This is the reply I got back on this. Not great news but there are workarounds that many clinics have made work.
From Lesley Manson:
"Yep. You don't bill. You can do a quick introduction and plan for a visit the next day – perhaps incorporate a screening tool and bill for that or identify further complexity for the pcp to operate with medical decision making in his current visit and bill for that(?)- those are your options – other than identifying 90832 psychotherapy type concerns and bill for an 18 min appt focused on other topics.
Wish I had better news!"
From Kent Corso:
"I agree with Lesley.
For same day services, you wrap the BHC's work into the PCP's and ensure the most comprehensive level of E&M is provided. Since the coding for that is also higher than the lower E&M + HBAI, clinics often favor this way of doing it.
I try to avoid next day services. Even with a brief meet and greet with the BHC, you get some lack of pt f/u. But if the pt prefers an appt on another day, care is provided via lower E&M by PCP on one day and HBAI by BHC on another day."
Hope that helps some.
Neftali Serrano, PsyD
Executive Director, CFHA &
Fan of All Things Integrated Care