Proper coding and documentation are vital to getting paid, especially in today's healthcare environment, yet specific information on coding for mental health services is often difficult to find. The third edition of this concise, easy-to-read handbook offers the essential reference for mental health professionals. Marking more than a decade of experience, this practical handbook represents the collective wisdom of the APA's Committee on RBRVS, Codes, and Reimbursements and covers changes mandated by the Health Insurance Portability and Accountability Act (HIPAA) and changes in the way psychiatry is currently practiced and documented.
In just 8 chapters and a remarkable 12 appendixes and index, the authors explain the structure and function of CPT and how to use and document codes for initial evaluations, psychotherapy, medication management, and other services listed in the psychiatry section of CPT. This edition has expanded information on the evaluation and management (E/M) codes and includes vignettes and documentation templates to guide physicians and other providers on how to code and document these medical services.
As the struggle for appropriate reimbursement continues—with payers often using the technicalities of coding and documentation to reduce or deny payment—this practical volume offers a lifeline for mental health professionals everywhere.
|Publisher:||American Psychiatric Publishing, Inc.|
|Edition description:||Second Edition|
|Product dimensions:||5.55(w) x 8.16(h) x 0.58(d)|
About the Author
Chester W. Schmidt, Jr., M.D., is in the Department of Psychiatry and Behavioral Sciences at The Johns Hopkins School of Medicine and Chair of Department of Psychiatry at The Johns Hopkins Bayview Medical Center in Baltimore, Maryland.
Rebecca K. Yowell is the Assistant Director of the Office of Healthcare Systems and Financing at the American Psychiatric Association in Arlington, Virginia.
Ellen Jaffe is the Medicare Specialist in the Office of Healthcare Systems and Financing at the American Psychiatric Association in Arlington, Virginia.
Table of Contents
Basics of CPT. Introduction to documentation. Codes and documentation for psychiatric services. Codes and documentation for other mental health services. Codes and documentation for evaluation and management services. Medicare. Health insurance issues. Putting it all together for accurate coding. Appendix A: The CPT coding system—how it came to be, how it changes. Appendix B: Modifiers. Appendix C: ECT information, consent form, and record template. Appendix D: Vignettes for evaluation and management codes. Appendix E: Documentation templates. Appendix F: Examples of relative value units (RVUs)(2004). Appendix G: National distribution of evaluation and management code selection by psychiatrists. Appendix H: American Psychiatric Association CPT coding service and additional resources. Appendix I: Centers for Medicare and Medicaid Services regional offices (CMS). Appendix J: Medicare Part B carriers. Appendix K: Health Insurance Portability and Accountability Act (HIPAA). Appendix L: CPT psychiatric code matrix. References. Index.