Who Should Attend
This workshop is designed for psychiatrists and their new or experienced billing and coding staff who want to stay current with new information, rules and policies that impact billing for mental health services.
Why You Need to Attend
According to the Healthcare Billing and Management Association (HBMA Edition, July 2007), “the frequency of rejections, denials, and overpayments in medical billing is high, often reaching 50%.” Yet, the key to
appropriate insurance reimbursement and avoiding an audit often lies
in accurate procedure coding and documentation. Correct coding is
extremely important, yet it can be extremely frustrating to learn and to
keep up with when there are changes in coding and/or documentation policies.
It is extremely important that psychiatrists, their staff and other mental health professionals in your practice use the codes that most accurately reflect the services provided rather than using the same one or two codes for all services in an attempt to simplify billing procedures. Becoming familiar with all of the psychiatric codes and any others that describe services typically provided by psychiatrists and other mental health professionals is essential.
This workshop will provide psychiatrists and their staffs with the information and skills needed to ensure accurate coding and documentation when providing services related to therapy, psychopharmacology, evaluation and management, neuropsych and academic testing – whether in private practices, nursing homes, day treatment centers, community
mental health centers and/or hospitals.
Diane Zucker, M.Ed., CCS-P, is an independent health care consultant and has more than 30 years experience, providing services for physicians and their staff. The content of this activity does not relate to any commercial interest. No one involved in the planning or presentation of this class has any financial conflicts with commercial interest companies.
CME This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of American Psychiatric Association (APA) and Ohio Psychiatric Physicians Association. The APA is accredited by the ACCME to provide continuing medical education for physicians.
The American Psychiatric Association designates this live activity for a maximum of 5 APA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
9:30 -12:30 pm
- Review CPT coding changes and guidelines for psychiatric and other mental health services, which have been significantly revised for services beginning Jan. 1, 2013, including the new "ad-on" codes
- Discuss the elimination of med management only coding (90862) and changes in therapy coding
- Introduce and review current trends in psychiatry reimbursement, review and health care
12:30 - 1 pm Lunch
1 - 3 pm
- Review the importance of and correct coding for E&M services (not psych) based on circumstance
- Through case studies, correctly code difficult situations and identify where errors are most commonly seen
- Identify and detail the components of evaluation services - whether the traditional psychiatry evaluation or use of E&M services in hospitals, nursing homes (including custodian care and assisted living) as well as other settings
- Briefly discuss ICD-10 and its impact on psychiatry documentation and coding - and where this fits with DSM
NEW CHANGES EFFECTIVE JAN. 1, 2013! INCLUDING ELIMINATION OF 90862!
Cancellations: We encourage you to send a colleague in your place if you are not able to attend. Cancellations received seven business days before workshop will be refunded in full; otherwise, there is a $50 processing fee. No refunds will be made the day of the event or after the event. However, you will be provided with the printed materials.