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Psychiatric Collaborative Care for Patients With Respiratory Disease.

Abebaw M Yohannes1, Mary Newman2, Mark E Kunik3

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|March 3, 2019
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Summary

Collaborative care models improve outcomes for patients with respiratory diseases and mental health conditions. New CPT codes streamline reimbursement for these integrated mental health services.

Keywords:
COPDCPT codesasthmacollaborative caredepressionreimbursement

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Area of Science:

  • Healthcare Management
  • Psychiatry
  • Pulmonology

Background:

  • * Psychiatric disorders frequently co-occur with advanced respiratory diseases like COPD and asthma.
  • * Comorbidities negatively impact treatment adherence, patient disability, healthcare utilization, and mortality.
  • * Alternative care models are being developed to enhance patient outcomes and satisfaction while reducing costs.

Purpose of the Study:

  • * To provide guidance on implementing the collaborative care model (CoCM) for patients with advanced respiratory diseases.
  • * To detail the new Current Procedural Terminology (CPT) codes for reimbursement of psychiatric collaborative care services.

Main Methods:

  • * Description of the CoCM as a team-based approach involving primary care providers, care managers, and psychiatric specialists.
  • * Explanation of the roles and responsibilities within the CoCM framework.
  • * Overview of the new CPT codes (99492, 99493, 99494) for psychiatric collaborative care, effective January 1, 2018.

Main Results:

  • * The CoCM has demonstrated improved outcomes, patient satisfaction, and cost reduction in managing medical illnesses with psychiatric comorbidities.
  • * New CPT codes are endorsed by the Centers for Medicare and Medicaid Services, supporting CoCM services.
  • * These codes replace older codes (G0502, G0503, G0504) for Behavioral Health Integration.

Conclusions:

  • * The CoCM offers a structured approach to integrate mental health services for patients with chronic respiratory conditions.
  • * Understanding and utilizing the new CPT codes is crucial for effective reimbursement and service delivery.
  • * This model has the potential to improve the comprehensive care of patients with complex health needs.