Results 1 to 4 of 4

Med Management vs. Psychotherapy

  1. Default Med Management vs. Psychotherapy
    Medical Coding Books
    If a psychiatrist sees a patient and provides psychothery and then refers the patient to our Psychologist for medication. Can the psychologist bill for the initial interview 90801?

  2. #2
    Location
    Detroit, Michigan
    Posts
    6
    Default
    If a psychiatrist sees a patient and provides psychothery and then refers the patient to our Psychologist for medication. Can the psychologist bill for the initial interview 90801?

    I have a feeling that you are mixing the Psychiatrist and Psychologist up. Psychologist cannot administer medication and Psychiatrists can.
    Medicare will not pay for both services if the providers are from the same practice. Even adding a modifier will not get it paid. Many 3rd party payors are also following the Medicare guidelines.

  3. Default
    After speaking with my MH Department today, I was told that typically the psychiatrists (at least in my facility) do not perform psychotherapy. They perform in-takes & treatment plans/new patient assessments (90801) and/or medication evaluations (90862). Psychologists or LMSW perform the psychotherapy (90806, 90808).

  4. Default med mgmt vs psychotherapy
    You can not be paid for psychotherapy and a med check on the same day and your patient should not be seeing two providers in the same day. If he/she is seeing the psychologist for therapy and then is referred to the doc the doc can bill a 90801 seperate from the one originally done by the psychologist but he can not bill the 90801 and 90862 on the same day.

Similar Threads

  1. Replies: 2
    Last Post: 06-01-2015, 03:57 PM
  2. Med management and LPC same date of service
    By AlaskaCpcCpb in forum Behavioral Health
    Replies: 4
    Last Post: 10-27-2014, 07:30 AM
  3. Coding review/Med Management review do not agree
    By rdarla in forum Payer/Health Plan
    Replies: 7
    Last Post: 03-18-2013, 08:56 PM
  4. Replies: 0
    Last Post: 09-30-2011, 03:09 PM
  5. Med Management at Nursing Homes
    By dswords in forum Behavioral Health
    Replies: 1
    Last Post: 04-01-2009, 08:07 PM

Tags for this Thread

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?

Login

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.