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    Q&A
            Billing for B-HEARD services and related medical care
2:14:52
·
117 sec
Council Member Mercedes Narcisse inquires about billing practices for B-HEARD services, particularly if emergency medical care or ambulance services are deemed necessary. Jason Hansman from NYC Health and Hospitals provides information on the billing policy.
- The initial interaction with the two EMTs and the social worker from B-HEARD is not billed to the patient
- This initial response is fully covered by the city
- The question of billing for subsequent medical care or ambulance services is not directly addressed in this exchange
                                
                                    Mercedes Narcisse
                                
                            
                            
                                            
                                            2:14:52
                                        
                                        So the reason I'm I'm doing that is because when somebody have a mental health crisis, we don't have to go to all the loophole of all the other heart problem and you know specifically, that person have a mental health, and we want the mental health team to reach that person.
                                    
                                            
                                            2:15:08
                                        
                                        And I feel that we're not doing enough to promote the 988 to let people know that this is the help that they can get.
                                    
                                            
                                            2:15:17
                                        
                                        Instead of going to that triage process.
                                    
                                            
                                            2:15:19
                                        
                                        I'm a registered nurse and triage nurse as well.
                                    
                                            
                                            2:15:21
                                        
                                        So that's the reason I get to that point because we have to differentiate mental health to from physical health to make sure to get the services in a faster way.
                                    
                                            
                                            2:15:31
                                        
                                        Because when somebody go into a crisis, I understand heart.
                                    
                                            
                                            2:15:34
                                        
                                        I understand that because I'm a ER nurse, but I'm saying, like, mental health doesn't have to go to all the loops that we're going through.
                                    
                                            
                                            2:15:43
                                        
                                        One of quick question that I have.
                                    
                                            
                                            2:15:45
                                        
                                        I finished the script there.
                                    
                                            
                                            2:15:50
                                        
                                        If a be heard response team is dispatched to an individual experiencing a mental health crisis, is the individual billed for the be heard services if the response team deems is necessary to provide emergency medical care or call an ambulance.
                                    
                                            
                                            2:16:10
                                        
                                        Will the individual be billed for such care?
                                    
                                            
                                            2:16:14
                                        
                                        Will they notify if the cause prior to actions being taken, that would result in a medical bill.
                                    
                                
                                    Jason Hansman
                                
                            
                            
                                            
                                            2:16:23
                                        
                                        So I'll talk about the the be heard response itself.
                                    
                                            
                                            2:16:26
                                        
                                        So the the 2 EMTs and the the social worker responding to you know, patient in in the community.
                                    
                                            
                                            2:16:34
                                        
                                        That interaction, that interaction with the the 2 EMTs and with the the social worker, that is not built.
                                    
                                            
                                            2:16:41
                                        
                                        Right now, that that is fully covered by the city.
                                    
                                            
                                            2:16:45
                                        
                                        And is not part of what the patient would be would be billed for.
                                    