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Practice Management Insight |
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February 2009 |
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A report on events affect=
ing Oklahoma providers |
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To= remove your name from our mailing list, please click h= ere.<= o:p> Questions or comments? E-mail us at OrionNet@coxinet.net o=
r call 405.286.1674 |
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The Oklahoma Health Care Authority said he would de=
lay modifications to billing codes and changes to rates for Psychotherapy/C=
ounseling and Therapy. Change=
s were to take effect March 1, but on February 6, OHCA notified outpatient =
behavioral health providers that it was delaying the change until April 1.<=
span style=3D'mso-spacerun:yes'> It said it would re-evaluate =
the rates “due =
to provider feedback we've received.” Some centers saw the originally announced changes a=
s across-the-board rate reductions. “Last year they gave a raise; this year they =
took most of it back,” one behavioral health center director said. Psychotherapy treatment plans =
and what |
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MARK YOUR CALENDAR February 11 <= o:p> 6:00-8:00pm, OHCA February 12 OHCA Board Meeting 1:00-3:00pm, OHC=
A February 13 Tulsa Marriott =
Southern Hills 1902 E 71st Tulsa, OK 74136=
Contact: 405.52=
2.8300 February 11-13 2nd Annual Combined Norman, OK 73609 Contact: 405.522.8300 February 17 Child Health Task Forc=
e Advisory Board Meeting 5:00-7:00pm, OKC and Tulsa February 20-22 Saints Grove Glencoe, OK More Information<= o:p> &=
nbsp; February 26-27 Reed Center Midwest City |
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Provid=
er reaction causes state to delay rate changes until April 1 |
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would=
have been received under the originally proposed rates. The changes were described by OHCA as a “cont=
inuing effort for unification of rates and billing codes and additional fle=
xibility for providers using time based codes.” The billing code changes announced for March 1 woul=
d have replaced all of the current psychotherapy rates assigned to Current =
Procedural Terminology (CPT) codes with Healthcare Common Procedure Coding =
System (HCPCS) codes. “These changes will allo=
w for these codes to become interchangeable on our prior authorizations thr=
ough APS Healthcare, Inc., as well as to be billed in 15 minute increments =
versus the confusing previous timeframes,” a SoonerCare provider reim=
bursement notice said. |
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February 2009 Parents |
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=
The City of Edmond is honoring Pat Nichols as founder of Parents Helping Pa=
rents and proclaiming February 2009 as Parents Helping Parents Month. Local=
s are invited to the Edmond City Council Meeting on February 23 and recepti=
on following. =
; &n=
bsp; Find out more<=
span
style=3D'mso-oriya-font-family:Sendnya;language:EN;mso-ansi-language:EN'>=
=
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Director asks for patience from providers
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In an email announcing the delay until April 1, Deb=
bie Spaeth, OHCA Behavioral Health Director, asked providers to be patient =
as the authority reworks bill codes and rate changes. “Please do not call or email us at this =
time as we do not have anymore detailed answers on this today. Once w=
e know, we'll get the info to you so you'll know as well,” she wrote.=
She outlined the objectives of the=
changes as allowing APS Healthcare, Inc. systems staff to develop a new si=
mpler PA process that will involve the following: a) same levels of care |
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b) same medical necessity criteria=
c) new interchangeable procedure c=
odes, so you will no longer have to tell APS how many units of each procedu=
re code the member needs d) new total dollar amount instead=
of RVUs e) new simplified process for PA a=
nd Billing since all the procedure codes will be interchangeable and will j=
ust bill down out of the total dollar amount, and f)&n=
bsp;decreases the need for modifications to change the array of units =
per procedure code, though you can still do modifications if the member cha=
nges level. |
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Above are the HCPCS codes and rat=
es announced by OHCA before the re-evaluation and delay until April 1. |
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LBHPs=
may provide services through Insure Oklahoma |
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ThinkHealth Friday, March 6, 2009 OrionNet Systems is inviting any center in the Tulsa area to come see a fr=
ee demonstration of ThinkHealth practice management software. On March 6, f=
rom 10am-1pm, attendees will enjoy a free lunch in the Tulsa Select Hotel a=
s they witness an in-depth demonstration of the software. Call 405.286.=
1674 for details. |
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HC=
PC Co=
de |
Mo=
d |
De=
scription |
Bi=
lling Unit |
&n=
bsp; RV=
U |
Ra=
te |
|
H0=
004 |
&n=
bsp; |
Counseling and Therapy, Individua=
l |
15=
min |
.6=
8 |
17=
.25 |
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H0=
004 |
HR=
HS=
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Counseling and Therapy, Family (w=
ith and w/o patient present) |
&n=
bsp; 15=
min |
.6=
8 |
17=
.25 |
|
H0=
004 |
&n=
bsp; HQ=
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Counseling and Therapy, Group, ag=
e 18 and over |
&n=
bsp; 15=
min |
.1=
9 |
|
|
&n=
bsp; H0=
004 |
HQ=
|
Counseling and Therapy, Group =
211; age less than 18 |
&n=
bsp; 15=
min |
&n=
bsp; .2=
1 |
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