bridgettemartin
Expert
I'm posting this in the auditing forum hoping someone can offer some insight.
We have a PsyD that received a payer letter indicating they are billing a higher number of 60 minute therapy visits (90837) than their peers. We do Bell Curves and benchmarking, but do not have access to benchmarking tools for Psychotherapy codes.
Wondering if anyone in this forum has been asked to look at therapy charges that might be able to provide some insight. Therapy codes are time based. If they provide 60 minutes, you bill the 60 minute code. I'm a little confused as to why a payer would question that.
We have a PsyD that received a payer letter indicating they are billing a higher number of 60 minute therapy visits (90837) than their peers. We do Bell Curves and benchmarking, but do not have access to benchmarking tools for Psychotherapy codes.
Wondering if anyone in this forum has been asked to look at therapy charges that might be able to provide some insight. Therapy codes are time based. If they provide 60 minutes, you bill the 60 minute code. I'm a little confused as to why a payer would question that.