CPT® Handbook for Psychiatrists, Third Edition
Chester W. Schmidt, Jr., M.D., Rebecca K. Yowell, and Ellen Jaffe
To ensure proper reimbursement—especially in today's managed care environment—it is vital that all practitioners know how to use the Current Procedural Terminology (CPT) coding system and how to document for it appropriately. Yet information about this complex system is often inadequate, making it nearly impossible to keep up with changes necessitated by the ongoing development of new treatment modalities and multiple sites of service (e.g., office, hospital, nursing home). The third edition of this concise, easy-to-read handbook is the essential reference for mental health professionals. Marking more than a decade of experience, this practical handbook represents the collective wisdom of the APA's Committee on RBRVS, Codes, and Reimbursements and covers recent changes mandated by the Health Insurance Portability and Accountability Act (HIPAA) and changes in the way psychiatry is currently practiced and documented. In just 8 chapters and a remarkable 12 appendixes, the authors
- Explain the structure and function of CPT and how to use and document psychiatric therapeutic procedure codes and evaluation and management (E/M) codes
- Provide case vignettes for E/M codes (Appendix D), in addition to in-depth information about the body that governs the CPT coding system and how it works, documentation templates, examples of relative value units, and a CPT psychiatric code matrix—to name just a few of the topics included in the appendixes
Based on practitioner concerns and questions, this volume makes it easy to find the right information to ensure creation of legible and carefully constructed and documented medical records—not only because good records are critical to good patient care, but because they also provide documentation for services billed to patients, verify compliance with standards set by government agencies and insurance carriers, protect against audits by payers, and provide evidence concerning the “why, when, and how” of provided services in case of a malpractice lawsuit. Coding errors are often the cause of claims being initially rejected, slowing down payment and creating extra paperwork as well as triggering audits of billing practices by insurance carriers—this handbook will help you avoid them. As the struggle for appropriate reimbursement continues—with payers often using the technicalities of coding and documentation to reduce or deny payments—this practical volume offers a lifeline for mental health professionals everywhere.
Contents
Basics of CPT. Introduction to documentation. Codes and documentation for psychiatric services. Codes and documentation for other mental health services. Codes and documentation for evaluation and management services. Medicare. Health insurance issues. Putting it all together for accurate coding. Appendix A: The CPT coding system—how it came to be, how it changes. Appendix B: Modifiers. Appendix C: ECT information, consent form, and record template. Appendix D: Vignettes for evaluation and management codes. Appendix E: Documentation templates. Appendix F: Examples of relative value units (RVUs)(2004). Appendix G: National distribution of evaluation and management code selection by psychiatrists. Appendix H: American Psychiatric Association CPT coding service and additional resources. Appendix I: Centers for Medicare and Medicaid Services regional offices (CMS). Appendix J: Medicare Part B carriers. Appendix K: Health Insurance Portability and Accountability Act (HIPAA). Appendix L: CPT psychiatric code matrix. References. Index.
About the Authors
Chester W. Schmidt, Jr., M.D., is in the Department of Psychiatry and Behavioral Sciences at The Johns Hopkins School of Medicine and Chair of Department of Psychiatry at The Johns Hopkins Bayview Medical Center in Baltimore, Maryland. Rebecca K. Yowell is the Assistant Director of the Office of Healthcare Systems and Financing at the American Psychiatric Association in Arlington, Virginia. Ellen Jaffe is the Medicare Specialist in the Office of Healthcare Systems and Financing at the American Psychiatric Association in Arlington, Virginia.
Ordering Information
2004 · 160 pages · ISBN 9781585621576 · Spiralbound · $67.00 · Item #62157 Buy this title NOW!
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