9 at UMMHCEXCHMB03.umassmemorial.org>

Content-Type: text/plain; charset="utf-8"

Go to integratedprimarycare.com and look under financing for "the politics of health and behavior codes". Sandy Blount

________________________________

From: pc-bh-integration-bounces at lists101.his.com
To: pc-bh-integration at nccbh.net ; Kandy Templeton
Sent: Wed Jun 23 09:49:59 2010
Subject: [PC-BH-Integration] Using 96100 Health & Behavior codes in primarycare settings


Hello, everyone! I'm posting these questions for Kandy Templeton, Sr. VP for Clinical Services at Volunteer Behavioral Health Care System in TN. Please respond to her at ktempleton at vbhcs.org <mailto:ktempleton at vbhcs.org> . Thanks in advance for your help!

Laurie Alexander


I am looking for feedback on the use of 96150-96155 by behavioral health clinicians in a primary care setting. How are these codes being used? What are the rules/regs associated with the codes in different states? Are there rules associated with diagnosis? Who can bill for the codes? Are there rules associated with documentation of these codes?


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Message: 3
Date: Wed, 23 Jun 2010 09:54:30 -0400
From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
To: "pc-bh-integration at lists101.his.com"
        <pc-bh-integration at lists101.his.com>
Subject: Re: [PC-BH-Integration] Using 96100 Health & Behavior codes
        in primary      care settings
Message-ID:
        <F4D68CEAD0D1C24689DFBEE4BE2C30B40160BC9F9E at EMAIL3.fahc.fletcherallen.org>

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It is complicated. My prediction is they will go away and be replaced by ability to use E&M codes for specific clinicians. The specific questions are complex to respond to happy to have a back channel or phone conversation. If Medicare is an issue They are incredibly limited by degree.

Rodger Kessler Ph.D. ABPP
Coordinator, Primary Care Behavioral Health
Fletcher Allen Patient Centered Medical Home
Research Director
Collaborative Care Research Network
Senior Scientist
National Research Network
American Academy of Family Physicians
Research Assistant Professor
University of Vermont College of Medicine


From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Laurie Alexander
Sent: Wednesday, June 23, 2010 9:50 AM
To: pc-bh-integration at nccbh.net; Kandy Templeton
Subject: [PC-BH-Integration] Using 96100 Health & Behavior codes in primary care settings

Hello, everyone! I'm posting these questions for Kandy Templeton, Sr. VP for Clinical Services at Volunteer Behavioral Health Care System in TN. Please respond to her at ktempleton at vbhcs.org<mailto:ktempleton at vbhcs.org>. Thanks in advance for your help!
Laurie Alexander


I am looking for feedback on the use of 96150-96155 by behavioral health clinicians in a primary care setting. How are these codes being used? What are the rules/regs associated with the codes in different states? Are there rules associated with diagnosis? Who can bill for the codes? Are there rules associated with documentation of these codes?
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Message: 4
Date: Wed, 23 Jun 2010 10:37:23 -0400
From: "Mary Jean MORK" <MORKM at mmc.org>
To: pc-bh-integration at lists101.his.com, pc-bh-integration at nccbh.net,
        "Kandy Templeton" <ktempleton at vbhcs.org>
Subject: Re: [PC-BH-Integration] Using 96100 Health & Behavior codes
        in      primarycare settings
Message-ID: <4C21E3E3.8BDE.0021.0 at mmc.org>
Content-Type: text/plain; charset="us-ascii"

Hello, this is a guide we have been using in Maine that corresponds to our MaineCare (Medicaid) regulations. The state of Wisconsin also has a nice guideline for use there. The National Council website had a short slide show with excellent information on H&B codes.

Sites in Maine are using these codes to some degree. MaineCare and some of the commercial insurers are reimbursing.

Good luck, Mary Jean

Mary Jean Mork
Program Manager
SHH/MMC/ Maine Health
39 Forest Ave
Portland, Maine
662-2490

>>> Laurie Alexander <laurie.alexander09 at gmail.com> 6/23/2010 9:49 AM >>>
Hello, everyone! I'm posting these questions for Kandy Templeton, Sr. VP for
Clinical Services at Volunteer Behavioral Health Care System in TN. Please
respond to her at ktempleton at vbhcs.org. Thanks in advance for your help!
Laurie Alexander


I am looking for feedback on the use of 96150-96155 by behavioral health
clinicians in a primary care setting. How are these codes being used? What
are the rules/regs associated with the codes in different states? Are there
rules associated with diagnosis? Who can bill for the codes? Are there rules
associated with documentation of these codes?

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