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Special Feature:
Payment for Telephone Care: A Toolkit

Introduction
With more busy working families and increased pressure from health care plans to improve access to care and lower costs, telephone care is a growing and important component of pediatric practice. As a result, pediatric practices are seeking payment for safe and effective non–face-to-face medical services provided appropriately outside the traditional office setting with established patients.

Pediatricians can turn to the Academy for telephone care resources:

The policy statement "Payment for Telephone Care" outlines circumstances where it may be appropriate to charge for telephone care and services between pediatricians and established patients.

The AAP News article 2008 CPT manual includes telephone care, e-mail visit codes (AAP News 2008, 29:33) highlights the 2008 codes that can be used for providing care via the telephone and e-mail.

Payment for Telephone Care Toolkit is a practical, hands-on resource intended to help pediatricians and their office staff take the steps necessary when deciding to charge for telephone encounters with patients.

Payment for Telephone Care: A Toolkit

Chapter 1: What Is Telephone Care?

Chapter 2: Reviewing the AAP Policy Statement

Chapter 3: Evaluating Payer Contracts

Chapter 4: Choosing the Types of Calls

Chapter 5: Notifying Patients

Chapter 6: Notifying Payers

Chapter 7: Documenting Telephone Care

Chapter 8: Coding Telephone Care

Chapter 9: Billing and Collections for Telephone Care

Chapter 10: Managing Medical Liability Risks for Telephone Care

Chapter 11: Implementing and Evaluating Telephone Care

Tool A: Advance Beneficiary Notices

Tool B: New Payer Contracts — Contract Addendum

Tool C: Choices of Billable Telephone Care

Tool D: Sample Patient Notification Letter Version 1

Tool E: Sample Patient Notification Letter Version 2

Tool F: Sample Patient Notification Letter Version 3

Tool G: Sample Office Sign

Tool H: Sample Office Answering Message

Tool I: Sample Staff Scripts

Tool J: Sample Payer Notification Letter

Tool K: Sample Telephone Documentation Form Version 1

Tool L: Sample Telephone Documentation Form Version 2

Tool M: Sample Care Plan Oversight Documentation Version 1

Tool N: Sample Care Plan Oversight Documentation Version 2

Tool O: Scenarios to Facilitate Consistent Charging

Tool P: Sample Appeal Letter to Payer

Tool Q: Suggested Timeline

Tool R: Making the Case for Telephone Care

Tool S: Resources from the AAP


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