Product Detail

Coding and Billing for Mental Health Services
Digital Seminar
$199.99 USD
Product Details
Format:
Digital Seminar
Author:
SHERRY MARCHAND, CPMA
Publisher:
Vyne Education
Copyright:
1/13/2014
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
WDS020156
Objectives

Major changes are coming in the areas of coding, especially to ICD-10. Discover what must be done to prepare for these changes and protect your cash flow.

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

CPT/HCPCS PROCEDURE CODES

u          New charts by provider to maximizing reimbursement

u          Codes for diagnostic assessments

u          Codes and guidelines for psychotherapy

u          Codes and guidelines for psychotherapy with E/M

u          Codes and guidelines for psychotherapy for crisis

u          How to code medication management, use of evaluation, and management codes

u          Code and guidelines for interactive complexity

u          Group therapy

u          Family therapy

u          Health and behavior assessment/intervention services

u          How to code and document psychological testing

u          How and when to code evaluation and management services

u          History, exam, and medical decision making vs. billing based on time

u          How to code RN/LPN services

 

DIAGNOSTIC CODING

u          New tools to prepare for ICD-10-CM (October 1, 2014 deadline)

u          New DSM-5 structure

u          New DSM-5 diagnostic criteria for initial evaluations and treatment plans

u          New case studies: neurodevelopmental disorders, schizophrenia, bipolar disorders, depressive disorders, anxiety disorders, post-traumatic stress disorders

u          Coding guidelines for ICD-10-CM

 

FEDERAL REGULATIONS AND MEDICARE'S BILLING RULES

u          Implementation of federal legislation

u          Understand the Affordable Care Act changes that impact mental health

u          Common forms of health care fraud and abuse

u          Summary of key aspects of the Final Stark II Rule

 

COMPLIANCE WITH CODING AND DOCUMENTATION STANDARDS

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

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

u          OIG audit focus on behavioral health services

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

u          Audit tools for psychiatric, psychological, and evaluation and management (E/M) services

u          Medicare's "incident to" guidelines

            - Definition of "incident to" services

u          Supervision requirements

u          Documentation of initial assessments and treatment plans

u          Components necessary in psychotherapy documentation and progress notes

u          Common problem areas of documentation

 

UNDERSTANDING THE REIMBURSEMENT PROCESS

u          Coding for maximum reimbursement by payer type

u          Links to major payer websites: Medicare, Medicaid, Blue Cross/Blue Shield, and other payers

u          Payment methodologies, PPS, and fee schedules

 

PROVIDER TYPES AND SCOPE OF COVERED SERVICES

u          Psychiatrists

u          Physician Assistants

u          Certified Registered Nurse Practitioner

u          Psychologists

u          Social Workers

u          Psychotherapists

u          Professional Counselors

u          Marriage and Family Therapists

u          Outpatient clinic and hospital

u          Consultation definition and appropriate use

u          Inpatient hospital

u          Partial hospital program

u          Nursing facility

u          Discharge day management

 

ADDITIONAL RESOURCES

u          Practice Management library

u          Claims Processing

            -New CMS1500 for January 1, 2014 (mandated by April 1, 2014)

            -UB-04

            -Modifiers

u          Sample forms

u          Sample letters

 

THE APPEAL PROCESS

u          Systematic steps of the appeal

u          Understanding reasons for denials

u          Sample appeal letters

Author

SHERRY MARCHAND, CPMA

SHERRY MARCHAND, CPMA, is a reimbursement analyst and a billing, collection, and chart-auditing consultant with more than 25 years of experience in the health care industry, including hospital and physician group billing, and collection management. She has served as an expert witness/consultant in Medicare, Medicaid, ALJ hearings, and criminal fraud cases. Her vast knowledge of the practice management process has come from working in various levels of health care accounting, including the management of international hospital billing. As a certified, self-employed practice management consultant and chart auditor, Ms. Marchand has helped numerous medical offices take control of their cash flow through implementation of billing and documentation processes. Her specialties include Internal Medicine, Obstetrics, Mental Health, Physical Therapy, Cardiology, ENT, and Surgical Specialties. Ms. Marchand is skilled in installation training and implementation of hardware and software systems that are right for the health care arena. Ms. Marchand has many tips and tools to assist your office on the road to healthy patients and insurance collections.
 
Disclosure:
Financial - Receives a speaking honorarium from Vyne Education.
Nonfinancial - No relevant nonfinancial relationship exists
Continuing Education Credits
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.


Counselors - National
This educational offering consists of 6 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.

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) 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 continuing education 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 continuing education credits.


Marriage & Family Therapists - National
This educational offering consists of 6 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.

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) 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 and 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 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 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 and 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 continuing education credits.


Nurse Practitioners
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Vyne Education, LLC. is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 060313. This educational offering was planned in accordance with AANP Accreditation Standards and Policies. This course is offered for 6 contact hours.


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 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.


Social Workers
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Cross Country Education provider #1005, 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 1-27-15 to 1-27-18). Cross Country Education maintains responsibility for the program. Social workers will receive 6 continuing education clock hours for participating in this course. 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.

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 continuing education credits.


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 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.


Other Professions
This educational offering qualifies for 6 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.

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