sustaining integration: it’s about more than money
DESCRIPTION
Sustaining Integration: It’s about more than money. Sustaining Integrated Practice. Movers & Shakers. Always improving. Measuring Quality. Getting Paid. Getting started. Leadership Support. Leadership Support. Who are we and where are we from?. MaineHealth. Members. - PowerPoint PPT PresentationTRANSCRIPT
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Sustaining Integration: Its about more than money
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Sustaining Integrated PracticeGetting PaidAlways improvingMovers & ShakersLeadership SupportLeadershipSupport
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Who are we and where are we from?
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MembersAffiliatesMaine Mental Health PartnersMiles Memorial HospitalSt. Andrews HospitalHome Health Visiting NursesMaine PHOMid-Coast HospitalMaineGeneral Medical CenterMaine Medical CenterPenobscot Bay Medical CenterStephens Memorial HospitalSt. Marys Regional Medical CenterWaldo County General HospitalSouthern Maine Medical CenterMaineHealth
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Objectives:Participants will be able to:Describe factors that affect the present system of billing & reimbursement in an integrated settingIdentify reimbursement & programmatic elements that contribute to sustainable integrated programsIdentify strategies to support sustainability of integrated practice
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What are you hoping to get out of this session?
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Getting started: more than plunking a clinician in the practice and expecting it to work
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Where to start?Who was first?
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Start-Up Guide
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Where are you in the process?
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I. Pre-Hire clarify financial and billing arrangements
Overview of MHIClarify facility rules Understand services being delivered including potential new billing practices Discuss service with commercial insurersDevelop contractsTrain staff on behavioral health billingIdentify resource needs and ongoing review process
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II. Hiring process - Credential and prepare for billing
Credentialing Behavioral vs. Medical?Help BHC understand link between service and billing codesClarify supervision requirementsFill out credentialing paperwork
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III. Orient Behavioral Health Clinician (BHC) and prepare for billingIdentify staff needed for behavioral health billingConnect billers/coders with BHCTrack charges, denialsClarify expectationsMedical vs. behavioralDocumentationPrior authorization
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IV. Ongoing support - Monitor reimbursement and continuously improve
Review practice level data:Services deliveredCharges billedPayments receivedCharges denied and reasonsOther problemsRegular meetings between BHC and billers to problem solveTrack bills to ensure proper coding, documentation and reimbursement
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Getting Paid
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Questions to ask:Licenses?Setting (who is billing, where are pts registered?)Payers and credentialingCommercial Medicare Medicaid
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Types of Practice arrangements Mental Health Agency and Individual Behavioral Health ClinicianIndependent (Medical) Practice i.e., Doctors OfficeProvider Based - Hospital Owned PracticeFederally Qualified Health Center (FQHC)Rural Health Clinic (RHC)
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What is your setting and practice type?
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Mental Health Agency BillsProsNo additional:credentialing behavioral health contractingAffordableAllows independent practitioners to be co-locatedMay link to community mental healthConsIntended for persons with severe/persistent mental illnessIntended for longer term treatmentLimited H&B code billingExtensive paperworkMay require that practice get licensedSeparate registration processSeparate recordLess reimbursement?
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Mental Health Agency challenges continuedAny time you introduce separate functions, you are getting away from integrated and coordinated treatment, or at least making it more difficult. Any time you require a comprehensive treatment plan, you are getting away from brief focused treatment, the treatment of choice in a primary care setting.
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Provider Based or Independent Practice BillsProsIntended for patients in medical settingsSame medical recordSupports link between medical and mental healthHigher reimbursement?Cost of BHC covered by medical providerAble to bill H&B codesMedical practice ownership for integrated practice
ConsRequires medical practices to:CredentialContractBill commercial insuranceCost is generally with medical providerMay restrict to LCSWs or psychologists due to Medicare rulesRequires order from provider; documentation of ongoing involvement in treatment
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FQHC or RHC BillsProsEncounter billing for all servicesCost generally covered by RHC/FQHCIntended for patients in medical settingsShared recordLink between medical and mental healthAble to bill H&B codesMedical practice ownership for integrated practiceReduced documentation
ConsMust be designated RHC/FQHCPreviously some confusion around codingRequires medical practices to take on behavioral health billingCredentialingContractingCommercial insurer confusionCost is generally with medical provider
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Conclusion:Medical practices should do the billingNo need for patients to register in a new organizationAllowance for additional revenue through Health & Behavior codes only allowed in medical billingReduced and more reasonable documentation requirements; better matches practice needsBoth parties need to share investment in the successful outcome
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Various payers and various rulesMedicare MedicaidCommercial InsurersMental Health vs. Medical codesLicensing rules
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Medicare reimbursement ratesNHIC website: www.medicarenhiccom on Fee Schedule page.
