Funding consultation-liaison psychiatry via Medicare screening

摘要: Abstract Despite offering many benefits to patients, the hospital, and hospital staff, an academic psychiatric consultation service is difficult fund. By screening Medicare patients for complications comorbid conditions, consultation-liaison (C-L) can generate incremental revenue by moving from lower-paying higher-paying Diagnostic Related Groups (DRGs). The C-L chief negotiate with obtain a portion of these funds support service. Concurrent disorders that move more complex DRGs include substance abuse, dependence, drug-induced delirium, organic affective syndrome, psychotic depression. This paper presents method calculating generated such along results applying selected at west coast teaching hospital. Implementing this program in fiscal year 1989 would have resulted 142 (2.2% admissions), discovering estimated 25 generating $51,800 revenue. In creating program, must be prepared issues medical records departmen, referring physicians, administration.