pbenson
NYC- New York City Centering Consortium
Posts: 2
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Post by pbenson on Sept 23, 2020 10:39:28 GMT -5
Hi All,
I work with a hospital in Brooklyn, NY. We started Centering in August 2019 and were about to start Group 5 when the pandemic began. At that time we stopped our Centering practice. Quite frankly our hospital had an overwhelming amount of COVID cases and Centering was not the focus of attention for our providers or senior leadership. Fast forward to August 2020 and we decided to try to initiate a Virtual Centering Group which was unsuccessful. Not one patient ( out of 16 contacted) signed into the virtual session! I would like to ask other Centering facilities about your successes and failures with Virtual Centering. What methods have you used to incentivize patients to join virtual Centering sessions? Have patients' resources and technology access presented an obstacle? Are there still in-person groups being held and what dynamics have changed beyond masking and social distancing? How long did it take to get the patients up to speed on the use of the virtual platform?, we are using Webex. Billing for services is also a question I have seen frequently in the threads but have not seen much of a response to these questions. Can anyone explain billing for virtual visits? Any insight at all would be helpful but I would appreciate the most truthful responses for the successes as well as the failures. I think Centering, despite its critics and non believers has a lot to offer our pregnant patients and I am just trying to find my way to a successful group. All thoughts, opinions and suggestions are welcomed. |
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Post by dillon on Sept 29, 2020 14:57:49 GMT -5
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Wenonah (she/they)
In-House Trainers
Posts: 48 
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
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Post by Wenonah (she/they) on Sept 30, 2020 15:02:34 GMT -5
I wonder what the patients are hearing about virtual Centering? If you can share more about what their resistance is, it would be helpful in finding an answer for improving recruiting. I would honestly say it may be dependant on what else is going on for the patient population. Parents who are home with other kids (younger or school aged), or crowded households can be a challenge. I usually point out that opportunity to connect with other parents so they don't have to feel as isolated during the pandemic. Mostly clients who are already working from home are more easily adaptable to using the zoom platform. Folks with less digital literacy take a little more hand holding. I have to make a lot of calls to get them ready for the meeting. And a lot of reminding for the appointment time. I believe we have the most success recruiting when the invitation comes from the provider, as an opportunity to get something extra out of their care. Making cold calls can be challenging. I usually tell patients that the midwife/provider suggested they would be a good fit for Centering. I stress the benefits of education/support, more time with their provider, and a place where they have time to ask questions and learn from others. The resources that CHI has published has been a huge help in how to run groups online. I have had a fair amount of success in running groups virtually since we went into lock down in April. I had a few groups that were already going that we converted to virtual so that probably helped to have that continuity. Beginning with folks due in September or October, all of their sessions have been on the virtual platform. centeringconnects.org/post/5390 This post has resources and procedurals that I typed up Billing is not different from the in-person groups, unless your organization is not able to bill for telehealth. If you are doing telehealth then you bill for a prenatal visit with a modifier for telehealth. Some sites are are doing social/teaching groups but not doing a Health Assessment as part of the Centering Session. In that case they are not billing for the Centering Group. |
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Wenonah (she/they)
In-House Trainers
Posts: 48
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
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Post by Wenonah (she/they) on Sept 30, 2020 15:10:47 GMT -5
Billing/reimbursement
: We are doing the same as in person coding, Group Education code and Prenatal Visit 99212 E&M Code, with the addition of the designation of “Telehealth” encounter and attestation (telehealth is
Modifier 95? I believe) Ask your billing and coding department.
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Post by marcela on Jan 18, 2021 15:35:40 GMT -5
Great imput and quations for a new start.
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