Type of Provider% physician feeNotesMD/DO, Psychologist100%Or actual charge, whichever is lessPA, NP, CNS85%CSW (LCSW) 75%Reduced by any applicable deductible, outpatient mental health limitation
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Outpatient mental health treatment limitationsApplies to claims for professional services furnished by physicians, clinical psychologists, clinical social workers, and other allied health professionals.
Start Date: Jan 1End Date:Dec 31Limitation PercentageMedicare paysPatient pays2010 201168.75%55%45%2012 201275%60%40%2013201381.25%65%35%2014onward100%80% 20%
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Medicare mental health limitation exceptionsDiagnostic Services Limitation does not apply to diagnostic tests and evaluationsInclude psychiatric or psychological tests and interpretations, diagnostic consultations, and initial evaluations (90801)Diagnosis of Alzheimers Disease or Related Disorder Brief Office Visits for Monitoring or Changing Drug Prescriptions
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New Mental Health Code Changes for 2013The old and the very new
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Initial Psychiatric Evaluation2012 codes90801: psychiatric diagnostic evaluation 2013 codes90791: psychiatric diagnostic evaluation (no medical services) 90792: psychiatric diagnostic evaluation with medical services (E/M new patient codes may be used in lieu of 90792)
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Outpatient Psychotherapy2012 Codes(Time is face-to-face with patient)
2013 Codes(Time is with patient and/or family)
CodeService: Outpatient PsychotherapyTime (min)9080420-3090805w/ E/M service 20-309080645-5090807w/ E/M service45-5090808 75-8090809w/ E/M service 75-80
CodeService: Outpatient PsychotherapyTime (min)90832Appropriate E/M code 30+90833add-on code 3090834Appropriate E/M code 45+90836add-on code 4590837Appropriate E/M code 60+90838add-on code 60
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What do they mean for integrated practice?
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MedicaidStates have flexibility:Covered mental health servicesTwo services (mental health and medical) on same dayContract with managed careBilling:Requires diagnosis and procedure codeSome states limit procedures, providers and/or practices that can use these codes
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Commercial InsuranceInconsistencies among various insurersLack of clarity around covered servicesDifficulty finding experts to answer specific questions about reimbursementCarve outs Different systems Different reimbursement streams
Other problems?
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Tips: Commercial InsurancesKnow expectations of payersClarify whether in-network medical and/or behavioral healthReimburse for Health & Behavior codes?Confusion about medical vs. behavioral health serviceBe clear at point of serviceHave documentation support serviceRecommendation to bill for service, if service was appropriately delivered, to establish need for reimbursement
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Some key questionsPayment for 2 encounters in the same day?Reimbursement for Health & Behavior codes?Pre-authorization required for mental health visits?Full assessment required before treatment can begin?
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Some additional considerationsTake this and make it much more difficult than it needs to be.
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Health & Behavior (H&B) Codes 96150 96155
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Billing for H&BMedical diagnosisMedical bill not mental healthBilled by practice with BHC:Hospital licensePrimary care officeRural Health ClinicFederally Qualified Health Center
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Examples
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Adult H&B examples55 year-old: Hx of AMI, HTN, cholesterol, family history of CVD. High risk - cardiac complications.
35 year-old: diagnosis chronic asthma, HTN, panic attacks. Seen for assessment and follow-up. Original assessment - emotional, social and medical history, including ability to manage problems r/t chronic asthma, hospitalizations & treatments.
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Pediatric H&B examples10 yr-old: Dx - sickle cell anemia. Focus of assessment biopsychosocial factors r/t pain management and sickle cell disease.
