Understanding Coding and Payment for Psychiatrists' Services: How We Got Here and Where We're Going.

Autor: Dewan NA; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Burd RM; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Anderson AA; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Carlson ES; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Harris GG; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Jaffe E; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Musher JS; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky., Yowell RK; Dr. Dewan is with the BayCare Health System, Clearwater, Florida. Dr. Burd is with Sanford Health, Fargo, North Dakota. Dr. Anderson with the Department of Psychiatry, Johns Hopkins University School of Medicine, and in private practice in geriatric psychiatry, Cambridge, Maryland. Ms. Carlson, formerly with the American Psychiatric Association, is now with MedStar Georgetown Family Medicine, Washington, D.C. Ms. Jaffe and Ms. Yowell are with the American Psychiatric Association, Washington, D.C. Dr. Harris is with Blue Cross-Blue Shield of Massachusetts, Boston. Dr. Musher is with Springstone, Inc., Louisville, Kentucky.
Jazyk: angličtina
Zdroj: Focus (American Psychiatric Publishing) [Focus (Am Psychiatr Publ)] 2018 Oct; Vol. 16 (4), pp. 407-414. Date of Electronic Publication: 2018 Oct 18.
DOI: 10.1176/appi.focus.20180002
Abstrakt: Psychiatrists often have difficulty understanding how to document, code, and bill for their services in a way that expedites adequate payment and avoids billing problems or future issues. This is very understandable because many psychiatrists in small or solo practices do their own billing without any formal training in the vagaries of coding and reimbursement policies. For many years, the American Psychiatric Association (APA) has devoted substantial resources to guiding psychiatrists through this maze, with direct member assistance and resources publicly available at www.psychiatry.org. APA staff, councils, and committees have also been working for many years to improve coding and reimbursement for psychiatric services. Current and former members and staff of the APA Committee on RBRVS, Codes, and Reimbursement have authored this article to help psychiatrists gain a better understanding of the current coding and reimbursement structure for psychiatric services, including how it evolved and what the future holds.
(Copyright © 2018 by the American Psychiatric Association.)
Databáze: MEDLINE