This behavioral health organization webinar will help your healthcare organization address and correct reimbursement problem areas, such as how to handle the root cause of prolonged services, while following laid out guidelines for policies, procedures, and EMR best practices.

Overcome the Struggles of Handling Prolonged Services for Behavioral Health

Many behavioral health practices are struggling to determine how to handle prolonged services now that CPT® codes were deleted, with no replacement codes. This webinar explains the importance of having policies and procedures in place to outline rules for behavioral and mental health services. We will deep dive into creation of policies and procedures to help eliminate the questions around prolonged services, as well as what are good practice polices.

To help your practice and providers get reimbursed for medical services, it must understand wants versus what is medically necessary. We will also investigate best practices for electronic medical records (EMRs) that will help avoid errors in documentation, coding, and errant billing.

The material covered during this webinar presentation are based on CPT®, CPT® II, ICD-10, DSM-5, HCPCS Level II, and CMS guidelines. This webinar contains best practices and guidelines only and are presented with good faith and are accurate at the time of the presentation. The information in the webinar does NOT take the place of payer-specific requirements or regulations. It also does not guarantee payment from any payer or health insurance plan.

Learning Objectives/Agenda

• How to create policies and procedures that will address many aspects of behavioral health practice coding and billing

• How to handle prolonged services now that the CPT® codes are deleted

• Best practices for helping to prove medical necessity for services while accounting for payer-specific requirements

• Patient perspective and see how patient experience matters at your behavioral health organization

• How to avoid EMR errors in documentation, coding, and billing

• Auditing awareness and common problem areas that auditors look for on submitted claims

Why is this topic important?

This webinar topic is timely and important because many behavioral health practices are scrambling to determine how to approach prolonged services, EMR traps, policies, and procedures. Behavioral health and psychiatry providers face many challenges as the demand for mental health services has increased. Getting reimbursed in compliance with coding changes and regulations for behavioral and mental health services can be tricky.

To help your behavioral health organization thrive, we hope that the information in this webinar helps your practice address and correct reimbursement problem areas, such as how to handle the root cause of prolonged services, while following laid out guidelines for policies, procedures, and EMR best practices.

Who would benefit from this topic?

• Practitioners and offic managers
• Consultants
• Billing and coding staff
• Compliance officers
• Auditors
• Behavioral health coders and billers

What’s the presenter's background/expertise on this topic?

Taylor has 27 years of experience in the medical field with an expertise in behavioral health, auditing, compliance, CMS, HEDIS, STARS, CAPHS/patient experience, documentation, and coding. She has developed training programs for mental/behavioral health and other specialties that include CPT®, ICD-9, ICD-10, DSM5, HCPCS Level II, HEDIS, STARS, RCM, etc. She also organizes and speaks across the county and offers consulting services.

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