8 yr-old: juvenile rheumatoid arthritis (JRA) for reassessment & treatment. Original referral for nausea, vomiting, panic reactions prior to weekly injections of methotrexate. Assessment: Child - history of JRA, when methotrexate was started, who gives medication, reactions, management of past responses, anxiety & depression questionnaires; Mother - problem-solving skills.
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Adolescent H&B examples16-year-old: fibromyalgia, hx numerous pain episodes, poor school attendance, isolation from peers. Prior to disease: school attendance normal, difficulties with peers not reported. Previous attempts by rheumatology service & pain team: manage pain and facilitate positive school adjustment not successful.
15-year-old: acute lymphoblastic leukemia recently began maintenance phase of treatment. Monthly blood cell counts suggest chemotherapy was not being taken, physician spent considerable time with patient discussing potential consequences. Referral for suspected non-adherence.
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Meet Denise
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DeniseExperiencing great deal of anxiety after separating from husband and starting new jobHas asthma, not managing it well2 children at home, now a single parent, no time for herself
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OptionsReferral: improve asthma management
Health and Behavior AssessmentMedical referral and diagnosisBrief, focused assessment and interventionReferral: reduce anxiety
Mental Health AssessmentMedical referral needed?Mental Health diagnosisComprehensive assessment and treatment
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The CodesH&B codes96150: Assessment96151: Reassessment96152:Individual intervention96153:Group intervention96154:Family interventionMental Health Codes90801:Initial Assessment90804, 90806, 90808: Individual Therapy 90807, 90809:Ind. Therapy + E/M90846, 90847:Family Therapy90853:Group Therapy90862: Med Management
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Insurance RamificationsH&B codes:Covered by some insurers, not allDiscipline reimbursable for some, not allMedical benefit: No pre-auth, no carve-out, no different co-payMedical practice billsMental Health codes:Covered by most insurersGenerally reimbursableContract & credentialing with behavioral health carve-out neededMay eventually need pre-auth May require larger co-pay
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Back to Denise What do you do?Depends on:NeedsDiagnosisService deliveredReimbursement will depend on insurance and discipline of clinicianCan go from H&B to mental health, but not both together
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Its easy to get overwhelmed!
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Theres HopeMany of us: Are successfully working with integrated practices.Have overcome the challenges of the complicated system.Have strong support for this work.We can talk with each other and share what we know.
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Measuring Quality
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Quality Measures
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Quality Measures - ClinicianBuilding relationships/trust = increased referralsTraining/Measuring core competenciesPatient outcomes:Are patients getting betterAre patients engaged in treatment
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Quality Measures - PracticePatient show rate Billing/productivity Access - 3rd next available apptLevel of integration Site Self Assessment (SSA) www.mehaf.org Screening yes/noPatient satisfaction
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Quality Measures -ProgramFTE and type of BHCProcess ImprovementProvider/staff satisfactionFinancial/reimbursement trends/patternsImproved access to community resources
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Ongoing Support
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Administrative Team Meeting: the friendly forumClinicians, provider rep, billers/coders, practice managers, leadershipData - show rates, referrals, volume: Whats working, not working? Targets?Payment information: Codes reimbursed/ deniedCommunication issues/improvement suggestions: R/t patients, providers, practiceClinical practice issues: E.g. length of sessions, frequency/duration of treatment
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Sample Agenda
