AAPC - Back to school
Results 1 to 3 of 3

Thread: Credentials to bill E/M

  1. #1
    Join Date
    Apr 2007
    Salisbury, MD

    Default Credentials to bill E/M

    AAPC: Back to School
    Hello Everyone!
    I need some help. Can someone point me to a reference where it says you have to be a MD, NP, mid-wife, or PA to bill an E/M service. We have a psychologist (PhD) who states she cannot bill E/M consultation, because she is not credentialed at that level, which I do think is correct, but I cannot find where that is documented anywhere.

    Lynn Busby, RN, CPC-A

  2. #2
    Join Date
    Apr 2007
    North Carolina


    I actually had someone ask this the other day. Maybe this will help...


    Psychologists provide—but are not recognized by Medicare for—these E/M services: consultations, psychotherapy for patients who either are on psychotropic medications or have other physical medical illnesses that affect their mental health, and care provided to nursing home residents. Psychotherapy and psychological testing now account for the majority of Medicare billing by psychologists. Nonetheless, in circumstances where a psychologist's work is more appropriately defined as E/M, the psychologist should be permitted to bill for those services provided to Medicare beneficiaries.

    There's a PDF version of this article at the end of the site.

  3. #3
    Join Date
    Apr 2007
    Louisville, KY


    Although APA supports this, keep in mind there is nothing from the government authorizing a change in rules. I responded in the Behavioral Health section of the forum with some references.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

Similar Threads

  1. ed credentials
    By marty3073 in forum Emergency Department
    Replies: 1
    Last Post: 04-22-2010, 01:32 PM
  2. Credentials to bill E/M
    By lbusby2 in forum E/M
    Replies: 3
    Last Post: 07-31-2009, 10:40 AM
  3. Credentials
    By baums32008 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-16-2009, 08:07 AM
  4. My Credentials
    By KristieStokesCPC in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-22-2009, 10:28 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.