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Digital Seminar

Coding and Billing for Mental Health Services 2018 Code Updates: CPT, ICD, DSM-5, and HCPCS Level II Code


Faculty:
Sherry Marchand CPMA
Duration:
5 Hours 54 Minutes
Format:
Audio and Video
Copyright:
Jul 12, 2018
Product Code:
WDS020156
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
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Description

Comprehending the requirements for procedure code and policy changes have further complicated the reimbursement process for all psychiatrists, psychologists, social workers, therapists, counselors, and clinical nurse specialists.

This recording will provide training on the major elements of coding and billing for mental health services and consolidate all of the new requirements with existing code rules and proven billing techniques in a comprehensive course, taught by an expert speaker and a veteran reimbursement analyst and coding and billing specialist. The areas of psychiatry for evaluation and management services and medication management, psychotherapy services, health and behavioral assessments and psychological and neuropsychological testing will be covered, along with specifics such as Inpatient Psychiatric services, Partial Hospitalizations, Detox coding, Intensive Outpatient and Outpatient services.  Learn with the most current and accurate coding procedures coupled with documentation tips and complete definitions to ensure prompt and optimal payment for future insurance claims.

Credits


_01 Continuing Education Information

Continuing Education Information

This educational offering is designed to qualify for continuing education for many professionals in every state.

Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. 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.

Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.

CE information is based on 100% attendance.


Counselors - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.


Counselors - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6.0 continuing education credit(s).


Counselors - Illinois

is a registered counselor continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 197-000144). This program is offered for six (6.0) contact hour(s) of continuing education for counselors. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Counselors - National

This educational offering consists of 6.0 clock hour(s) 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 offering and contact your state board or organization to determine specific filing requirements. 


Counselors - New York

Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed  mental health counselors #MHC-0027. This educational offering is acceptable for 6.0 continuing education hour(s). Full attendance is required to receive credit for Mental Health Counselors; variable credit for partial attendance may not be awarded based on the State Board guidelines.

 


Counselors - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for six (6.0) clock hour(s) of continuing education for counselors only. Licensed counselors in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Counselors - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104). This program is offered for 6.0 continuing education hour(s).


Counselors - Texas

is an approved sponsor of continuing education for licensed professional counselors through the Texas State Board of Examiners of Professional Counselors (Provider number 2709). This course is offered for 6.0 clock hour(s).


Marriage & Family Therapists - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.


Marriage & Family Therapists - National

This educational offering consists of 6.0 clock hour(s) 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 offering and contact your state board or organization to determine specific filing requirements.


Marriage and Family Therapists - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6.0 continuing education credit(s).


Marriage and Family Therapists - Illinois

is a registered marriage and family therapist continuing education sponsor approved through the State of Illinois Department of Professional Regulation (license # 168-000172). This program is offered for six (6.0) contact hour(s) of continuing education for marriage and family therapist. Licensed marriage and family therapist in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Marriage and Family Therapists - New York

Vyne Education, LLC., is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed  marriage and family therapists #MFT-0020. This educational offering is acceptable for 6.0 continuing education hour(s). Full attendance is required to receive credit for Marriage and Family Therapists; variable credit for partial attendance may not be awarded based on the State Board guidelines.


Marriage and Family Therapists - Ohio

is approved through the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board (provider #RCT091001). This program is offered for six (6.0) clock hour(s) of continuing education for counselors and marriage family therapists. Licensed counselors and marriage and family therapists in other states should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal.


Marriage and Family Therapists - South Carolina

is an approved sponsor with the South Carolina Board of Examiners for LPC, AC and MFTs (Provider #104).  This program is offered for 6.0 continuing education hour(s).


Marriage and Family Therapists - Texas

is an approved sponsor of continuing education for licensed marriage and family therapists through the Texas State Board of Examiners of Marriage and Family Therapists (Provider number 195). This course is offered for 6.0 clock hour(s).


Other Professions

This educational offering qualifies for 6.0 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Psychologists

is approved by the American Psychological Association to sponsor continuing education for psychologists. maintains responsibility for this program and its content. This program offers 6.0 CE credit(s) for psychologists. Full attendance is required to receive credit for psychologist, variable credit for partial attendance may not be awarded based on the APA guidelines.


Social Workers

is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program (an approved provider since 1999, approved period 1/27/2018-1/27/2021). maintains responsibility for the program. Social workers will receive 6.0 General Social Work Social Work continuing education clock hour(s) for participating in this course. Licensed social workers should contact their individual state jurisdiction to review the current continuing education requirements for licensure renewal. Visit ASWB's website at www.aswb.org for more information. This educational offering is at the Intermediate level for social workers.


Social Workers - California

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the American Psychological Association and the ASWB. Full attendance at this course will qualify for 6.0 hours of continuing education credit.


Social Workers - Florida

is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #50-466. This program is approved for 6.0 continuing education credit(s).


Social Workers - New York

, SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed Social Workers #0043. This educational offering is acceptable for 6.0 continuing education hour(s). Full attendance is required to receive credit for Social Workers; variable credit for partial attendance may not be awarded based on the State Board guidelines.


 

ADA

If you require ADA accommodations, please contact Vyne Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.


 

All Professionals

In order to process continuing education, please supply the appropriate license certification number on the evaluation form.


 

Certificates, Educational Offering Completion Requirements

Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.


 

Requirements

Please note that full attendance and the completion of a post course assessment with a score of 80% or greater is required to receive full credit. Variable credit will not be awarded.


 

Technology Requirements: Digital Seminars, Live Video Webcast, and Online Course will require participants to set up a personal portal account via Vyne Education, LLC.’s website at www.vyne.com and have access to a computer with a sound device. Participants will have digital access to the  recording, course manual, post-test, and evaluation form. 

DVDs are sent through the mail (USPS). Participants will need access to a computer with an internet connection and a DVD drive. Participants will receive an Instruction Sheet and a DVD containing a link to the course manual, the video-recording, and a link to post-test and evaluation form. Participants have two options when completing their post-test and evaluation form; Participants may complete their test and evaluation online, which will require access to a computer and their personal portal account, or they may download, print, and complete the paper test and mail back to Vyne Education.  



Handouts

Faculty

Sherry Marchand CPMA Related seminars and products


SHERRY MARCHAND, CPMA, is a reimbursement analyst 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 cash 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.

Disclosure:
Finacial- Receives a speaking honorarium from Vyne, LLC.
Nonfinancial-No relevant nonfinacial relationship exists.


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

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

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 New: 2018 code changes and online tools to prepare for ICD-10-CM New: DSM-5 structure New: DSM-5 diagnostic criteria for initial evaluations and treatment plans FEDERAL REGULATIONS AND MEDICARE'S BILLING RULES New: Explore free online tools for access to federal and payer rules Affordable Care Act changes that impact mental health New: 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 ADDITIONAL RESOURCES Claims Processing CMS1500 UB-04 Modifiers THE APPEAL PROCESS Systematic steps of the appeal Understanding reasons for denials

Objectives

Explore strategies to prepare for 2018 ICD-10-CM Answer the question why are Insurance Companies not paying for “Unspecified” ICD-10-CM Codes Identify and use all current and new procedure codes for mental health services Discuss problem areas of documentation for mental health services Inform how MACRA will change the way providers’ documentation Evaluate MIPS measures and gain access to resources. Explore Advancing Care Information and Improvement Activities Document correctly and learn what is necessary to support reimbursement Apply federal rules and payment policy Discuss reimbursement strategies for inpatient and partial hospital services Outline procedures for conducting an internal review of coding and documentation

Reviews

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Overall:      4.2

Total Reviews: 45

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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