Aim of this meeting: To continue to monitor and promote progress of integrated behavioral health servicesTimeItemAim/Action15 minReview todays agendaAny updatesPractice concernsOrganization 15 minReview DashboardsInformation sharing and planning15 minProcess Improvement:Site Self AssessmentsReview and Set Goal(s) Information and goal setting15 minBilling and reimbursement concernsProblem solving15 minIT/IS issuesProblem solving10 minLarger system connectionsInformation5 minPlan agenda for next meeting Planning
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Sample Dashboard
MeasuresOct-11Nov-11Dec-11 Jan-12TotalAverageHrs clinical time available 8060808030075# Arrived6045656023057.5# No show157121448123rd next available(days)121041Charges$14,362$10,620$18,700$16,455$60,137$15,034
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Financial Tracking
CPT TOTALS
PORTLAND 2010
days per mos at Portland345345244
JanFebMarAprilMayJuneJulyAugSeptOctNovDecCPT GRAND TOTAL
C - Consult to Provider21334625329
90801-Initial Assessment712775946663
90847 Family therapy1010000013
90806 Individual therapy0000101305
90846 Family w/o pt1212110019
TOTALS:11151212111671411109
WESTBROOK 2010
days per mos at Westbrook122121122
JanFebMarAprilMayJuneJulyAugSeptOctNovDecCPT GRAND TOTAL
C - Consult to Provider10103013312
90801-Initial Assessment15401123421
90847 Family therapy0011010003
90806 Individual therapy0000100102
90846 Family w/o pt0000000000
TOTALS:25615237738
CPT TOTALS
1220
2511
2210
3910
1300
2310
3610
1412
3610
Consult
90801 - Initial Assessment
90847 - Family Tx
90806 - Ind. Tx
Month
# of Services
Sept Portland
C - Consult to Provider
90801-Initial Assessment
90847 Family therapy
90806 Individual therapy
90846 Family w/o pt
Sept Wstbrk
C - Consult to Provider
90801-Initial Assessment
90847 Family therapy
90806 Individual therapy
90846 Family w/o pt
Aug Ptland
SeptemberGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
9/19080141
9084641
meeting 1 hour00
paperwork 1 hour00
phone calls .5000
9/89080143
9080143
meeting 1 hour00
paperwork 1 hour00
C00
phone calls .2500
9/229080143
9080143
paperwork 1.5 hours00
C00
phone calls .2500
9/299084741
9080141
meeting 1 hour00
C00
phone calls .5000
3216
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORSINSURANCE FACTOR
C - Consult to Provider300
90801 Initial Asessment62414
90847 FAMILY THERAPY141
90846-FAMILY W/O PT141
90806- TX W PT000
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Aug Wstbrk
SeptemberGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
9/39080141
9080143
paperwork 1 hr00
C00
phone calls .2500
9/179080143
9080143
C00
C00
paperwork 1 hr00
phone calls .2500
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORSINSURANCE FACTOR
C - Consult to Provider300
90847 FAMILY THERAPY000
90801 INITIAL ASSESSMENT41610
90806 INDIVIDUAL THERAPY000
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
July Ptland
AUGUSTGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
8/49080143
9080641
consult00
consult00
mtng00
paperwork 1hr00
8/119080641
9080643
9080143
consult00
mtng00
paperwork 2hrs00
phonecalls .7500
8/189080143
9080143
consult00
consult00
paperwork 1.500
email/phonecalls .7500
8/259080143
9080143
mtng00
email/phonecalls .5000
3623
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORSINSURANCE FACTOR
C - Consult to Provider500
90801 Initial Asessment62418
90847 FAMILY THERAPY000
90846-FAMILY W/O PT000
90806- TX W PT3125
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
July Wstbrk
AUGUSTGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
8/69080141
9080143
consult00
consult00
paperwork 2hrs00
phonecalls 1hr00
8/209080141
9080641
consult00
paperwork 100
emails/phonecalls 1hr00
166
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORSINSURANCE FACTOR
C - Consult to Provider300
90847 FAMILY THERAPY000
90801 INITIAL ASSESSMENT3125
90806 INDIVIDUAL THERAPY141
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
June Ptland
JULYGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
7/211 hr paperwork00
1 hr meeting00
.5 hrs consultation00
9080143
9080643
7/281.5 hrs paperwork00
1 hr phone calls00
.75 hours meeting00
.5 hrs consultation00
9080141
9080143
9080143
2013
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider2
90801 Initial Asessment4
90847 FAMILY THERAPY0
90846-FAMILY W/O PT0
90806- TX W PT1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
June Wstbrk
JULYGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
7/232 hrs of paperwork00
