Part B Coding Coach: Avert Payer Denials for New Psych Codes With These Pointers

Why This Topic Matters

The article is relevant to practices submitting behavioral health claims because it addresses why denials may occur after major code changes and why payer system updates, fee schedule alignment, and correct code selection all affect reimbursement.

Article Sections

1. Review the New Code Groups

   Introduces the updated psychiatry and psychotherapy code groups discussed in the article and places them in the context of broader code changes for behavioral health services.

2. Understand the RVU Related Issues

   Covers reimbursement-related concerns tied to RVUs, payer fee schedules, and timing issues surrounding the new code set rollout.

3. Set a Pattern of Accurately Applying New Codes

   Discusses general approaches to working with denials, payer processing issues, and the transition from older to newer psychiatry coding structures.