Product Detail

Coding and Billing for Mental Health Services - 2018 Code Updates: CPT, ICD, DSM-5, and HCPCS Level II Code
Audio CD
$169.99 USD
Product Details
Format:
Audio CD - 4+ hours   Instructions
Length:
5 hr 57 min
Details:
Multi-disc audio recording with instructions
Author:
SHERRY MARCHAND, CPMA
Publisher:
PESI Inc.
Copyright:
7/12/2018
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
RNA020156
Objectives
  1. Explore strategies to prepare for 2018 ICD-10-CM
  2. Answer the question why are Insurance Companies not paying for ICD-10-CM Codes
  3. Identify and use all current and new procedure codes for mental health services
  4. Discuss problem areas of documentation for mental health services
  5. Inform how MACRA will change the way providers documentation
  6. Evaluate MIPS measures and gain access to resources
  7. Explore Advancing Care Information and Improvement Activities
  8. Document correctly and learn what is necessary to support reimbursement
  9. Discuss reimbursement strategies for inpatient and partial hospital services
  10. Outline procedures for conducting an internal review of coding and documentation
Outline
CPT/HCPCS PROCEDURE CODES
  • New charts by program of most common used CPT/HCPCS level II codes
  • Codes for diagnostic assessments
  • Codes and guidelines for psychotherapy
  • Codes and guidelines for psychotherapy with E/M
  • Codes and guidelines for psychotherapy for crisis
  • How to code medication management, use of evaluation, and management codes
  • Code and guidelines for interactive complexity
  • Group therapy
  • Family therapy
  • Health and behavior assessment/intervention services
  • How to code and document psychological testing
  • How and when to code evaluation and management services
  • History, exam, and medical decision making vs. billing based on time
  • How to code RN/LPN services
DIAGNOSTIC CODING
  • 2018 code changes and online tools to prepare for ICD-10-CM
  • DSM-5 structure
  • DSM-5 diagnostic criteria for initial evaluations and treatment plans
FEDERAL REGULATIONS AND MEDICARE'S BILLING RULES
  • Explore free online tools for access to federal and payer rules
  • Affordable Care Act changes that impact mental health
  • Fines have doubled in the False Claims Settlement Practice Act
COMPLIANCE WITH CODING AND DOCUMENTATION STANDARDS
  • Gain systematic steps for implementation of new DSM-5 for diagnostic criteria medical necessity
  • CMS MAC, RAC, ZIP, and CERT program guidelines
  • OIG audit focus on behavioral health services
  • Insurance companies and the focus on audits for psychiatric, psychological, and evaluation and management (E/M) services
  • Medicare's "incident to" guidelines
  • Definition of "incident to" services
  • Supervision requirements
  • Documentation of initial assessments and treatment plans
  • Components necessary in psychotherapy documentation and progress notes
  • Common problem areas of documentation
UNDERSTANDING THE REIMBURSEMENT PROCESS
  • Coding for maximum reimbursement by payer type
  • Links to major payer websites: Medicare, Medicaid, Blue Cross/Blue Shield, and other payers
  • Payment methodologies, PPS, and fee schedules
PROVIDER TYPES AND SCOPE OF COVERED SERVICES
  • Psychiatrists
  • Physician Assistants
  • Certified Registered Nurse Practitioner
  • Psychologists
  • Social Workers
  • Psychotherapists
  • Professional Counselors
  • Marriage and Family Therapists
  • Outpatient clinic and hospital
  • Consultation definition and appropriate use
  • Inpatient hospital
  • Partial hospital program
  • Nursing facility
  • Discharge day management
CLAIMS PROCESSING

 

  • CMS1500
  • UB-04
  • Modifiers
THE APPEAL PROCESS
  • Systematic steps of the appeal
  • Understanding reasons for denials
Author

SHERRY MARCHAND, CPMA

Sherry Marchand, CPMA, is a reimbursement analysis and a billing, collection, and chart-auditing consultant with more than 25 years of experience in the health care industry, including hospital and physician group billing, and collection management. She has served as an expert witness/consultant in Medicare, Medicaid, ALJ hearings, and criminal fraud cases. Her vast knowledge of the practice management process has come from working in various levels of health care accounting, including the management of international hospital billing. As a certified, self-employed practice management consultant and chart auditor, Ms. Marchand has helped numerous medical offices take control of their case flow through implementation of billing and documentation processes. Her specialties include Internal Medicine, Obstetrics, Mental Health, Physical Therapy, Cardiology, ENT, and Surgical Specialties. Ms. Marchand is skilled in installation training and implementation of hardware and software systems that are right for the health care arena. Ms. Marchand has many tips and tools to assist your office on the road to healthy patients and insurance collections.

Speaker Disclosures:

Financial: Sherry Marchand is the owner of Advanced Physician Services. She receives a speaking honorarium from PESI, Inc.

Non-financial: Sherry Marchand is a member of the American Academy of Professional Coders.
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Counselors
This intermediate self-study activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

New York Counselors: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 7.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists: This program has been approved for 5.5 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Provider #4540.

Texas Counselors: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 5.0 continuing education credits.


Marriage & Family Therapists
This self-study activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Marriage & Family Therapists: PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #: 168-000156. Full attendance at this self-study activity qualifies for 5.5 credits.

New York Marriage & Family Therapists: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0024. This self-study activity will qualify for 7.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance.

Texas Marriage & Family Therapists: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider #: 503. This self-study activity qualifies for 5.5 continuing education credits.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This intermediate activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.75 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses:
Florida
PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.9 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Psychologists
This self-study activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline and the certificate of completion you receive from this self-study activity. Contact us for more information on your state board or organization specific filing requirements. American Psychological Association credits are not available.

Canadian Psychologists: PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 5.5 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement

Florida Board of Psychology:
Florida
PESI, Inc., is an approved provider with the Florida Board of Psychology. Provider Number 50-399. This product qualifies for 5.9 self-study continuing education credits. Please make sure to bring your license number to the seminar so that we can report your attendance to CE Brokers.


Social Workers
ASWB Logo
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.75 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 5.0 clock hours of continuing education instruction.

Colorado Social Workers: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 5.9 continuing education hours.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors:
Florida
PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 5.75 continuing education credits.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 5.5 contact hours.

Kansas Social Workers: PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 5.5 continuing education hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 5.5 continuing education hours. A certificate will be issued upon successful completion of a post-test.

New York Social Workers: PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.0 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. Expires: December 31, 2020.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 5.75 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 5.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.


Other Professions
This self-study activity qualifies for 5.75 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test/evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.


Audience
  • Coding
  • Billing
  • Finance Personnel
  • Psychiatrists
  • Psychologists
  • Social Workers
  • Psychotherapists
  • Counselors
  • Marriage and Family Therapists
  • Nurse Practitioners