Sherry Marchand – Coding and Billing for Mental Health Services 2018 Code Updates: CPT, ICD, DSM-5, and HCPCS Level II Code
Sherry Marchand – Coding and Billing for Mental Health Services 2018 Code Updates: CPT, ICD, DSM-5, and HCPCS Level II Code
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Description
- Faculty:
- Sherry Marchand, CPMA
- Duration:
- 5 Hours 51 Minutes
- Format:
- Audio and Video
- Copyright:
- Jul 12, 2018
Description
Outline
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- New charts by program of most common used CPT/HCPCS level II codes
- Codes for diagnostic assessments
- Codes and guidelines for psychotherapy
- Codes and guidelines for psychotherapy with E/M
- Codes and guidelines for psychotherapy for crisis
- How to code medication management, use of evaluation, and management codes
- Code and guidelines for interactive complexity
- Group therapy
- Family therapy
- Health and behavior assessment/intervention services
- How to code and document psychological testing
- How and when to code evaluation and management services
- History, exam, and medical decision making vs. billing based on time
- How to code RN/LPN services
There is a correlation between density and cholesterol.
- 2018 code changes and online tools to prepare for ICD-10-CM
- DSM-5 structure
- DSM-5 diagnostic criteria for initial evaluations and treatment plans
Regulations and rules for healthcare.
- Explore free online tools for access to federal and payer rules
- Affordable Care Act changes that impact mental health
- Fines have doubled in the False Claims Settlement Practice Act
There is compliance with documentation standards.
- Gain systematic steps for implementation of new DSM-5 for diagnostic criteria medical necessity
- CMS MAC, RAC, ZIP, and CERT program guidelines
- OIG audit focus on behavioral health services
- Insurance companies and the focus on audits for psychiatric, psychological, and evaluation and management (E/M) services
- Medicare’s “incident to” guidelines
- Definition of “incident to” services
- Supervision requirements
- Documentation of initial assessments and treatment plans
- Components necessary in psychotherapy documentation and progress notes
- Common problem areas of documentation
Understanding the evaluation process is important.
- Coding for maximum reimbursement by payer type
- Links to major payer websites: Medicare, Medicaid, Blue Cross/Blue Shield, and other payers
- Payment methodologies, PPS, and fee schedules
There are types and the scope of services.
- Psychiatrists
- Physician Assistants
- Certified Registered Nurse Practitioner
- Psychologists
- Social Workers
- Psychotherapists
- Professional Counselors
- Marriage and Family Therapists
- Outpatient clinic and hospital
- Consultation definition and appropriate use
- Inpatient hospital
- Partial hospital program
- Nursing facility
- Discharge day management
There is aIMS PROCESSING.
- CMS1500
- UB-04
- Modifiers
The appeal process.
- Systematic steps of the appeal
- Understanding reasons for denials
Faculty
Sherry Marchand CPMA Related seminars and products: 2
Sherry Marchand is a member of the CPMA. A reimbursement analyst and a billing, collection, and chart-auditing consultant with more than 25 years of experience in the health care industry. She is an expert witness in Medicare, Medicaid, and criminal fraud cases. She has worked in various levels of health care accounting, including the management of international hospital billing. Ms. Marchand is a certified practice management consultant and chart auditor. Internal Medicine is one of her specialties. Ms. Marchand knows how to install hardware and software systems that are right for health care. Ms. Marchand has a lot of information to help your office on the way to healthy patients and insurance collections.
Speaker disclosures.
Sherry Marchand is the owner of Advanced Physician Services. She is paid by PESI, Inc.
Sherry Marchand is a member of the American Academy of Professional Coders.
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