1 hr phonecalls00
.5 hrs consult00
9080141
9080141
82
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90847 FAMILY THERAPY0
90801 INITIAL ASSESSMENT2
90806 INDIVIDUAL THERAPY0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
May Ptland
JUNEGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
6/21 hr meeting00
C00
paperwork 1hr00
9080143
6/91 hr meeting00
C00
2hrs paperwork00
9080143
9080143
9080143
6/16C00
6/231 hr meeting00
C00
C00
9080141
9080143
9084641
2hrs paperwork00
6/30C00
2 hrs of paperwork& phonecalls00
9080143
9080143
9080141
4024
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider6
90801 Initial Asessment9
90847 FAMILY THERAPY0
90846-FAMILY W/O PT1
90806- TX W PT0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
May Wstbrk
JUNEGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
6/252 hrs of paperwork & phone calls00
9080141
9084743
84
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider0
90847 FAMILY THERAPY1
90801 INITIAL ASSESSMENT1
90806 INDIVIDUAL THERAPY
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
April Ptland
MayGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
5/59080141
9084641
meeting 1 hr00
C00
calls & paperwork 1 hr00
5/129080141
9080141
meeting 1 hr/pwork00
C00
5/199080143
9080643
C00
paperwork 1 hr00
5/269080141
meeting/pwork00
C00
2811
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider4
90801 Initial Asessment5
90847 FAMILY THERAPY0
90846-FAMILY W/O PT1
90806- TX W PT1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
April Wstbrk
MayGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
5/14C00
5/289080143
9080643
C00
C00
paperwork 1 hr00
86
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider3
90847 FAMILY THERAPY0
90801 INITIAL ASSESSMENT1
90806 INDIVIDUAL THERAPY1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90847 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Run chart example
AprilGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
4/79084641
9080143
9080143
M00
C00
paperwork 1.5 hrs00
4/149084643
9080141
C00
M00
paperwork 2 hrs00
4/219080141
9080141
4/289080143
9080143
C00
paperwork 1 hr00
3619
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider3
90801 Initial Asessment7
90847 FAMILY THERAPY0
90846-FAMILY W/O PT2
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Sheet1
AprilGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
4/169084743
paperwork .50
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider0
90847 FAMILY THERAPY1
90801 INITIAL ASSESSMENT0
90806 INDIVIDUAL THERAPY0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Mrch Portland
0
24
12
12
28
28
16
8
24
8
8
24
4
12
36
0
20
28
24
28
16
28
24
24
8
24
24
8
Week
Total # of Sessions
Mrch Wstbrk
WeekTotal
10
224
312
412
528
628
716
88
924
108
118
1224
134
1412
1536
160
1720
1828
1924
2028
2116
2228
2324
2424
258
2624
2724
288
Feb Portland
MarchGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
3/3Consult0
3/109084643
9080143
meeting00
paperwork 1.5 hrs00
3/179080143
meeting00
Consult00
paperwork .5 hrs00
3/249080141
9080141
9084741
meeting00
Consult00
paperwork /phone work 2hrs00
3/319080143
9080143
9080141
meeting00
paperwork/phone work 2hrs00
3619
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider30
90801 Initial Asessment7
90847 FAMILY THERAPY1
908461
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Feb.Westbrook
MarchGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
3/59080143
9080141
paperwork 1
3/199080141
9080141
9084743
consult00
paperwork .500
209
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90801 Initial Asessment4
90847 FAMILY THERAPY1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Jan. Portland
FebruaryGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
2/39080143
9080143
9080141
9080143
9084643
9084600
M00
C00
paperwork 3 hours00
2/109080143
9080143
M00
paperwork 100
2/179080143
9080141
9080141
paperwork 1.5 hrs00
2/249080143
9080143
9080141
5222
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90801 Initial Asessment12
90847 Family Therapy0
90806 Individual therapy0
90846 -Family w/o pt2
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Jan Wstbrk
FebruaryGreta Roderick MMP WestBrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
2/59080143
9080143
papework 2 hrs00
2/199080143
9080141
9080141
paperwork 1.5 hrs00
2011
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider0
90801 Initial Asessment5
90847 FAMILY THERAPY0
90846 Fam w/o pt.0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
