Billing for mental health services within a primary care setting can be a challenge, due in part to the variability in requirements across private and public insurers.
Mental health services, for which billing may prove a challenge, include:
BILLING FOR ACTUAL TIME OF SERVICE:
Many physicians spend a significant amount of time engaged in counseling patients or coordinating patient care. The CPT nomenclature for Evaluation and Management (E/M) coding defines counseling as a discussion with the patient and / or family or other caregiver concerning one or more of the following areas: Diagnostic results, impressions, and / or recommended diagnostic studies, Prognosis, Risks and benefits of management (treatment) options, Instructions for management (treatment) and / or follow-up, Importance of compliance with chosen management (treatment) options, Risk factor reduction, Patient and family education.
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