“Update on Coding and Billing for Developmental and Behavioral Screening: The good news (and this is a reminder) is that Colorado Medicaid reimburses medical homes for a number of developmental and behavioral health screenings. The new news is that they have recently changed the required coding methods in ways that help them, and you, keep track of positive and negative screens. The bad news is that many practices are not billing and coding according to the new requirements; or are doing the screenings but not bothering to bill them at all. And as a result, some practices are not getting reimbursed appropriately for the screenings.
Colorado Medicaid often leads the way on screening and then later, the commercial plans follow suit. So, most commercial plans now also pay for these screenings. Each of these screening tests address something that is a health disparity for children on Medicaid: they have poorer outcomes, so they really need to be screened. But, it also addresses something that is very important for all children. Click here to see what Medicaid will reimburse you.
Click here to view the full Colorado Children’s Healthcare Access Program’s Clinical Newsletter.” [Source: CCHAP]
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