DPA - Delaware Psychological Association

State Advocacy Report from April 2017

May 16, 2017 11:52 AM | Kelly Wetzel (Administrator)

The State Advocacy Committee is dedicated to keeping you abreast of updates regarding changes in healthcare reform, collaboration with insurance companies, and the home health model. If you have any additional advocacy concerns please reach out to us at admin@depsych.org.

TRICARE Rate Cuts Survey

We recently developed a survey to gain your feedback about significant reimbursement rate cuts proposed by TRICARE through Humana. These data will be shared with the APA as they are closely monitoring the impact of these cuts and are developing a plan to respond to Humana. You will receive and email with a link for the survey, and it takes less than 3 minutes to complete. Please email admin@depsych.org or a member of the State Advocacy Committee if you have questions or concerns.

Blue Cross and Change Healthcare (Billing and Coding) Educational Opportunity

In response to the national and local trend of insurance company auditing resulting in the assessment of significant repayments by providers, the SA committee is encouraging proactive efforts to ensure that our members are not subject to take backs.

To that end, the SA committee is planning an educational webinar proposed to occur in May 2017, focused on the auditors’ expectations for CPT psychotherapy coding and documentation. This webinar will be facilitated by the Change Healthcare team (a Highmark contracted company which provides coding trending and education). In order to be as responsive to your concerns in the development of this webinar, please submit questions/concerns to admin@depsych.org.

Uniting our Efforts

The SA and DPA Federal Advocacy committee led by Barbara Giardina, Ph.D., are in the process of developing a collaborative plan to comprehensively address advocacy concerns at a state and federal level.

Critical Incident Reporting: Highmark Health Options Blue Cross Blue Shield (HHOBCBS) of Delaware

DPA SA Chairperson, Traci Bolander, PsyD issued a written statement in January 2017, to the Director of Clinical and Services Quality of HHOBCBS of DE, (hereafter referred to as “director”), requesting concise directives regarding the behavioral health practitioners’ responsibility in notifying HHOBCBS of DE about critical incidents. Unfortunately, the concern appears to remain under internal review given that a formal response from the director has not been issued. As a result, the SA committee sought the support of the DPA Executive Committee (EC) to submit a formal letter to the director requesting a directed response.

The DPA EC approved the formal letter, written on behalf DPA President, Cynthia Diefenback, PsyD, APRN, to be submitted to the director in April. We look forward to keeping you updated on this process.

DE Behavioral Health Electronic Medical Record Incentive Program

The availability of funding scheduled for February 2017 has not been released, and is pending the review of the new administration. We plan to keep you informed of any updates and encourage your continued monitoring of the Bid Solicitation Details website at http://bids.delaware.gov/bids_detail.asp?i=4124&DOT=N

State Advocacy Committee Chairs: Traci Bolander, Psy.D, and Danika Perry, Psy.D.

Committee Members: Niki Serravalle, LPCMH, NCC

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