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Behavioral Health Coding Compliance

WebCompliance Lessons from the OIG. In March 2022, the Office of Inspector General (OIG) released a report outlining errors one psychiatrist made in billing for …

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URL: https://codingintel.com/behavioral-health-coding-compliance/

What are Social Determinants of Health

WebSocial Determinants of Health (SDOH), as established by the World Health Organization, are the conditions in which people are born, grow, live, work, and age. …

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Certification for Home Health Services

WebThe CARES Act passed in March 2020 permanently allows nurse practitioners, clinical nurse specialists and physician assistants to certify and re-certify …

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Wellness visits and care management in RHCs and FQHCs …

WebWellness Visits and Care Management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs) RHCs and FQHCs are paid an all …

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CMS Adopts HCPCS Codes for Community Health …

WebCMS is creating two new HCPCS codes to describe community health integration (CHI) Services performed by certified or trained auxiliary personnel under the …

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Prevention and Screening

WebIntensive behavioral counseling for cardiovascular disease, HCPCS code G0446. High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses. …

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Coding for telehealth

WebPayment for phone calls. CMS will pay for phone calls using codes 99441—99443, and 98966—98968. CMS stated in their 3/30/2020 rule that these codes …

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Coding Telehealth Visits: place of service

WebPlace of service codes determine if the encounter is paid at the facility or non-facility rate. The non-facility rate is a higher rate of reimbursemnet. Congress passed a …

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History and exam for new and established patient visits

WebThe extent of history and physical examination is not an element in the selection of the E/M services.”. CPT 2024 Professional Edition, AMA P. 7. Key Points: …

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Quick Reference Sheets Archives

WebE/M Expertise: Go Beyond the Basics | Course. Submitting a claim for Evaluation and Management services has two steps. First, the correct category of code …

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Interprofessional Internet Consultations

WebCPT ® rules for reporting interprofessional telephone/Internet Electronic Health Record Consultations by a treating physician or other qualified health care …

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CMS Adopts Codes for Caregiver Training Services (CTS)

WebCode: Definition: Service: Participants: Time: 96202: Multiple-family group behavior management/ modification training for parent(s)/guardian(s)/ caregiver(s) of …

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Overview of FQHC Coding Webinar

WebOverview of FQHC Coding Recorded June 24, 2021. Coding for services in Federally Qualified Health Centers (FQHCs) is different than coding for free-standing …

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Consultation Codes Update CPT 99242-99245, 99252-99255

WebConsultation Codes. First, CMS stopped recognizing consult codes in 2010. Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) …

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Non Face-to-Face Prolonged Service – 99358

WebCodes 99358 and 99359 are used for non-face-to-face prolonged services by the billing physician/NP/PA when provided in relation to an E/M service on the same or …

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HCPCS Code G0136 for Assessment Social Determinants of Health …

WebG0136 defined as “Administration of a standardized, evidence-based Social Determinants of Health Risk Assessment, 5-15 minutes, not more often than every 6 …

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Coding for behavioral health services

WebBehavioral Health Coding with 2021 E/M Changes. Recorded December 17, 2020. This webinar describes CPT coding for behavioral health services, including …

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CMS Finalizing Principal Illness Navigation (PIN) Services

WebCMS developed four HCPCS codes for Principal Illness Navigation. This service is intended to help patients with serious conditions navigate their health care …

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HCPCS add-on code G2211 for Visit Complexity

WebThis information is from the 2024 Final Rule, released Nov. 2, 2023. G2211 (definition below) is an add-on code to office and other outpatient services, …

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