Reimbursement as a Pathway for Quality Dementia Care

GSA Momentum Discussions

GSA developed this podcast and the associated Additional Handout: Podcast Discussion Points in December 2022. It is important to note that payment policies change often and vary by payor, and listeners should seek payor-specific guidance around billing for services.

Appropriate reimbursement for detection, evaluation, and diagnosis of dementia as well as for care planning and ongoing care of individuals with cognitive impairment and dementia is possible. In fact, pathways to appropriate reimbursement well align with evidence-based guidelines for care and expectations around quality. To ensure well-coordinated quality dementia care, the primary provider and other members of the interdisciplinary care team spend a great deal of time outside the standard primary care visit, and reimbursement for this time is available. In this podcast, our guests share their insights into the documentation, infrastructure, and processes necessary to capture appropriate reimbursement for quality dementia care. They also discuss how using reimbursement as a pathway for quality dementia care supports high-functioning teams, incentivizes care teams to provide care that aligns with guidelines, and prevents the vital work of the entire interdisciplinary team from being invisible.

Handout: Podcast Discussion Points

Download the Transcript

Guests:
Carolyn K. Clevenger, DNP, GNP-BC, FAANP, FGSA, FAAN
Professor, The Nell Hodgson Woodruff School of Nursing at Emory University
Clinical Director/Practicing Nurse Practitioner, The Emory Integrated Memory Care Clinic
Laura Medders, LCSW
Administrative Director, The Emory Integrated Memory Care Clinic

Host:
Jennifer Pettis, MS, RN, CNE
Director of Strategic Alliances, The Gerontological Society of America

This podcast episode is supported by Eisai, Genentech, Lilly, and Otsuka.