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Dr. Ronald Dwinnells, the CEO of federally-qualified health center ONE Health Ohio, conducted four separate clinical research projects during a four-year period on Screening, Brief Intervention and Referral to Treatment (SBIRT) and integrative health care delivery. The studies reveal significant findings supporting the use of SBIRT as a “bridge” to integrate behavioral health with medical and dental services, leading to improved health care and diminishing use of emergency services.
Ronald Dwinnells, M.D., MBA, is a pediatrician who is the founder and CEO of ONE Health Ohio, a Federally Qualified Health Center since 1986. He obtained his undergraduate and medical degrees at the University of Kentucky and received his MBA from George Washington University in Washington, D.C. Dr. Dwinnells is a frequent speaker on a national level discussing topics of health disparities, integrative health care delivery, health care leadership and administration.
Responses to Q&A: Dr. Dwinnells did not get a chance to answer the following questions about insurance reimbursement on the webinar, but did send these responses after the presentation.
- How are you satisfying UDS requirement with documenting SBIRT since a 15 minute insurance minimum provider face to face is required with the patient?
- With a 15-30 minute minimum providers are required to spend on SBIRT, how do your providers have adequate time to perform Brief Intervention in the appointment time alloted?
Dr. Dwinnells responded:
- We are not billing for any SBIRT services. When we first began the program, we billed everyone; however, there were many complaints by sliding fee scale patients and most commercials were not paying. We decided to not charge anyone for the services.
- The SBIRT service is documented in the EMR and coded properly but there is an automatic write-off with that particular code. Thus, the numbers are recorded in the UDS and a write-off account is generated for the SBIRT which is also then documented in the UDS financial section.
- The 15-30 minute minimum is the requirement if you want to get paid. Certainly, the positive ones take that long but not the negative result patients. Again, we do not bill these anyway but document that we provide the service—because we do.