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PA PQC QI Collaborative Meeting - Shared screen with speaker view
Karena Moran
45:12
I'm not a clinician, but is the use of P96.1 "...use of drugs of addiction" appropriate for patients on MAT?
Julie Greenfield
46:23
Do you continue using the Finnegan's and ESC?
Jim Cook
46:42
At Geisinger, we are moving to using 04.14 for the exposed and symptomatic newborn and use P 96.1 for the symptomatic newborn receiving pharmacologic OR non-pharmacologic treatment.
Mary Lewis
47:33
Do patients coded as 04.14 NOT receive nonpharmacological treatment?
Jim Cook
47:38
04.14 is for exposed and asymptomatic, sorry.
Mary Lewis
48:00
got it - disregard previous question!
Susan Adeniyi-Jones
55:01
Do you get consent for maternal testing?
Amy Lembeck
56:35
Susan, we don’t get written consent but ob tells mom what we’re doing and why. Our prenatal consults also cover this.
Jim Cook
57:00
What is a weighted code?
Dave Carola
01:03:43
Billing for “subsequent intensive” is broken into weight categories. <1500g, 1500-2500g, >2500g
Dave Carola
01:04:06
May not have the numbers exactly right
Jim Cook
01:05:08
There are also the 99221-99223 codes that can be used (like on the peds floor), but these get complicated with respect to documentation in the notes.
Dave Carola
01:11:30
Does anyone have any experience with insurance companies not paying for higher levels of care for 1. Babies on opiate therapy, 2. Babies not on opiate therapy, but requiring non-pharmacologic care for symptomatic withdrawal?
Robert Ferguson
01:15:46
For health plan/billing-related questions, the PA PQC can help to connect your teams to the PA PQC health plan teams.
Celina Migone
01:16:26
YES! Dave that is really the question. Those non pharm interventions can be really intensive and require almost one to one nursing care.
Celina Migone
01:16:58
That would be great!
Dave Carola
01:17:00
Thank you
Jim Cook
01:18:39
Thanks everyone! This was very informative. Robert - thanks for following up with the health plans.
Celina Migone
01:20:51
Thank you to everyone!
Robert Ferguson
01:20:57
Thank you!
Steven Guo
01:21:03
Thank you