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A new multi-organizational collaborative is proving further evidence of the growing interest in behavioral health integration (BHI) with primary care. While reimbursement for integration is unsteady at present, signs suggest this will become a larger and better compensated part of your practice in the years to come if you’re prepared to implement it.
Get a crash course on coding for behavioral health services, which can be tricky given number of conditions that influence mental well-being. Providers must tailor evaluations and interventions to individual needs and adhere to medical necessity standards when billing for services under Medicare.
A recent OIG investigation, and over $300,000 in potential paybacks, serves as a reminder to check your local as well as your national coverage determination (NCD) before performing and billing Medicare for bariatric weight-loss surgery or anything else.
When you train staff on the new rules for prolonged service codes, it’s imperative to know how to accurately capture time spent on an encounter and how to prepare for new guidance in 2021.
Provider payments for two psychiatric diagnostic evaluation codes (90791, 90792) maintained steady growth in recent years, returning more than $140 million in fees in 2018, the latest year of available Medicare claims data.


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