tci Outpatient Facility Coding Alert - 2015 Issue 3
Reader Question: Be Informed When You Can Claim More Than One Unit
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Article Overview
This reader question and answer discusses psychiatric diagnostic evaluation billing for situations where an assessment is completed over more than one session. It is aimed at coding and billing professionals working with psychiatric services, and it covers broad guidance on reporting frequency, session timing, and payer-specific considerations, including Medicare.
Why This Topic Matters
Understanding how initial psychiatric diagnostic evaluation services are reported across multiple encounters helps billing staff avoid improper duplicate claims and align submissions with payer requirements.
Article Sections
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Question
The reader asks about billing psychiatric diagnostic evaluation services when an assessment occurs in more than one session and when different evaluation codes may apply.
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Answer
The response outlines the general scope of the evaluation services, discusses multi-session billing considerations, and notes payer-specific considerations including Medicare.
What You Will Learn
- How the article frames billing questions involving psychiatric diagnostic evaluations across multiple sessions
- What general topics are addressed for initial psychiatric assessment reporting
- Which types of payer considerations are mentioned in connection with these services
- How the article presents the relevance of session timing and service frequency
Who Should Read This
- Medical coders
- Billing staff
- Psychiatric practice managers
- Revenue cycle professionals
Codes Discussed
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