Psychiatry Coding & Reimbursement Alert
Understand if You Can Receive Additional Pay for ECT During IPF Stay
PDF
Question: How do I get reimbursed when a patient with psychiatric disorder receives electroconvulsive therapy (ECT) during an inpatient psychiatric facility (IPF) admission?
California Subscriber
Answer: Costs are doubled for IPF stays that provide for this service as well. An extra payment is due to the IPF for each session of the ECT on the patient. In case a patient happens to receive ECT during the stay, the facility should bill the total number of ECT treatments provided to the patient during their IPF stay listed under “Service Units” to get the additional amount. Remember to mention the total number of ECT treatments in the “service units” category.
The Federal per diem base rate for 2016 is $743.73 and an additional ECT rate of $320.19 (FY 2016 CMS update for IPF PPS). If your facility hasn’t reported quality data for FY 2016 payment, you will receive a final FY 2016 per diem rate of $729.10 and FY 2016 ECT payment per treatment of $313.89.
Psychiatry Coding & Reimbursement Alert
- CCI 22.0 Update:
Glimpse into CCI 22.0 Edits When Reporting Certain E/M Services
Make the distinction between modifier indicators of ‘1’ and ‘0.’ If you scour through the [...] - Compliance:
Here's What You Need to Consider before Opting out of Medicare
Know the difference between a covered service and a service that is reimbursable. If you [...] - Compliance:
Perform Self-audits to Protect Your Practice from Payer Audits
Focus on these hotspots to reduce audit risk. Though your practice takes every possible safety [...] - Reader Question:
Know if 96127 Can be Reported Only For Interpretations
Question: If someone like the parent or a teacher of the patient administers an assessment, performs [...] - Reader Question:
Understand if You Can Receive Additional Pay for ECT During IPF Stay
Question: How do I get reimbursed when a patient with psychiatric disorder receives electroconvulsive therapy (ECT) [...] - You Be the Coder:
Don't Report Every Family Interaction With 90846
Question: Our psychiatrist recently had a patient’s wife come in during a prescheduled psychotherapy appointment. The [...]