Procedural Coding Handbook for Psychiatrists, 4th Edition
Chester W. Schmidt, Jr., M.D., Rebecca K. Yowell, Ellen Jaffe, American Psychiatric Association
Softbound: 206 pages
Size: 11" x 8.5"
APA / American Psychiatric Publishing
(click below for the very best available price for this resource)"The Procedure Coding Handbook for Psychiatrists is much more than its name suggests. The authors have been involved in this work at the highest levels and their intimate knowledge is reflected in their in-depth analysis and direction. This book provides the background to understand where our current coding system comes from and gives clear direction to accurately code for the work done to most efficiently maintain this business aspect of a psychiatric practice." --Ronald M. Burd, M.D., current Chair of the APA committee on RBRVS, Coding and Reimbursement, past Speaker of the Assembly and psychiatrist with a clinical practice with Sanford Health in Fargo, North Dakota.
Procedure Coding Handbook for Psychiatrists is designed to level the playing field for practitioners and payers by enhancing the technical knowledge of practitioners about CPT coding and documentation. Payers have highly paid staff analyzing every code submission, which makes this text vital to give practitioners a similar understanding of the structure and function of Current Procedural Terminology, or CPT.
Since payers often use miscoding on medical records as a reason to deny payment, it becomes imperative that clinicians understand how to use psychiatric therapeutic procedure codes and evaluation and management codes to reduce denials of payment, or downcoding that results in lower reimbursement for the service provided.
This manual provides essential coding and documentation guidance in an easy-to-read format, as well as:
Procedure Coding Handbook for Psychiatrists is a necessary and valuable reference tool for anyone practicing or studying psychiatry, clinical psychology, psychiatric nursing, or clinical social work. This most current edition provides insights into how a legible, carefully constructed and documented medical record is essential to providing good patient care and successful collection activities. In addition, there are three new appendixes that cover service codes for Medicare, evaluation and management guidelines for psychiatry, and the most frequently missed items in evaluation and management documentation. Chapters provide the following insights:
- The collective wisdom of the American Psychiatric Association (APA) Committee on Resource-Based Relative Value Scale (RBRVS), Codes and Reimbursement and over 15 years of author experience.
- Specific psychiatric codes combined in one chapter for easy reference.
- Details on payment issues surrounding certain medical coding, as well as reimbursement issues common to major payers.
- A more thorough description of the level of code to select based on actual clinical examples.
- A complete list of codes most frequently used by psychiatrists along with descriptors.
"This book answers questions that I've wondered about for years. It's especially good at dissecting complicated issues into pieces I could easily understand. The question and answer sections are very valuable. Any psychiatrist who deals directly with Medicare and with the private insurance companies should find it to be a very useful asset." --Bruce Hershfield, MD, APA Assembly Speaker, 2010-11
- Basic background information about Current Procedural Terminology (CPT) coding and a description of the format of the American Medical Association CPT manual so practitioners and students alike will know where to find appropriate codes.
- The importance of complete and accurate documentation for both good patient care and collective activities.
- Detailed descriptions of the psychiatric evaluation and therapeutic procedure codes as well as nonpsychiatric mental health services and an explanation of how to document them.
- Vignettes for different clinical sites and coding solutions appropriate for these vignettes.
- Frequently asked questions and problem scenarios based upon queries that have come through the APA’s Managed Care Help Line.
"Since the mid-1990s, the most valuable resource for clinicians wanting to achieve insurance access to treatment for their patients has been the Procedure Coding Handbook for Psychiatrists. This Fourth Edition includes the many recent developments that we all need to know to make our documentation and claim submissions consistent with federal and state regulations. Beautifully done." --Roger Peele, M.D., DLFAPA, Chief Psychiatrist, Department of Health and Human Service, Montgomery County, Maryland.
Please remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.
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