decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Medical Specialties / Psychiatry-Psychology / 1993 Fraud Alert - Psychology Testing, with Written Report Per Hour
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Article Overview
This article discusses an OIG fraud investigation involving psychological testing billed under a time-based service in the Medicare setting. It explains the compliance concern at a high level, including documentation and billing scrutiny issues related to time reporting and report preparation, and is relevant to psychiatry, psychology, and medical coding professionals reviewing mental health testing claims.
Why This Topic Matters
It helps coding, billing, and compliance staff understand why time-based psychological testing claims may attract audit attention and what general areas of documentation are reviewed.
What You Will Learn
- Why time-based psychological testing claims may be reviewed for fraud or overbilling concerns
- How documentation practices can affect psychological testing claims
- What kinds of billing patterns may draw payer or carrier scrutiny
- Why report preparation time is a compliance consideration in this context
Who Should Read This
- Psychologists
- Psychiatry and psychology coders
- Medical billers
- Compliance staff
- Audit and claims review teams
Codes Discussed
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