Behavioral Health|Drug Rehab Articles and Resources
2021 Behavioral Health Cheat Sheet
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News and Important Information
Psychiatry CPT Codes
CPT Codes for Psychiatry, Psychotherapy, etc.
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
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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
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February 3rd, 2021
How To Properly Report Prolonged Services Using 99417 or G2212
Published February 3rd, 2021|
Prolonged Evaluation & Management codes underwent big changes in 2021, including the creation of a new prolonged code (99417), reportable only with codes 99205 or 99215. While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific ...
October 7th, 2020
Stay out of Trouble — Understand the Qualified Medicare Beneficiary (QMB) Program
Published October 7th, 2020|
To assist low-income Medicare beneficiaries, CMS created the Qualified Medicare Beneficiary (QMB) program; a Medicaid benefit which pays for Medicare deductibles, coinsurance, or copays for any Medicare-covered items and services for Medicare Part A, Part B, and Medicare Advantage (Part C). Providers/suppliers are prohibited from billing premiums and cost sharing to Medicare beneficiaries who are enrolled in QMB.
April 8th, 2020
ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19
Published April 8th, 2020|
The ICD-10-CM Official Coding and Reporting Guidelines have just been updated to include COVID reporting. Additional information beyond the previously released interim guidelines are included. These are the rules that should be followed for claims submission. The notice states that this is for April 1, 2020 through September 30, 2020.
January 3rd, 2020
CPT 2020 Changes to Psychiatry Services
Published January 3rd, 2020 - Last Review/Update January 7th, 2020|
As of January 1, 2020, CPT made changes to the health and behavior assessment and intervention codes (96150-96155) and therapeutic interventions that focus on cognitive function (97127). If you code and audit services in this category, you must pay close attention to the changes as they include the removal and ...
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2020 Behavioral Health ICD-10-CM Cheat Sheet2020 Behavioral Health ICD-10-CM Coding Book2020 Behavioral Health Reimbursement GuideAdvanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolCMS Provider Minute: Psychiatry and PsychotherapyCommonly Used Medicare Modifiers - GA, GX, GY, GZERISA Topics PageFederal Opioid Treatment StandardsMedicare Part B Clinical Laboratory Fee ScheduleMedication and Counseling Treatment Insurance and Payments by SAMHSANational Council for Behavioral HealthNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian Mental Health PoliciesNoridian Mental Health ResourcesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHS
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