ACBHCS QA 4.2013 - Alameda County Behavioral Health

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Claiming Face‐to‐Face Time and Total Time: InSyst Direct Entry Psychotherapy: 45” f‐f time, 10” doc. time, and 20” travel time. Total time = 75”. • Choose code based on f‐f time (if on the phone—base on contact time): • 442‐90834 (Ind Psych 38‐52 min.) • Enter Total Time: • 75” • Warning: To choose code based on total time would be considered Fraudulent by Medicare.
Add‐On Codes (+) Add‐On (+) codes describe additional services provided within a service. They are added to select, primary codes and demonstrate an enhanced service. • Added time increments (crisis therapy) • Added service (interactive complexity or psychotherapy) • Add‐on (+) codes are never used as stand alone codes • Add‐on codes are designated by a + sign Note: In addition to Medicare, other Private Insurance Carriers may use these codes. Therefore, ALL clinicians need to code according to the service they are providing, not to the insurance of the client.
Page 1 and 2: ACBHCS QA 4.2013
Page 3 and 4: AGENDA • Why we are doing this tr
Page 5 and 6: New InSyst Procedure codes map to M
Page 7 and 8: Retained Procedure Codes Old New CP
Page 9 and 10: Psychiatric Diagnostic Evaluation P
Page 11 and 12: Non E/M Codes (Psychotherapy & Cris
Page 13 and 14: Time Spent in Session: examples 1.
Page 15: PSYCHOTHERAPY FACE TO FACE TIME = 3
Page 19 and 20: Crisis Code 377‐90839 (Used Alone
Page 21 and 22: Crisis Code 377‐90839 + 378‐908
Page 23 and 24: Add‐On Code for Additional Servic
Page 29 and 30: Interactive Complexity (+) 491‐ 9
Page 31 and 32: Psychotherapy Add‐on Codes to E/M
Page 33 and 34: Evaluation and Management (E/M) Cod
Page 35 and 36: CPT E/M New client Definition—CBO
Page 37 and 38: Two Paths to E/M Selection • PATH
Page 39 and 40: Path 1: Choosing the E/M Code Based
Page 47 and 48: See hand‐outs Progress Note Templ
Page 49 and 50: Medical Necessity—CMS • The Cen
Page 51 and 52: General Principles of Documentation
Page 57: Path 2: Choosing the E/M Code Based
Page 63 and 64: See E/M Progress Note Template Base
Page 65 and 66: Medication Support: RN/LVN/Psych Te
Page 67 and 68:
Elimination of AB3632 procedure cod
Page 69 and 70:
Training Resources: The National Co
Page 71:
Resources continued: • AMA Code B
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ACBHCS QA 4.2013 - Alameda County Behavioral Health

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