decisionhealth Newsletters, Part B News - 2025 Issue 2 (February)
Psych, neuro tests see double-digit growth, improved denials; but one lags
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Article Overview
This article reviews recent utilization and denial trends for psychological, neuropsychological, and neurobehavioral testing billing. It explains which broad code groups saw growth, discusses comparative payment levels in the non-facility setting, and highlights a persistent denial problem tied to billing rule confusion. The piece is relevant to coders, billing staff, compliance teams, and practices that report behavioral health and neuropsychological testing services.
Why This Topic Matters
Coding and billing teams need to understand shifting use patterns, denial performance, and areas where misunderstanding can lead to rejected claims for testing services. The article helps readers gauge whether their reporting, documentation, and claim workflows align with current trends in this specialty area.
Article Sections
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Overview of testing code trends and denial performance
Introduces recent changes in utilization and denial rates across psychological, neuropsychological, and neurobehavioral testing services. Sets up the broader comparison of performance across related code groups.
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Testing categories and related billing distinctions
Summarizes the major categories of standardized psychological, neuropsychological, and neurobehavioral testing discussed in the article. Also notes the broader billing context in which these services are reported.
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Payment and utilization context
Provides a high-level look at relative payment and claim-volume patterns in the non-facility setting. Frames the article’s discussion of which services are reported more often and which remain problematic.
What You Will Learn
- Which broad testing service categories are being tracked for utilization and denials
- How denial rates changed over the recent reporting period
- Why one testing-related code continues to present billing challenges
- How payment levels differ among the testing code groups in the non-facility setting
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Behavioral health practices
- Neuropsychology practices
Codes Discussed
Code Ranges Discussed
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