In Billing
Dec 14th, 2016
Bypassing the standard notice of proposed rulemaking and public comment period, the Centers for Medicare & Medicaid Services (CMS) issued, July 28, a final notice of 2017 Medicare payment and policy changes for inpatient psychiatric facilities. CMS can waive notice and comment if they have good reason. “We find it unnecessary to undertake notice and ...
Dec 13th, 2016
Account for DRG and comorbidity adjustments and ensure all active medical treatments and diagnoses are documented. Part of our responsibility as healthcare business professionals is to understand the financial realities of healthcare delivery and reimbursement. For those of us working in mental health, this means learning the “ins and outs” of the Inpatient Psychiatric Facility ...
Aug 1st, 2015
Have a Coding Quandary? Ask John Q: Which evaluation and management (E/M) codes should be billed for patients seen in either a free-standing post-acute brain injury rehabilitation facility or a free-standing residential brain injury rehabilitation facility? The physician would be visiting the patient for psychiatric medication management.  —California Physician A: In years past, CPT® included a ...
Jan 1st, 2013
By Chandra Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CGSC, CIMC, COSC Set your mind to big changes in 2013 CPT® mental health reporting. Just when you get accustomed to the way things are, they change. Reporting psychiatric services in 2013 is a prime example: Although a few psychiatric services remain unchanged in the ...
May 1st, 2012
Better Documentation + Better Compliance = Better Quality of Care By Richard Skaff Behavioral health has struggled with regulatory compliance, including documentation, billing and coding, treatment plans, and medical necessity. A “top down” approach to address shortcomings in behavioral health practice and diagnostics is the ultimate solution, but common sense and improved documentation will go ...