June Portland
JanuaryGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
1/69080143
9080141
9080143
M00
C00
paperwork 1.5 hours00
1/139080143
9080141
M00
C00
paperwork 1.5 hrs00
90846(can't bill)00
1/209080143
9080143
9084743
M00
paperwork 1.5 hrs00
3220
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider2
90801 Initial Asessment7
90847 Family Therapy1
90806 Individual therapy0
90846 Fam w/o pt1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
June Westbrook
JanuaryGreta Roderick MMP WestBrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
1/89080143
C00
paperwork .500
43
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90801 Initial Asessment1
90847 FAMILY THERAPY0
90806 Indiv. Therapy0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
July Portland
JuneGreta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTORTOTAL
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider
90801 INITIAL ASSESSMENT
90847 FAMILY THERAPY
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
July Wtbrk
JUNEGreta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider
90801 INITIAL ASSESSMENT
90847 FAMILY THERAPY
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
AUG Ptlnd
Greta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTORTOTAL
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider3
90847 FAMILY THERAPY1
90801 INITIAL ASSESSMENT11
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
AUG Westbk
Greta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTORTOTAL
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90847 FAMILY THERAPY1
90801 INITIAL ASSESSMENT2
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Sept Ptlnd
Greta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTORTOTAL
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider2
90801 INITIAL ASSESSMENT5
90847 FAMILY THERAPY1
90806 INDIVIDUAL THERAPY1
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Greta Roderick MMP Westbrook Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTOR
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider
90801 INITIAL ASSESSMENT
90847 FAMILY THERAPY
90806 INDIVIDUAL THERAPY
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
Greta Roderick MMP Portland Reimbursement Tracking
DATE OF SERVICESERVICE CODE BILLEDREIMBURSEMENT FACTORINSURANCE FACTORTOTAL
4/1/099084743
9080141
M00
Paperwork 1 hr00
4/8/099084753
M00
Paperwork .10 hrs00
4/29/099080143
PO00
C00
Paperwork .75 hrs00
1710
TOTAL SERVICE CODES BILLEDTOTAL REIMBURSEMENT FACTORS
C - Consult to Provider1
90801 INITIAL ASSESSMENT2
90847 FAMILY THERAPY2
90806 INDIVIDUAL THERAPY0
Reimbursement Codes and Values
Mental Health CodesHealth and Behavior CodesE&M CodesNon-Billable Activities
90801 = 496150 = 2-499201-99205 = 1-4DI - Dual Interview with Physician = 0
Initial AssessmentH&B AssessmentNew Pt.
90804 = 296151 = 1-499211-99215 = 1-2PO Parents only before 90801 = 0
Ind TherapyH&B ReassessmentEstablished Pt.
90806 = 496152 & 96153 = 1-499401-99404 = 1-4C - Consult to Provider = 0
Ind TherapyH&B InterventionPrev Med
Ind Counseling
90846 & 90846 =496154 = 1-499411-99412 = 2-4M Meeting = 0
Family Tx with and without PtH&B Intervention with Family and Pt.Prev Med
Grp Counseling
MaineCare = 1Medicare = 2Commercial = 3Self Pay = 1
-
Movers and Shakers(what really makes it sustainable)Willingness to learn new thingsAbility to tolerate bumps and address problemsCapacity of team to work together to move this forward
-
LeadershipWilling to take risk, create vision, support process improvement, and believe in the purpose of the integrated service
-
Were optimistic about the future of integrated behavioral health and primary care
-
Resourceswww.mehaf.org Maine Health Access Foundationwww.thenationalcouncil.org the National Council for Community Behavioral Healthcarewww.ibhp.org Integrated Behavioral Health Projectwww.mainehealth.org/mentalhealthintegration
Medicare Linkshttp://www.cms.gov/Manuals/IOM/list.asphttp://www.cms.gov/Transmittals/01_overview.aspMedicare Documentation Guidelines for Evaluation and Managements Services 95 & 97http://www.cms.gov/MLNEdWebGuide/25_EMDOC.aspNHIC http://www.medicarenhic.com/
-
ContactsMary Jean Mork, LCSW, [email protected], 207-662-2490Cynthia Cartwright, MT RN MSEd, [email protected], 207-662-3529Melissa (Missy) Cormier, LCSW [email protected], 207-661-7128Neil Korsen, MD MS, [email protected]
Employment of the staff & supervisionPatient registrationBilling for Behavioral Health Actual reimbursement Documentation***