Thursday, March 21, 2013

Medicaid and Medicare Coding Available for Integrated Care


As part of completing the Colorado (Promoting Integrated Care Sustainability (PICS) project recommendations, Medicaid and Medicare coding worksheets have been completed to assist in billing for integrated primary and behavioral care services. 

A webinar and slides explaining the coding worksheets and their use can be found at www.advancingcaretogether.org/learning-opportunities.php. Scroll down to the billing/coding presentation called "Billing for Integrated Care Services — CO PICS" to access.

The codes on these worksheets are likely similar to billing codes used in the commercial health plan arena to bill for integrated services. Please be aware that physical health care and behavioral health care often have separate administrative and claims structures. Providers should explore credentials for specific health plans providing covered and reimbursable care services. Please follow the billing manual for each commercial plan you are a provider for to receive specific guidance.

To view or download these documents, go to.



For more information, contact:
 
Marilyn S. Gaipa, LCSW, CAC III, MAC
Care Solutions, LLC
16748 E. Smoky Hill Road - 9C #214
Centennial , CO   80015
720.220.0595
mgaipa@caresolns.com



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