Prevounce Blog

An Ounce of Prevention

Don’t Let Depression Remain Silent Among Your Patients

Read More
Featured Image

Don’t Let Depression Remain Silent Among Your Patients

by Mary Byron

Depression is usually a silent illness. Sufferers of depression often don’t realize that the symptoms they are experiencing are even related to depression. Patients may notice changes in sleeping habits, experience weight gain or unexpected weight loss, or have complaints of physical pain symptoms such as back pain or headaches.

Given the diversity of depression symptoms, it is common for a patient to go to their primary care provider without realizing that their physical ailments may stem from a mental disorder such as depression. Due to this, primary care providers are well-positioned to be the first to recognize and diagnose depression in their patients.

According to the CDC, 15-20 percent of the US population aged 65 and over has experienced depression at least once in their life. Compounding the issue of depression in older Americans is chronic illness. When chronic illness and depression go hand in hand, healthcare costs are significantly increased for an already vulnerable population.

Older Americans Are Experiencing Depression at Alarming Rates

Older adults face many issues that could strain their mental health and cause them to experience depression. From losing their spouse or partner to the onset of losing their function or independence, there are many depression inducing factors typical to older demographics. By conducting regular depression screenings, primary care providers are better equipped to recognize declines in mental health even in patients who are resistant to discussing mental health issues.

According to a 2017 news release from the American Psychiatric Association, primary care providers are only conducting depression screenings for less than 5 percent of adults. Depression is severely underdiagnosed and undertreated in the US, which leaves many patients vulnerable, while financially burdening the US healthcare system.

Implementing Depression Screening in Your Practice

Primary care providers have quality and interactive relationships with their patients and are typically designated with the task of coordinating care. As a result, primary care providers are well placed to conduct regular depression screens.

The US Preventative Task Force and Medicare have identified the great benefit of depression screenings, and as such, Medicare covers a co-pay waived annual depression screening for all beneficiaries. Many private insurers have also started covering these screenings as well. Medicare has also included annual depression screenings within its MACRA/MIPS program, which means that you may be able to increase your Medicare payment modifier by implementing depression screenings in your practice.

Screening for depression in a primary care setting should be conducted using a validated instrument (such as the PHQ-9) and can be billed as a stand-alone service. Depression screening is considered ‘bundled’ within a Welcome to Medicare Physical (G0402) or Initial Annual Wellness Visit (G0438) but can be billed concurrently with a Subsequent Annual Wellness Visit (G0439).

It’s not always easy to add a new process to established clinical workflows, but as with nearly everything else, change is an important part of the growth process. Many practices screen patients for depression annually, and others base the screen on symptoms. Comprehensive wellness software can help automate these processes for depression and other behavioral health screenings. All in all, it is important to analyze what works best for your patients and your practice and develop your workflow accordingly.

So don’t allow your patients’ mental health to be overlooked, and don’t let your practice miss out on valuable reimbursement opportunities. Ensure your practice is providing this evidence-based, best-practice service to every patient that can maximize your patients’ wellbeing and your practice revenue.

Prepare for MACRA and MIPS in 2020

All Posts

Related Posts

FCC Authorizes $250M in Additional Telehealth Funding for Providers

The Federal Communications Commission (FCC) has announced it will provide $249.5 million in funding for healthcare providers delivering telehealth services. The funding will go to eligible healthcare providers to cover the costs of connected devices, telecommunications services, and information services that enable the delivery of telehealth services, including remote patient monitoring (RPM), during the pandemic. The FCC indicated that it expects to open the funding application window by April 30, 2021.

Mandate for Preventive Services in ACA: What Are We Trying to Prevent?

Chronic disease has been quietly waging war on American lives throughout the entire 21st century, quickly rising to the top of the most common causes of death in the United States. Some of the major chronic diseases, such as heart disease, chronic lung disease, and type 2 diabetes, are preventable, yet 6 out of 10 American adults still have at least one chronic disease and 4 out of 10 suffer from two or more chronic diseases. Furthermore, the prevalence of chronic diseases crushes our healthcare system with a confounding $3.8 trillion in annual healthcare costs, leading chronic disease to act as a tremendous drain on both staffing and financial resources.

Remote Patient Monitoring Auditing Is Here! What You Need to Know…

Just saying the word "audit" is a surefire way to make a practitioner's heart skip a beat. So, while we apologize for including the word in our title, we're glad to have grabbed your attention. It was only a matter of time before remote patient monitoring (RPM) received federal scrutiny. That’s why it wasn’t surprising to see RPM included in a January 2021 announcement by the Office of Inspector General that the Centers for Medicare & Medicaid Services (CMS) would be conducting a series of audits of Medicare Part B telehealth services in two phases (with RPM part of the second phase).