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实现可持续性:评估协作护理的计费策略

Making It to Sustainability: Evaluating Billing Strategies for Collaborative Care.

作者信息

Chang Denise, Morrison Debra J, Bowen Deborah J, Harris Heather M, Dusic Emerson J, Velasquez Mariebeth B, Ratzliff Anna D H

机构信息

Departments of Psychiatry and Behavioral Sciences (Chang, Morrison, Ratzliff), Bioethics and Humanities (Bowen, Harris, Dusic), and Family Medicine (Velasquez), University of Washington Medical Center, Seattle.

出版信息

Psychiatr Serv. 2023 Nov 1;74(11):1192-1195. doi: 10.1176/appi.ps.20220596. Epub 2023 Mar 20.

DOI:10.1176/appi.ps.20220596
PMID:36935624
Abstract

The collaborative care model (CoCM) is an effective strategy to manage common mental disorders in primary care. Despite the growing adoption of newer CoCM billing codes to support these programs, few studies have investigated the use of these codes. This column evaluated the implementation of CoCM billing codes by comparing clinics using different billing strategies and assessed the impact of CoCM code implementation on revenue and on clinical and process-of-care outcomes. Qualitative data were obtained to understand provider perspectives. The results indicate that CoCM billing code implementation is operationally feasible, does not adversely affect the delivery of patient care or revenue, and is acceptable to providers.

摘要

协作护理模式(CoCM)是在初级保健中管理常见精神障碍的有效策略。尽管越来越多地采用更新的CoCM计费代码来支持这些项目,但很少有研究调查这些代码的使用情况。本专栏通过比较采用不同计费策略的诊所来评估CoCM计费代码的实施情况,并评估CoCM代码实施对收入以及临床和护理过程结果的影响。获取了定性数据以了解提供者的观点。结果表明,CoCM计费代码的实施在操作上是可行的,不会对患者护理的提供或收入产生不利影响,并且为提供者所接受。

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