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Making It to Sustainability: Evaluating Billing Strategies for Collaborative Care
Denise Chang1, Debra J Morrison1, Deborah J Bowen1
1Departments of Psychiatry and Behavioral Sciences (Chang, Morrison, Ratzliff), Bioethics and Humanities (Bowen, Harris, Dusic), and Family Medicine (Velasquez), University of Washington Medical Center, Seattle.
Psychiatric Services (Washington, D.C.)
|March 20, 2023
Summary
Implementing collaborative care model (CoCM) billing codes in primary care is feasible and acceptable to providers. This strategy effectively supports mental health services without negatively impacting patient care or revenue.
Area of Science:
- Health Services Research
- Mental Health Services
- Primary Care Medicine
Background:
- The collaborative care model (CoCM) is recognized for effectively managing common mental health disorders within primary care settings.
- While adoption of CoCM billing codes is increasing, research on their practical implementation and impact remains limited.
- Understanding the operational and financial implications of these billing codes is crucial for widespread adoption.
Purpose of the Study:
- To evaluate the implementation of collaborative care model (CoCM) billing codes in primary care.
- To compare clinics utilizing different CoCM billing strategies.
- To assess the impact of CoCM code implementation on practice revenue and patient care outcomes.
Main Methods:
- Comparative analysis of clinics employing various CoCM billing strategies.
- Assessment of financial data, including revenue streams.
- Evaluation of clinical and process-of-care outcomes.
- Collection of qualitative data on provider perspectives and experiences.
Main Results:
- CoCM billing code implementation was found to be operationally feasible across different strategies.
- No adverse effects on patient care delivery or practice revenue were observed.
- Providers found the implementation of CoCM billing codes to be acceptable.
Conclusions:
- The implementation of collaborative care model (CoCM) billing codes is a viable strategy for supporting mental health services in primary care.
- CoCM billing codes can be integrated into practice workflows without compromising patient care or financial stability.
- Provider acceptance suggests a positive outlook for the broader adoption of CoCM billing codes.
Keywords:
Administration and managementCollaborative care modelPrimary careQuality improvementReimbursementService delivery systemsMore Related Videos
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