[Ohioaap-practicemanagers] Fwd: 30 month developmental screen

Jon Price jprice3 at columbus.rr.com
Tue Jan 10 11:01:17 EST 2017


2 Quick questions for the group on behalf of your colleagues: have you had children in for developmental screenings, maybe as part of a check up at 30 months? What payers don't pay for developmental screens at 30 mos of age?
   Thanks,
      Jon Price
      Co-chair, Ohio Pediatric Council

Sent from my iPad

Begin forwarded message:

> From: "Terranova, Lou" <LTerranova at AAP.ORG>
> Date: January 6, 2017 at 8:52:54 AM EST
> To: PEDCOUNCIL at LISTSERV.AAP.ORG
> Subject: 30 month developmental screen
> Reply-To: "Terranova, Lou" <LTerranova at AAP.ORG>
> 
> Greetings:
>  
> As question was raised whether there are payment issues for the for the 30-month developmental screening visit.  Within your state are health plans not covering or not paying separately for the developmental screen at the 30 month visit?  If so, which carriers are not paying?
>  
> Thank you for any information you can provide.
>  
> Sincerely,
>  
> lt
>  
> Louis A. Terranova
> Senior Health Policy Analyst
> Divison of Health Care Finance
> American Academy of Pediatrics
> 141 Northwest Point Blvd.
> Elk Grove Village, IL  60007
> Email: lterranova at aap.org
> Phone: 847-434-7633
> Fax: 847-434-8651
>  
> 
> 
> 
> ================================
> IMPORTANT NOTICE TO USERS OF PEDIATRIC COUNCIL E-MAIL LIST AND DISCLAIMER
> The following guidelines and limitations should be strictly adhered to by users of the Pediatric Council E-mail List:
> (1) There should be no exchange of reimbursement information that includes price, fee, charge, or cost data.  Sharing of fee schedules and other fee, charge, or cost information by competitors in this context is strictly prohibited by the antitrust laws. (2) The Pediatric Council e-mail list must not be used in any manner to negotiate with purchasers of health care services on any term or condition of reimbursement. (3) Each health care provider must make independent decisions based on his or her own individual circumstances regarding what to charge, what capitation rates to accept, with what third-party payors to contract, what fees to accept, and the other terms and conditions of these contracts. (4) The national AAP has developed a “Pediatric Council Start-up Kit” to address issues related to forming and maintaining a pediatric council.  This kit includes guidelines on the appropriate use of the pediatric council in a manner permitted by the antitrust laws.  The Kit is available by contacting Lou Terranova, Sr. health Policy Analyst at lterranova at aap.or or a 800/433-9016  ext. 7633. (5) This notice and the kit are not intended as a substitute for legal advice.  Each physician should consult with a qualified health care attorney about the limits placed on the physician's conduct by the antitrust laws in the physician's use of the Pediatric Council E-mail List and all other contexts.  Use of the Pediatric Council E-mail List in any manner to limit competition or restrain trade is strictly prohibited by state and federal antitrust laws and is subject to severe penalties.
> ================================
> 
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