CPT Codes and Billing Changes

CPT Codes and Billing Changes 2021

adminCosts of Treatment, GPS Update Leave a Comment

In January of 2021 the AMA changed the way that physicians must choose the appropriate “CPT” or billing codes for outpatient visits. The changes simplify the process and also make it clear that we have been “undercoding” for psychiatric outpatient visits at Gateway Psychiatric for quite a while. The reason for this is that the previous system for choosing billing …

Cost of Sending Medical Records from Gateway Psychiatric

Peter ForsterAbout GPS, Costs of Treatment Leave a Comment

It is our policy to provide you and other health care providers ready access to necessary medical information. Fortunately, it is easy for us to create a summary of your care that includes our initial assessment, your diagnoses, and a complete record of any medication we may have prescribed. Unfortunately, if you want a complete copy of your record, due …

Invisible Work for New Patient Consultations

Peter ForsterAbout GPS, Best Practices, Costs of Treatment Leave a Comment

New patient consultations at Gateway are expensive, in large part because of the hidden or invisible work that takes place as part of the consultation process. The table below contrasts the visible work, which is contained in the two sessions with clinicians, to the hidden work done by clinical and nonclinical staff in order to make those two in person …

Medication Cost Savings

Medication Cost Savings – Update 2017

Peter ForsterCosts of Treatment, Website Update

Last year the New York Times reviewed two websites that offered significant medication cost savings, for those without adequate insurance and, even for those with good insurance who are getting expensive medications. Since then we have had a lot more experience working with patients to help reduce medication costs and we can definitely say that these sites can help reduce …

Integrated Care

Peter ForsterAbout GPS, Best Practices

We have a passion for providing the most effective treatment at Gateway and that passion is illustrated by the efforts that we make to ensure that we deliver integrated care. Integrated care is a very simple idea. In fact it is probably something that you expect your treatment providers are already delivering. It means that the different providers who are …

We Are Not “In Network” Providers

Peter ForsterCosts of Treatment, GPS Update

Gateway Psychiatric Services is not an “in network” provider of care. Many of the patients we see get reimbursement for their care here, but this depends on the specific insurance plan and how it handles out-of-network claims. The most generous plans seem to be provided by larger “tech” companies which often have very generous out-of-network coverage. It is important to …

Prescription Savings

Peter ForsterWebsite Update

We have just updated the “links” page on this site with information about prescription medication savings and costs based on online research and an online discussion on the Psychopharmacology listserve. Pharmacist Stephen Saklad summarized information about local pharmacies – “Many of the Pharmacy Benefits Managers that are used by the insurers forbid the pharmacy to charge the lowest price, but …

“I am looking for a doctor who can treat me with Ketamine infusions for treatment resistant depression.”

Peter ForsterAbout GPS, Best Practices, Bipolar Treatment, Costs of Treatment, Treatments of Depression

I was inspired to write this blog post by the third patient in three days to contact me about Ketamine infusions. She wanted to know if I could provide her with Ketamine infusions for her treatment resistant depression. Ketamine infusions are one of the treatments for depression that we provide access to for our patients. Among the other treatments are …

Lowering Medication Costs – Update

Peter ForsterCosts of Treatment, Website Update

The New York Times recently reviewed two websites that offered to substantially reduce the cost of psychiatric medications for those without adequate insurance coverage. We’ve updated the section of this website that provides links to information about lowering the costs of medications and that mentions the option of purchasing medications from Canada as well as information about these two sites. …