This webinar will provide necessary information on coding and documentation requirements to enable primary care practices that are providing psychiatric collaborative care services to bill appropriately for these services. The majority of mental health care is provided in primary care settings. There is substantial evidence that care and outcomes improve when psychiatric expertise is made available to primary care providers through an evidence-based psychiatric collaborative care model. While this model has been well-studied, there was no consistent reimbursement mechanism in place to cover the cost of providing services until now. There are now new billing codes (HCPCS codes and soon to be published CPT codes) available that describe the work involved in providing these services. The new billing codes cover the costs associated with the work of the treatment team, which includes a primary care physician, behavioral health care manager and a psychiatric consultant. This webinar will provide specific information about the codes, including a description of the work and required elements. At the conclusion of the webinar the participant should be able to identify and appropriately bill for this service as part of a range of services they are providing for patients with behavioral health conditions.
This activity is supported by the Transforming Clinical Practice Initiative (TCPI).
Supported by Funding Opportunity Number CMS-1L1-15-002 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
- General Member - Free
- Resident-Fellow Member - Free
- Medical Student Member - Free
- Non-Member - Free
- Identify the appropriate HCPCS code that describes specific collaborative care services
- Apply billing and documentation requirements
- Describe how these specific HCPCS codes relate to existing CPT codes
Estimated Time to Complete
Estimated Duration: 1 hour
Begin Date: July 13, 2017
End Date: July 13, 2020
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple-choice quiz is provided based on the content. A passing score of 70% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the date of completion and hours earned.
Continuing Education Credit
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
- Jeremy Musher, MD, Chief Medical Officer, Chief Clinical Officer, Springstone Inc. Reports no financial relationships with commercial interests.
- Kristin Kroeger, Chief of Policy, Programs, and Partnerships, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Rebecca Yowell, Deputy Director, Coding and Reimbursement, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Tristan Gorrindo, MD, Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Lori Klinedinst, Program Director, TCPI SAN Grant, American Psychiatric Association. Reports no financial relationships with commercial interests.
Accessibility for Participants with Disabilities
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