Refine Coding & Reimbursement Practices

National Resources

Care Coordination Toolkit: Proper Use of Coordination of Care Codes with CYSHCN (link)

Index of CPT Codes for Medical Home (Word)

Recipe for Building a Medical Home: One Practice Team’s Story on Quality Improvements

AAP Coding Hotline
aapcodinghotline@aap.org
(800) 433-9016 ext. 4022

Developmental Screening/Testing Coding Fact Sheet (Word)

Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs

• Health Insurance & Financing Toolkit

There are pressures on pediatricians and other primary care providers to see patients quickly, making it difficult to provide coordinated care for chronically ill children with complex needs. This section includes management tools to assist practices in tracking and evaluating reimbursement for care of children with special needs.

Coding Strategies in a Medical Home

• Identify eligible patients, if billing to state programs;
• Label charts;
• Keep billing form in front of chart;
• Train all staff to document care coordination activities;
• Meet with your billing department to discuss strategies on how to bill for these codes;
• Design a system for your practice on how to tally and submit billing information. 

Videos
Physicians describe how documenting care coordination through better coding can improve reimbursement.

Medical Home Resources
The Care Coordination Toolkit provides billing information for coordination of care with descriptions of individual codes, proper documentation and an easy to follow billing slip for physician and non-physician time. There is also a link and number for the AAP Coding Hotline.