Behavioral Health|Drug Rehab Articles and Resources

News and Important Information

New Biofeedback Codes to Replace 90911, Eff 2020-01-01

The ICD-10 Classification of Mental and Behavioural Disorders

Intensive Outpatient Treatment (IOP)

Psychiatric Partial Hospitalization Programs

Code Sets

Psychiatry CPT Codes

CPT Codes for Psychiatry, Psychotherapy, etc.

ICD-10-CM Codes

ICD-10-CM codes for Mental, Behavioral and Neurodevelopmental disorders.

Health and Behavior Assessment CPT Codes

Health and Behavior Assessment/Intervention Procedures

Central Nervous System CPT Codes

Central Nervous System Assessments/Tests

Find-A-Code's Tools & Resources

Click-A-Dex™

Click-A-Dex™ Index Search Tool

Build-A-Code

Build your code step by step

NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

Pro-Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

Additional Links and Resources

Noridian: Mental Health Resources

Noridian JE Part B Mental Health Resources

Mental Health Services Booklet

CMS Mental Health Services Booklet

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

CMS Substance Abuse

Medicare Coverage of Substance Abuse Services

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Select the title to see a summary and a link to the full article.

Medical ID Theft

|

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

Read the article →

The OIG Work Plan: What Is It and Why Should I Care?

|

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

Read the article →

5 Ways to Minimize HIPAA Liabilities

|

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

Read the article →

Biofeedback - Is it Medically Necessary?

|

Biofeedback is used for many reasons, and most commonly used for pain management. Each payer should be consulted with to verify coverage when treating with Biofeedback to verify if the treatment is considered experimental or investigational. The majority of payers will list Biofeedback on an exclusions list. Others such as BC ...

Read the article →

Clinical Staff vs. Healthcare Professional

|

State scope of practice laws and regulations will help determine who is considered Clinical staff and Other qualified Health Care professionals.  Physician or other qualified healthcare professionals:  Must have a State license, education training showing qualifications as well as facility privileges.  Examples of Qualified Healthcare professionals: (NOTE: this list is not all-inclusive, please refer to your payer ...

Read the article →

Wolters Kluwer Drug Pricing

|

Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

Read the article →

Finalized Confidentiality of Alcohol and Drug Abuse Patient Records Regulations

|

In January, the U.S. Department of Health and Human Services (HHS) issued updates to the privacy regulations regarding the confidentiality of patient information of substance use disorder patients (42 CFR Part 2).  This notice included references to better alignment with HIPAA regulations, but did state that Part 2 is more protective ...

Read the article →

Preventive Medicine: Counseling to Prevent Tobacco Use

|

Preventive Medicine Topics Page Counseling to Prevent Tobacco Use Procedure Codes 99406: Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 99407: Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ICD-10-CM 99406-99407: No specific diagnoses Frequency 99406-99407: 2 attempts a year, ...

Read the article →

Preventive Medicine: Depression Screening

|

Preventive Medicine Topics Page Depression Screening Procedure Codes G0444: Annual depression screening, 15 minutes 96127: Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument ICD-10-CM G0444, 96127: No specific diagnoses Frequency G0444:Once annually 96127: No specific frequency guidelines Additional Information 96127 Only covered for ages ...

Read the article →

Payment Rates Increase for Behavioral Health Office Services

|

Behavioral health providers may see some improvement in payment rates for office-based behavioral health services. This is due to the fact that the overhead expense evaluation portion of the RVU was increased. The following information is from the Federal Register (see References): We agree with these stakeholders that the site of service ...

Read the article →

Dental and Medical- Controlled Substance Awareness

|

As an effort to cut down on opioid abuse and related crimes, in August of 2017 the Attorney General Sessions established a new Department of Justice (DOJ) section called “Opioid Fraud and Abuse Detection Unit”. Due to the serious public health issue and drug overdose deaths, this unit was established and ...

Read the article →

Psychiatric Partial Hospitalization Programs

|

Psychiatric Partial Hospitalization Programs (PHPs) are a more comprehensive level of care than Intensive Outpatient Programs (IOPs - click here to read more about IOPs). When the patient requires a minimum of 20 hours per week and hospitalization is not clinically indicated, a PHP can be the most effective type of ...

Read the article →

Medicare's Integrated Behavioral Healthcare Services and Collaborative Care Program

|

Over the last several years, primary care has begun to integrate behavioral health services to better address shortfalls in patient quality of care. Some of the first codes were the Health and Behavior Assessment/Intervention (96152-96155) codes, which were added in 2002. Since then, many different models have been experimented with and have ...

Read the article →

Medicare Requiring Specific Modifiers on Therapy Services

|

Medicare's MLN Matters Number: MM10176 was recently revised to identify services subject to their therapy cap. The revision became effective on January 1, 2018 and some providers have begun to receive claim rejections because they are not using the appropriate modifier. The article states the following: Services furnished under the Outpatient ...

Read the article →

Intensive Outpatient Treatment (IOP)

|

Intensive Outpatient Programs (IOPs) are considered to be an intermediate level of care which is commonly considered after the patient has been discharged from inpatient care. For some patients and/or conditions they can also provide an effective level of care when hospitalization is not clinically indicated or preferred. The following ...

Read the article →

GeneSight Psychotropic Testing and Documentation

|

According to Wisconsin Physicians Service Insurance Corporation, there is limited coverage for the GeneSight® Psychotropic (AssureRx Health, Inc, Mason, OH) gene panel. GeneSight® testing may only be ordered by licensed psychiatrists or neuropsychiatrists contemplating an alteration in neuropsychiatric medication for patients diagnosed with major depressive disorder (MDD) (in accordance with DSM IV/V criteria) who are suffering with refractory moderate to ...

Read the article →

Show older articles ↓


There are more articles. View all articles...

View articles for the current specialty by subtopic:




Access to this feature is available in the following products:
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base


Select the webinar title to view a summary and link to the webinar video.

Liens and PI care — How to Make Them Work Better...

Liens have been the salvation and anathema for doctors involved in personal injury care treatments. While an essential part of extending needed injury recovery care to those whose insurance coverage is minimal to non-existent, they are not a fool-proof way to secure reimbursement. How do you protect yourself against insurers and attorneys who refuse to honor the agreement? This webinar will explore various methods that have proven to be successful in enforcing a lien to secure reimbursement of your skillful services.

Watch the video →

Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

Watch the video →

How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

Watch the video →

Show older webinars ↓


Behavioral Health Resources

  • Reimbursement Guide
  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • Cheat Sheets and Quick Coding Cards
  • ICD-10-CM Comprehensive Code Books
  • and more...


suggest a resource

If you know of a resource that should be included here (links, data, etc.) please contact us.

free demo
request yours today
pricing
for any budget
sign IN
welcome back!