Product Detail

1. Identify and use all current and new procedure codes for mental health services
2. Discuss problem areas of documentation for mental health services
3. Documentation necessary to support reimbursement
4. Apply Medicare rules and payment policy
5. Apply Medicare rules for clinical psychologist and clinical social worker services
6. Discuss reimbursement strategies for inpatient and partial hospital services
7. Outline procedures for conducting an internal review of coding and documentation
8. Explore strategies to prepare for ICD-10-CM

CPT/HCPCS PROCEDURE CODES

• New charts by provider to maximizing reimbursement
• 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

DIAGNOSTIC CODING

• New tools to prepare for ICD-10-CM
• New DSM-5 structure
• New DSM-5 diagnostic criteria for initial evaluations and treatment plans
• New case studies: neurodevelopmental disorders, schizophrenia, bipolar disorders, depressive disorders, anxiety disorders, post-traumatic stress disorders
• Coding guidelines for ICD-10-CM

FEDERAL REGULATIONS AND MEDICARE'S BILLING RULES

• Implementation of federal legislation
• Understand the Affordable Care Act changes that impact mental health
• Common forms of health care fraud and abuse
• Summary of key aspects of the Final Stark II Rule

COMPLIANCE WITH CODING AND DOCUMENTATION STANDARDS

• Gain systematic steps for implementation of new DSM-5 for diagnostic criteria medical necessity

• Understanding the CMS MAC, RAC, ZIP, and CERT program guidelines

• OIG audit focus on behavioral health services

• Components of an effective compliance plan, corrective action, and refund process

• Audit tools 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 REIMBURSEMENT PROCESS

• 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

PROVIDER TYPES AND SCOPE OF COVERED SERVICES

• Psychiatrists
• Physician Assistants
• Certified Registered Nurse Practitioner
• Psychologists
• Social Workers
• Psychotherapists
• Professional Counselors
• Marriage and Family Therapists
• Outpatient clinic and hospita
• Consultation definition and appropriate use
• Inpatient hospital
• Partial hospital program
• Nursing facility
• Discharge day management

ADDITIONAL RESOURCES

• Practice Management library
• Claims Processing
• New CMS1500 for January 1, 2014 (mandated by April 1, 2014)
• UB-04
• Modifiers
• Sample forms
• Sample letters

THE APPEAL PROCESS

• Systematic steps of the appeal
• Understanding reasons for denials
• Sample appeal letters

Biography is not currently avaiable.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-397-0180 for more details.

Listed below are the continuing education credit(s) currently available for this self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.

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Coders


Counselors: This educational offering qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Counselors - Illinois: Vyne Education, LLC. is a registered counselor continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 197-000144). This educational offering is offered for six (6) contact hours of continuing education for counselors. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Counselors - New York: Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0027. This educational offering is acceptable for 6.0 continuing education hours. Full attendance is required to receive credit for Mental Health Counselors; variable credit for partial attendance may not be awarded based on the State Board guidelines.

Counselors - Ohio
Vyne Education, LLC. is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This educational offering is offered for six (6.0) clock hours of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Counselors - South Carolina: Vyne Education, LLC. is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This educational offering is offered for 6.0 continuing education hours.

Counselor - Texas: Vyne Education, LLC. is an approved sponsor of continuing education for licensed professional counselors through the Texas State Board of Examiners of Professional Counselors (Provider number 2709). This course is offered for 6.0 clock hours.

Counselors - California: The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.

Counselors - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 6.0 continuing education credits.

Marriage & Family Therapists: This educational offering qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Marriage & Family Therapists - Illinois: Vyne Education, LLC. is a registered marriage and family therapist continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 168-000172). This educational offering is offered for six (6) contact hours of continuing education for marriage and family therapist. Licensed marriage and family therapist in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Marriage & Family Therapists - New York: Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0020. This educational offering is acceptable for 6.0 continuing education hours. Full attendance is required to receive credit for Marriage and Family Therapists; variable credit for partial attendance may not be awarded based on the State Board guidelines.

Marriage & Family Therapists - Ohio
Vyne Education, LLC. is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This educational offering is offered for six (6.0) clock hours of continuing education for marriage family therapists only. Licensed marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.

Marriage & Family Therapists - South Carolina: Vyne Education, LLC. is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This educational offering is offered for 6.0 continuing education hours.

Marriage & Family Therapists - Texas: Vyne Education, LLC. is an approved sponsor of continuing education for licensed marriage and family therapists through the Texas State Board of Examiners of Marriage and Family Therapists (Provider number 195). This educational offering is offered for 6.0 clock hours.

Marriage & Family Therapists - California: The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.

Marriage & Family Therapists - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 6.0 continuing education credits.

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Psychologists
Vyne Education, LLC. is approved by the American Psychological Association to sponsor continuing education for psychologists. Vyne Education, LLC. maintains responsibility for this program and its content. This educational offering offers 6.0 CE credits for psychologists. Full attendance is required to receive credit for psychologist, variable credit for partial attendance may not be awarded based on the APA guidelines.

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Social Workers

Vyne Education, LLC. provider #1005, "formerly Cross Country Education" is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program (an approved provider since 1999, approved period 1/27/2018-1/27/2021). Vyne Education, LLC. maintains responsibility for the program. Social workers will receive 6.0 Clinical continuing education clock hours for participating in this educational offering. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information. This educational offering is at the Intermediate level for social workers.

Social Workers - Florida: Vyne Education, LLC. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This educational offering is approved for 6.0 continuing education credits.

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Social Workers - New York
Vyne Education, LLC., SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 6.0 continuing education hours. Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.

Social Workers - California: The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.

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Other Professions
This educational offering qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

All Professionals
In order to process continuing education, please supply the appropriate license certification number on the evaluation form.

Certificates, Educational Offering Completion Requirements
Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Requirements
Please note that full attendance and the completion of a post course assessment with a score of 80% or greater is required to receive full credit. Variable credit will not be awarded.

Technology Requirements
Digital Seminars, Live Video Webcast, and Online Course will require participants to set up a personal portal account via Vyne Education, LLC.’s website at www.vyne.com and have access to a computer with a sound device. Participants will have digital access to the  recording, course manual, post-test, and evaluation form. DVDs are sent through the mail (USPS). Participants will need access to a computer with an internet connection and a DVD drive. Participants will receive an Instruction Sheet and a DVD containing a link to the course manual, the video-recording, and a link to post-test and evaluation form. Participants have two options when completing their post-test and evaluation form; Participants may complete their test and evaluation online, which will require access to a computer and their personal portal account, or they may download, print, and complete the paper test and mail back to Vyne Education. 

ADA
If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

Coding, Billing, and Finance Personnel, Psychiatrists, Psychologists, Social Workers, Psychotherapists, Professional Counselors, Marriage and Family Therapists, Nurse Practitioners