The providers need to bill the most appropriate code to the service they perform. If they are doing therapy, they need to bill therapy codes. If they are doing med mgmt, they need to bill that code. If they are documenting their services appropriately, there should not be a reason to have to use the EM codes very often. We did use them for a little while because we thought that was the best route, but it was a PITA!! We received a lot of denials because of psych dx with medical code, claims going to medical insurance rather than the pt's mental health plan, a lot would deny because of the providers specialty ( basically they wanted to see psych codes)
We were using EM's for a provider who was basically doing med mgt, but we used it because she wasn't necessarily making major med changes.. after learning more, we decided we could still accurately use 90862 and went back to that.
What is their reason behind wanting to bill EM codes vs psych?
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