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Psychiatry Coding Alert

Mythbuster:
Debunk These Interactive Complexity Myths That Could Be Costing You
Watch out when trying to use them with E/M codes. When your psychiatrist undertakes a ... Read more
Compliance:
Ensure Fewer Billing Errors While Reporting Services Ethically
Build your compliance plan using these seven tips from the OIG. If building a strong c... Read more
ICD-10 Update:
Train Your Sights on F60.0 For Paranoid Personality Diagnosis in ICD-10
Hint: Do not use same diagnosis codes for paranoid schizophrenia or paranoid states. W... Read more
Reader Question:
Clear DOS Confusion For Neurobehavioral Examination Over Several Days
Question: If our psychologist performs neurobehavioral examination and the tests al... Read more
Reader Question:
Use Appropriate V Code For Wandering in Dementia
Question: Our psychiatrist recently diagnosed a patient with dementia. The patient ... Read more
You Be the Coder:
Use Appropriate Prolonged Services Code For Extended Psychotherapy
Question: Our psychiatrist recently performed an extended psychotherapy session for... Read more
CPT® 2015 Update:
Zero In On More Apt Alternatives to Modifier 59 in 2015
Hint: Modifier 59 is not totally outdated, but CMS will prefer use of new substitutes. ... Read more
Patient Protocol:
Watch Out For Benefits Verifications To Facilitate Better Profits in 2015
Don’t leave eligibility checks to the last minute or you’ll face non-payment... Read more
ICD-10 Update:
Shift Your Focus to F60.5 For OCPD Diagnosis in ICD-10
Hint: Don’t get confused between OCPD and OCD. When your psychiatrist diagnoses ... Read more
Reader Question:
Get Clarified on Reporting Individual & Family Psychotherapy Codes
Question: In a previous issue of the Psychiatry Coding & Reimbursement Alert, y... Read more
Reader Question:
Be Informed About Unspecified' vs. 'Other Specified' ICD-10 Difference
Question: I have seen lots of great ICD-9 to ICD-10 crosswalks, but it seems like t... Read more
You Be the Coder:
E/M Codes For Psychologist's Med Management? Think Again
Question: One of our psychologists in our practice is insisting on using E/M codes ... Read more
CCI 20.3 Update:
Hone In On Psychodiagnostic & Psychotherapy Bundling Among Other Psychiatry Edits
Hint: Many previous edits have now been reversed. Historically, you have faced edits w... Read more
Human Resources:
Test Candidate's Billing and Coding Know-How With These Sample Questions
Start with these questions and alter the assessment to fit your practice. When trying ... Read more
ICD-10 Update:
Enjoy One-to-One Crosswalk For Adjustment Disorder With F43.2
Hint: Use different ICD-10 codes for separation anxiety & PTSD. When your psychiat... Read more
Reader Question:
Is Billing 90791/90792 Each Time Warranted
Question: Should psychodiagnostic evaluation codes be reported only once per patien... Read more
Reader Question:
Select Appropriate E/M Based on the Extent of Physician Discussion
Question: We have patients provide their chief complaint/reason for visit, history ... Read more
You Be the Coder:
Don't Club Services of Different Practitioners Under Same Tax ID
Question: We have clinicians from different specialties in our practice. If a patie... Read more
CPT® 2015 Update:
Update Your CPT® 2015 Arsenal With New Behavioral Assessment Code
Check out the new changes to chronic care management codes. If you have been wondering... Read more
Clinical Billing Spotlight:
Get Up-to-Date on Group Enrollment Using These Expert Tips
Learn the basics before submitting the CMS-855-B. If you are enrolling your practice i... Read more
ICD-10 Update:
Enjoy Simple Crosswalk for Tourette Syndrome With F95.2
Hint: Use different codes if your clinician diagnoses tics of organic origin. When you... Read more
Reader Question:
Understand Coverage Criteria for Smoking Cessation Counseling
Question: Can smoking cessation codes be used by psychiatrists or should only prima... Read more
Reader Question:
Know How to Calculate RVUs for CPT® Codes
Question: I am new to coding and I would like to understand how you can calculate t... Read more
You Be the Coder:
Clubbing Evaluation Codes With Psychotherapy? Not so Fast
Question: We recently billed 90792 for a patient as our psychiatrist performed anot... Read more
CPT® Coding Strategies:
Get Proficient With TMS Reporting Using This Expert Advice
