Improving Payment for Collaborative Mental Health Care in Primary Care
| Autor: | Courtney Benjamin Wolk, Matthew J. Press, Carol L Alter, Jeffrey T. Rado, Neil Jordan, Michael Grant, Jacob A. Atlas, Lisa J. Rosenthal, Rachel Kishton, Cecilia Livesey, Justin D. Smith |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
business.industry
030503 health policy & services media_common.quotation_subject Public Health Environmental and Occupational Health MEDLINE Collaborative Care Primary care Payment 03 medical and health sciences 0302 clinical medicine Nursing Health care Current Procedural Terminology 030212 general & internal medicine Business 0305 other medical science Medicaid Reimbursement media_common |
| Zdroj: | Medical Care. 59:324-326 |
| ISSN: | 0025-7079 |
| Popis: | Background There is strong evidence supporting implementation of the Collaborative Care Model within primary care. Fee-for-service payment codes, published by Current Procedural Terminology in 2018, have made collaborative care separately reimbursable for the first time. These codes (ie, 99492-99494) reimburse for time spent per month by any member of the care team engaged in Collaborative Care, including behavioral care managers, primary care providers, and consulting psychiatrists. Time-based billing for these codes presents challenges for providers delivering Collaborative Care services. Objectives Based on experience from multiple health care organizations, we reflect on these challenges and provide suggestions for implementation and future refinement of the codes. Conclusions Further refinements to the codes are encouraged, including moving from a calendar month to a 30-day reimbursement cycle. In addition, we recommend payers adopt the new code proposed by the Centers for Medicare and Medicaid Services to account for smaller increments of time. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|