What You’ll Discover in Sherry Marchand Coding and Billing for Mental Health Services 2018 Code Updates CPT, DSM and ICD-5, and HCPCS Level II Code
- Faculty:
- Sherry MarchandCPMA
- Duration:
- 5 Hours 51 Minutes
- Format:
- Audio and Video
- Copyright:
- Jul 12, 2018
Description
Coding and Billing Strategies for The Optimal Reimbursement
Comprehending the requirements for Procedure code and Policy changes have made it even more difficult to reimburse. for All psychiatrists, psychologists and social workers, therapists, counselors. and clinical nurse specialists.
This recording will teach you how to code the most important elements and Billing for Services for mental health and Consolidate All Combined with the code rules in place, the new requirements and A comprehensive course that teaches proven billing techniques, delivered by an expert speaker and a veteran reimbursement analyst and Coding and Specialist in billing. The areas of psychiatry for Evaluation and Management Services and Psychotherapy, medication management and health and Assessments of behavioral characteristics and psychological and Neuropsychological testing will also be discussed, including details such as Partial Hospitalizations and Inpatient Psychiatric Services, Detox Coding, Intensive Outpatient, and Inpatient Psychiatric Services. and Outpatient services. Keep up-to-date and Accurate coding and documentation tips and Complete definitions are required to ensure prompt response and Best payment for Future insurance claims
Handouts
| Manual (8.08 MB) | 162 Pages | Available after Purchase |
Outline
CPT/HCPCSÂ PROCEDURE CODES
- Charts of the most commonly used CPT/HCPCSÂ Level II Codes
- Codes for Diagnostic assessments
- Codes and Guidelines for Psychotherapy
- Codes and Guidelines for Psychotherapy with E/M
- Codes and Guidelines for psychotherapy for Krise
- How to code medication management and use of evaluation and Management codes
- Code and Guidelines for Interactive complexity
- Group therapy
- Family therapy
- Health and behavior assessment/intervention services
- How to code and Do not forget to document your psychological testing
- How and How to code-evaluate and Management Services
- History, exam, and Medical decision making vs. Billing based on Time
- How to code RN/LPNÂ services
DIAGNOSTIC CODING
- 2018 Code changes and Online tools for preparation for ICD-10-CM
- DSM-5 Structure
- DSM-5 diagnostic criteria for Initial evaluations and treatment plans
MEDICARE BILLING RULES AND FEDERAL REGULATIONS
- Find free online tools for Federal access and payer rules
- Changes to the Affordable Care Act that affect mental health
- The False Claims Settlement Practice Act has doubled the fines
COMPLIANCE WITH CODING & DOCUMENTATION STANDARDS
- Take systematic steps for Implementation of the new DSM-5 for Diagnostic criteria for medical necessity
- CMS MAC, RAC, ZIP, and Guidelines for the CERT Program
- OIGÂ audit focus on behavioral health services
- Insurance companies and Audits are the main focus for psychiatric, psychological, and Evaluation and Management (E/M services)
- Medicare’s “incident to” Guidelines
- Definition of “incident to” Services
- Supervision requirements
- Documentation of initial assessments and treatment plans
- Documentation for psychotherapy: Components and Notes on progress
- Documentation problems that are common
UNDERSTANDING RECOVEREMENT PROCESS
- Coding for Maximum reimbursement by payer type
- These are links to the major payer websites for Medicare, Medicaid, Blue Cross/Blue Shield, and Blue Cross/Blue Shield. and Other payers
- Payment methods, PPS and fee schedules
Types of providers and scope of covered services
- Psychiatrists
- Physician Assistants
- Certified Registered Nurse Practitioner
- Psychologists
- Social workers
- Psychotherapists
- Professional counselors
- Marriage and Family Therapists
- Outpatient clinic and Hospital
- Consultation definition and Use it in a responsible manner
- Inpatient hospital
- Partial hospital program
- Nursing home
- Discharge day management
PROCESSING OF CLAIMS
- CMS1500
- UB-04
- Modifiers
THE APPEAL SYSTEM
- Steps to appeal
- Understanding the reasons for denials
Faculty
Sherry Marchand CPMA Similar seminars and products: 2
SHERRY MARCHAND CPMA Is a reimbursement analyst and Collection, billing, and chart-Auditing consultant with over 25 years experience in the healthcare industry, including hospitals and physician group billing, and Collection management. She has been an expert witness/consultant in Medicare and Medicaid hearings. and Criminal fraud cases. Through her experience working at different levels of health care accounting including international hospital billing, she has a vast understanding of practice management. Certified, self-employed.-Consulting for employed practice management and chart auditor, Ms. Marchand Numerous medical offices have used billing to manage their cash flow. and Documentation processes. Her specialties are in Internal Medicine and Obstetrics. Mental HealthENT, Cardiology, Physical Therapy and Surgical Specialties Ms. Marchand Is skilled in installation training and Hardware implementation and Software systems that work correctly for The health care industry. Ms. Marchand There are many other tips. and Tools to help your office get healthy patients and Insurance collection.
Disclosures to Speakers:
Financial: Sherry Marchand Advanced Physician is owned by Dr. Services. PESI Inc. awards her a speaking honorarium
Non-financial: Sherry Marchand The American Academy of Professional Coders is a member.
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