Check CCI when planning on reporting with E/M or other psychiatry related codes. When ... Read more
Chart Auditing:
Escape Recovery Audits by Introducing Chart Sampling
Consider three different sampling methods that will work best for your practice. If yo... Read more
ICD-10 Update:
Get Specific For Postpartum Depression With F53
Hint: Use the same ICD-10 code for a diagnosis of puerperal psychosis. When your clini... Read more
Reader Question:
Look Towards G0463 For E/M Services in a PHP
Question: I am new to psychiatry coding, and I have been asked to handle reporting ... Read more
Reader Question:
Don't Hesitate to Report an Injection Service With Psychotherapy
Question: If our psychiatrist (or our nurse) is providing the patient an injection ... Read more
You Be the Coder:
Focus on Intent When Reporting 90847 Instead of Psychotherapy Code
Question: Our psychiatrist performs counseling sessions with the patient’s fa... Read more
CCI 20.2 Update:
Watch Out For CCI Edits When Reporting More Than One E/M Code
Hint: Codes can be unbundled by using suitable modifier. Exercise caution if you are p... Read more
Coding Quiz:
Test Your Crisis Psychotherapy Know-How With This Quiz
Hint: Be careful of situations which don’t meet CPT® time requirements. Repo... Read more
Documentation:
Ensure HIPAA Compliance While Preparing Your Psychotherapy Notes
Plan your note making so that you do not land in trouble. While HIPAA doesn’t re... Read more
Coding Quiz Answers:
Check Your Crisis Psychotherapy Reporting Savvy
Read our experts’ opinions on coding these scenarios. Scenario 1: Use CPT® T... Read more
ICD-10 Update:
Separate Hypochondriasis From BDD Diagnosis With F45.21
Hint: Use different diagnosis code for delusional dysmorphophobia. When your psychiatr... Read more
Reader Question:
Base Psychotherapy Session Reporting on Time, Not Location
Question: If our psychiatrist performs a psychotherapy session in the patient&rsquo... Read more
You Be the Coder:
Avoid Confusion When Psychological Testing Spans Multiple Days
Question: If our clinician is performing psychological testing and administers the ... Read more
Mythbuster:
Bust The Bubble on These 4 Misconceptions That Might Falter Psychotherapy Claims
Hint: Don’t forget to check CCI when reporting additional services. When your ps... Read more
Staffing Strategies:
Chart Out a Code of Conduct for Staff to Handle Disruptive Behaviors
Implement these tips today to put an end to disruptive behavior in your practice. Rude... Read more
ICD-10 Update:
Rejoice Over One-to-One Transition For Depressive Episodes of Bipolar Disorder
Hint: Use different code sets when the condition is in partial or full remission. When... Read more
Reader Question:
Don't Overlook CCI When Reporting 90839 With Psychotherapy Codes
Question: During one of the psychotherapy sessions for a patient with depression, t... Read more
Reader Question:
Exercise Caution When Reporting Telephonic Consultations
Question: If our psychiatrist is providing consultations over the phone along with ... Read more
You Be the Coder:
Clear Confusion Over Reporting Different Psychological Tests Together
Question: If two different clinicians (a psychiatrist and a psychologist) performed... Read more
CPT® Coding Strategies:
Get Proficient With Narcosynthesis Reporting With This Expert Advice
Check CCI when reporting other psychiatry services in the same encounter. When your ps... Read more
Inpatient Coding:
Understand the New Definition of Inpatient For Reporting Success Each Time
Expect exceptions when using the “two-midnight” rule.  In the updated... Read more
ICD-10 Update:
Get Ready For Higher Specificity For Bipolar Disorder Reporting With F31
Hint: You will now have added code choices when your clinician identifies hypomania. W... Read more
Reader Question:
Understand Whose Insurance to Bill For Multiple Group Psychotherapy
Question: We have recently started providing group therapy sessions to patients and... Read more
Reader Question:
Factor in Method to Determine Reimbursement Using RVUs
Question: Using the RVUs provided for a particular code, how do I arrive at the app... Read more
You Be the Coder:
Be Clear About Documentation Requirements For Psychotherapy Sessions
Question: I am new to psychiatry coding. I know we have to use 90832-90838 for repo... Read more
Mythbuster:
What You Don't Know About Psychodiagnostic Evaluation Coding Could Hurt Your Claims
Hint: Every assessment might not translate to 90792. Find out why. When your psychiatr... Read more
