[Ohioaap-practicemanagers] PHQ-9 Question

[michele.dritz]

We've also incorporate this screening into our regular practice for all adolescent visits (well visit and non-well visits).  Per our billing specialist, most of the insurers are reimbursing for it, though some of the insurers push the responsibility onto the family (at which time we then remove it).
Michele Dritz



-------- Original message --------From: Michael Chamberlin via Ohioaap-practicemanagers <ohioaap-practicemanagers at lists.deltaforce.net> Date: 4/18/18  3:52 PM  (GMT-05:00) To: Beth Barker <BBarker at ohioaap.org>, ohioaap-practicemanagers at lists.deltaforce.net Subject: Re: [Ohioaap-practicemanagers] PHQ-9 Question 
Here is our experience (from my billing people) with the PHQ-9.  We have been using it as a screening tool at well child visits for age 11 years and up:
Humana – currently denies & tells us to adjust offUHC – pays approx. $X and tells us to adjust off the restAnthem – pays 85% of the time (approx. $X) and sends to patient responsibility 15% of the timeAetna – pays 95% of the time and sends to patient responsibility 5% of the timeCigna – pays, 0 goes to patientMed Mut – paysCaresource - pays
Mike
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Michael Chamberlin, M.D., FAAPPediatric Assoc. of Mt Carmel4371 Ferguson DrCincinnati, OH  45230513-752-3650513-752-3387 (fax)

On Wed, Apr 18, 2018 at 1:03 PM, Beth Barker via Ohioaap-practicemanagers <ohioaap-practicemanagers at lists.deltaforce.net> wrote:








Hello! Please see this question from a practice in Westlake Ohio:
 
Can you tell me if insurance companies cover the PHQ-9 depression screening?  Also, do you know if there is problems with certain companies.  Thank you. 
Couple months ago we started using the PHQ-9 but not billing for it.   We would like to start charging for the screening but wanted to know if any issues with insurance companies. 
 
Could anyone help with this please??
 
Thank you,
 
 
Beth Barker BSN, RN
Director of Immunization Programs
Ohio Chapter,
American Academy of Pediatrics
Phone: 614-846-6258
Fax: 614-846-4025
Address: 94-A Northwoods Blvd. | Columbus, OH 43235 
Website: OhioAAP.org
 
 





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