Abstract
Payment barriers represent a significant roadblock to the provision of recommended healthcare transition services. This chapter identifies commonly reported transition payment barriers and offers transition coding options for use in pediatric and adult primary and specialty care practice settings. It also reviews strategies to maximize the potential for payment for transition services with commercial and Medicaid payers. A range of alternative payment methods are presented for consideration as part of payment reform initiatives.
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Notes
- 1.
Qualified healthcare professionals are non-physician clinical personnel who utilize their national provider identifier (NPI) number to report to payers those CPT services rendered within their scope of practice.
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McManus, M.A., White, P.H., Kanter, D. (2018). Payment for Healthcare Transition Services. In: Hergenroeder, A., Wiemann, C. (eds) Health Care Transition. Springer, Cham. https://doi.org/10.1007/978-3-319-72868-1_25
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DOI: https://doi.org/10.1007/978-3-319-72868-1_25
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