E/M Coding Update:
5 Steps Ensure Success With Subsequent Hospital Care Codes
Incorporating each of these steps into your coding might better your practice’s re... Read more
ICD-10 Update:
Rejoice on Simplified Reporting of Manic Episode Diagnosis With F30
Hint: You no longer have to look at documentation to see if the episodes are recurrent. ... Read more
Reader Question:
Get Savvy About How to Audit Behavioral Psychologist Charts
Question: I want to audit our new sleep behavioral psychologist charts. How differe... Read more
You Be the Coder:
How to Report Psychiatric Evaluation in the ED Scenario
Question: Our psychiatrist recently visited the emergency department to attend to a... Read more
CERT Update:
Watch Out! Don't Let Improper Time Documentation Trip Up Your Claims
Replace Outpatient E/M codes with a single G code for Medicare PHP claims. According t... Read more
News You Can Use:
Congress Votes to Halt Your Pay Cuts and Delay ICD-10
Physician associations still plan to pursue a permanent SGR formula revision.  Th... Read more
ICD-10 Update:
Look For Simple Crossover For Single Episodic Major Depressive Disorder
Hint: Use different code sets when the diagnosis is recurrent episodes of MDD. When yo... Read more
Reader Question:
Avoid Billing Confusion When Son Seeks Consult For Father's Health Issues
Question: We had a son and daughter-in-law in our office seeking advice on his fath... Read more
Reader Question:
Report a Psychotherapy Service Only When it Satisfies CPT® Time Rules
Question: A patient recently saw our psychiatrist for his scheduled psychotherapy s... Read more
You Be the Coder:
Psychiatric Evaluation For Visits Without The Patient
Question: In our practice, some of our clinicians are sometimes seeing family membe... Read more
CPT® Coding Strategies:
Get Adept at Psychiatric Pharma Management With This Expert Advice
Hint: Check for use of HCPCS code for Medicare patients. When your clinician performs ... Read more
ICD-10:
Smooth Out The Path From ICD-9-CM to ICD-10
Let these tips from NGS guide you. Getting ready to submit your psychiatry claims usin... Read more
ICD-10 Update:
Enjoy One-to-One Transition For Recurrent Major Depressive Disorder
Hint: Identify psychotic symptoms in severe type of MDD. When your psychiatrist identi... Read more
Reader Question:
Perplexed About Reporting Extended Psychotherapy Sessions? Don't Fret
Question: One of our psychiatrists is performing psychotherapy sessions which last ... Read more
Reader Question:
Don't Overlook Different Code Choices for Alcohol Induced Psychosis in ICD-10
Question: Our psychiatrist recently saw a patient for psychosis. The patient had a ... Read more
You Be the Coder:
Choosing Psychotherapy Codes For Family When Patient Not Present? Think Again
Question: Our psychiatrist is of the opinion that when billing for psychotherapy se... Read more
CCI 20.0 Update:
Think Twice Before Reporting Same Session Health and Behavioral Assessment/Interventions
Be wary of reporting TCM/consultation with psychiatry codes, thanks to new edits. Whil... Read more
Part B Payment:
2014 Might Bring in a Permanent Fix of Medicare Payment System
Congress looking at means to eliminate SGR. While the Congress approved a 0.5 percent ... Read more
Part B Payment:
Look at Keeping Medicare Payment Collections SmoothWith This Expert Analysis
Watch for what regulations are going to impact your bottom line in 2014. If you are lo... Read more
ICD-10 Update:
Be Prepared For a Simple One-to-One Transition For Dissociative Amnesia
Hint: Don’t use same ICD-10 code when amnesia is just an associated symptom. Whe... Read more
Reader Question:
Thinking of Reporting Psychotherapy With Hypnotherapy? Not so Fast
Question: I am looking for information on billing hypnotherapy. Should we use the CPT&re... Read more
Reader Question:
Claim E/M & Psychotherapy Separately For Different Providers
Question: In our practice, a physician sees a patient and then the patient is sent to an... Read more
Reader Question:
Don't Report Covering Physician's Service "Incident-to"
Question: I have a case where one physician (physician A) in my practice covered an esta... Read more
You Be the Coder:
Know the Exception to POS Codes For Registered Inpatients
Question: Our clinician sees a patient who is an inpatient, but these visits do not occu... Read more
Available Years:  2014  2013  2012  

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