Services for children and adolescents with autism spectrum disorders: payment issues.
Primary care physicians have an important role in assuring that children with autism are identified as early as possible and have a medical home providing appropriate care and care coordination. Understanding efficient methods of care and modifying practice habits to minimize services not currently supported by procedural codes will permit the primary clinician to be paid for this medical care. Current medical procedure codes can be legitimately used to bill for care related to developmental and behavioral health needs and consistent use of these codes will help address payment barriers.
Wegner
Lynn M
LM
University of North Carolina School of Medicine, Chapel Hill, USA.
Macias
Michelle M
MM
D000293:Adolescent; D001321:Autistic Disorder / Q000175:diagnosis / Q000628:therapy; D002648:Child; D002662:Child Health Services / Q000191:economics / Q000458:organization & administration; D039702:Current Procedural Terminology; D006801:Humans; D007344:Insurance Claim Reporting; D010819:Physician's Role; D011320:Primary Health Care; D012051:Reimbursement Mechanisms / Q000458:organization & administration