ABH MANAGEMENT & CONSULTING, INC

 

The Behavioral Health Billing Specialists

2013 Coding Resources


Helpful links to understanding the new 2013 Psych CPT codes. 

ABH, Inc has no relationship with any of the resources listed below.  We merely offer these sites to assist the behavioral health clinician.  The following links are a starting point only.   We strongly recommend that all clinicians invest in the 2013 CPT book and they seek professional coding training.  A good place to start is your professional association. 

If you are currently using a billing service they should be your contacting you.

REMEMBER

Ultimately the PROVIDER is responsible for codes used when billing, be sure that YOU understand the codes tha are being billed in your name.

2013 Psychiatric Coding Changes:

From the American Psychiatric Association
http://www.psych.org/practice/managing-a-practice/cpt-changes-2013/current-procedural-terminology-cpt-code-changes-for-2013

http://www.psych.org/practice/managing-a-practice/cpt-changes-2013/changes-to-the-codes

From the American Academy of Child & Adolescent Psychiatry
http://www.aacap.org/cs/business_of_practice/reimbursement_for_practitioners

http://www.aacap.org/galleries/default-file/2013_CPT_Module.pdf

From The National Council For Community Behavioral Health
http://www.thenationalcouncil.org/galleries/policy-file/CPT%202013%20Changes%20Fact%20Sheet.pdf

From Hill and Associates
http://www.ncpsychiatry.org/icare/PDFs/billing%20and%20coding/Billing%20&%20Coding%202%20-%20CPT%20Code%20Changes%202013.pdf

From the American Pychological Association - Overview for Psychologists
http://www.apapracticecentral.org/reimbursement/billing/psychotherapy-codes.aspx


E & M (Evlauation and Management) Coding

CMS
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf

Wikipedia
http://en.wikipedia.org/wiki/Evaluation_and_Management_Coding

From Medscape
http://www.medscape.com/viewarticle/408338_7

From E/M University
http://emuniversity.com/Definitions.html

http://emuniversity.com/Curriculum_Free.html

From the American Academy of Procedural Coders
http://www.aapc.com/training/evaluation-management-coding-training.aspx

From The FamilyPractice Notebook
http://www.fpnotebook.com/Manage/Billing/EvltnAndMngmntCdng.htm

From PsychiatricNews
http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=115892

From Connecticare
http://www.connecticare.com/provider/PDFs/CCIOvercodingGuideFINAL.pdf


Documentation Guidelines

From WPS Medicare
http://www.wpsmedicare.com/part_b/resources/provider_types/eandm_key.shtml

From HCPro
http://www.hcpro.com/HIM-237465-859/Tip-Use-these-principles-to-develop-EM-coding-guidelines.html

1995 E&M Guidlines from CMS
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/95Docguidelines.pdf

1997 E&M Guidelines from CMS
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/95Docguidelines.pdf

Decison Making from WPS Medicare
http://www.wpsmedicare.com/part_b/resources/provider_types/emvisitdecision.shtml

Medicare Coding Guidelines and Regulations
https://www.noridianmedicare.com/partb/coverage/coding/coding_guidelines.html


FEE SCHEDULES

From the APA
http://www.apapracticecentral.org/update/2012/11-29/medicare-payment.aspx

From American Medical News
http://www.ama-assn.org/amednews/2012/07/16/gvsa0716.htm

From Noridian Medicare Part B
https://www.noridianmedicare.com/partb/fees/




















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