Many of you provided feedback on lack of payment for CCGP cases when no mammogram is provided. We have heard you and are adding a new CCGP B7 level to reimburse $15 when health education and/or a clinical breast exam (CBE) are completed without a mammogram. The new bundles will look like this:
Level
|
Services
|
Payment
|
B 7
|
Patient navigation to a completed breast cancer screening office visit.
|
$15
|
B 8
|
Patient navigation to a completed screening mammogram.
|
$45
|
B 9
|
Case management to a final diagnosis. The final diagnosis may be cancer or non-cancer.
|
$105
|
Follow me on this one:
Those cases with an error which used to be deleted due to the client not coming in for their mammogram after their CBE will now instead achieve a B7 pay out!
What used to be a B7, will now be a B8… and you guessed it, the former B8 will become the brand-new level B9!
The Takeaway: Do not worry about the CCGP error “CCGP breast screenings must have a mammogram,” as this error will eventually, magically turn from a dreaded red triangle to an awesome green box with a 7 in it!
Note: this transition with be retroactive to June 30, but applies only to fiscal year 2016 clients, so only clients with CBEs on July 1, 2015 to present.
One more thing: Have a lovely day!
Agencies, you should enter those CBEs into eCaST ASAP!
ReplyDelete