General Surgery Coding Alert - 2014 Issue 11
Physician Notes: Psychotherapy With E/M? Break Down Time Spent on Each
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Article Overview
This brief coding article summarizes CMS guidance on documentation for psychotherapy claims when psychotherapy is reported alongside evaluation and management services. It is aimed at physicians, mental health clinicians, and coding/billing staff who need to understand the general documentation focus of the revised psychiatry and psychotherapy code set and the type of Medicare guidance referenced by CMS.
Why This Topic Matters
The article highlights a common documentation issue that can affect claim accuracy and Medicare payment review for behavioral health services. It is relevant for practices that bill psychotherapy together with evaluation and management services and need to understand the documentation themes CMS is emphasizing.
What You Will Learn
- The documentation themes CMS has highlighted for psychotherapy claims
- How revised psychiatry and psychotherapy coding has affected recordkeeping expectations
- Why time documentation matters when psychotherapy is billed with other services
- What type of Medicare educational guidance is referenced in the article
Who Should Read This
- Physicians
- Psychiatrists
- Psychologists
- Mental health clinicians
- Medical coders
- Billing staff
- Compliance staff
Codes Discussed
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