Behavior Health Coding and Documentation

Evaluation and Management codes are often vulnerable to third-party auditor scrutiny. Payers frequently use different types of analyses to identify outliers with E/M coding, such as physicians who bill higher-than-normal levels of more intensive codes. Other auditors, such as Recovery Auditors, Medicare Administrative Contractors, and Zone Program Integrity Contractors often follow the same process to use this same type of data to calculate from analytics.

Given the increased scrutiny of these codes, it’s important to be confident with E/M and other coding that it is reflective of the accurate documentation during the patient encounter.

During this webinar, we will revisit E/M coding guidelines and other top office services for Behavior Health professionals. There will be sample scenarios used during the webinar to help define the reason for the patient encounter documentation requirements that meet the definition of the code.

Why You Should Attend:

According to the CMS documentation audit tool, medical necessity is the overarching criterion in determining the level of service to bill, along with the individual requirements of a particular CPT code.

It would not be appropriate to document and bill a higher level of service when a lower level of service is warranted. Nor should the volume of documentation be the primary influence for which level of E/M service is billed.

Due to increasing audits with E/M coding and documentation, each provider should be asking the question, “Does my documentation truly justify the services rendered, and are those services medical necessary for the diagnosis treated?

Areas Covered in the Session :

  • E/M documentation guidelines
  • Review all the key components of choosing the accurate code
  • When is it appropriate to bill two types of CPT codes
  • Meeting coding and documentation requirements for time-based psychotherapy services
  • Key documentation points for supporting the code for Interactive Complexity
  • Documentation focus and coding for Family therapy
  • Medical record templates and medical necessity
  • Sample Behavior Health scenarios used in presentation

Who Should Attend:

  • Physicians
  • Billers/Coders for Behavior Health
  • Compliance Officers

HC2826

Pamela Joslin

Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CEMA, CMCA-E/M, has more than 20 years of medical practice management, billing, and coding, reimbursement, compliance, and auditing experience.

She is an engaging presenter via webinar, classroom, and conference on various topics that may impact each step in the life of the revenue cycle of every practice.

She has managed in medical practices ranging from single to multi-specialty groups, including ASC. She is an advocate of process improvement and maximizing and empowering employees to bring about the “best practice” results for your organization.

She received her Masters in Management from the University of Phoenix. Pam maintains memberships in professional organizations to support her continuing cycle of learning in the ever-changing healthcare industry.

Pam is Owner and Operator of her own consulting business, Innovative Healthcare Consulting.

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  • Login Information with Password to join the session, 24 hours prior to the webinar
  • Presentation Handout in .pdf format
  • Presentation from the Speaker
  • Feedback form
  • Certificate of Attendance
  • Recording access Information with Password to view the webinar, will be sent 24 hours after the completion of the Live webinar.
  • Presentation Handout in .pdf format
  • Certificate of Attendance