“Each year brings CPT coding updates you need to quickly master to stay accurate and compliant. Unfortunately, the complexities and ongoing changes to CPT coding often results in inaccurate submissions, greatly increasing rejections – and loss. With this course, you’ll quickly gain the skills to confidently and accurately submit procedural codes for optimal reimbursement and compliance. (You’ll also earn 11 AMA PRA Category 1 CME Credits™!). So, go ahead, make a small investment for a large benefit. Your investment is 100% safe since the course includes a 100% money-back guarantee!” – Jack Krasuski, MD, Executive Director

Course Provides 11 AMA PRA Category 1 Credits™ Including 2 SA Credits

All Lectures Presented by Dreama Sloan-Kelly, MD, CCS

2024 CPT Updates and Beyond

How to follow the revised time definitions and clarified MDM guidelines for E/M coding
The new time requirements for Nursing Facility Care codes 99306, 99308, and 99418
Accurate use of MDM for Split / Shared Visits and which provider should report the E/M
The many dos and don’ts of reporting Multiple E/M on the same day of service
The codes you no can longer report for Hospital Inpatient, Observation Care, Admission and Discharge Services
When you can and cannot report the new G2211 and its potential impact on reimbursement

Billing and Coding for Naloxone, Partial Hospitalization Programs, Ketamine, and TMS Treatments

What you need to know about payers and coding Naloxone Treatments
Process options for setting up Medication-Assisted Treatment programs, and how to select the best for your practice
Which PHP services are bundled, and the documentation needed for PHP services
How to avoid key compliance issues in coding for Ketamine administration
To correctly break down TMS coding and avoid the typical confusion
The 4 new T-codes created for chronic pain management

Coding for “Incident-To” Services

What you need to look for in private payor contracts and guidelines
To not bill Incident-To in ways that increase your audit risk
The potential impact on reimbursement that can be seen with proper billing of Incident-To
To avoid issues with Incident-To Medicare guidelines and documentation requirements
Medicare Split/Shared services are not treated the same as Incident-To services
Who’s NPI number you should bill under and when

Telehealth and Behavioral Health: What you Need to Know to Get Paid and Stay Compliant

Why you must know your current state Medicare, Medicaid, and commercial payor Telehealth rules
How to avoid denials caused by incomplete Telehealth documentation
The criteria for prescribing controlled medications using telemedicine
Pointers for phone-only visits and the visits you cannot bill
Modifiers are critical, and every payor may have their own
The most common Telehealth coding errors and how to avoid them
Tips for coding telehealth for commercial payers and Medicaid

Psychiatry Coding Hot Topics

What the revised guidelines stress about psychotherapy coding and documentation
The codes you cannot bill with 90791 and 90792
Codes you cannot use with Interactive Complexity add-on code 90785, and the documentation requirements
Who can bill Psychotherapy for crisis codes 90839 and 90840, and the proper time calculations
When you should bill for psychiatric records review in addition to therapy
To prevent common reimbursement issues when using 90846 and other Family and Group Psychotherapy codes
The proper way to document new ICD-10 dementia diagnosis codes

Psychiatry Coding Examples: Putting It All Together

How to apply current coding rules to clinical case examples in both outpatient and inpatient settings using both E/M and psychiatric section codes
The multiple ways proper documentation can protect you
How reimbursement can be impacted by using E/M vs initial evaluation, and MDM vs Time
When you can use Interactive Complexity and the documentation you’ll need
Cases detailing how to code Emergency Department, and Hospital Inpatient and Observation services to avoid compliance issues

Office/Outpatient E/M Coding Updates: Maximize Reimbursement and Remain Compliant

The documentation payers require to support your selected E/M level
Ways to document efficiently while documenting correctly
What you can take credit for in calculating MDM
The activities you can include when using Time to level E/M
Exactly when and how you’re allowed to use prolonged services code 99417
Documentation details needed to avoid denials for E/M with psychotherapy

2023 E/M Changes You Need to Know

To avoid errors and denials coding for hospital services including emergency department, admission, and discharge services
When you can separately bill interpretation of test results
To closely check code descriptors for calculating Time which can vary significantly per code
How to accurately code Consultations in both inpatient and outpatient settings
To follow the revised guidelines for Nursing Facility Care, Domiciliary, Rest Home, Custodial Care, and Home or Residence Services
The codes that cannot be used with prolonged services coding
How to get reimbursed for Cognitive Assessment and Care Plan services

Audits in Psychiatry: Avoid the Pitfalls & Keep Your Money!

Why audits in psychiatry have been on the rise
How to avoid becoming a target for an audit
The ways compliance can help you withstand and avoid audits
How to create and implement a successful compliance program
The compliance elements the Feds find important
The most common coding errors you need to prevent
What to do if you get a records request
The steps to take if you receive a payor request for take-backs

25 Self-Assessment Q&As with 2 Self-Assessment Credits

Total – 12 Hours

Faculty

Dreama Sloan-Kelly

MD, CCS

Dreama Sloan-Kelly, MD, CCS has over 16 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine she has a varied background including clinical medicine, medical billing and coding, compliance, and practice management. Dr. Sloan-Kelly is President/CEO of Dr. Sloan-Kelly Consulting and speaks at various seminars and webinars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the pertinent information to the attendee, minimize the nonsense, and make sure everyone has fun at the same time. Dr. Sloan-Kelly works with practices one on one, through clinical documentation, medical billing, coding, and practice management consulting and training. She has learned in most training sessions you spend a whole day only getting 20% of what you need, and 80% you leave – she has made it her goal to carve out the 20% that you need and giving you the take-home message that will help you and your practice maximize their reimbursement while remaining compliant.

CME Accreditation

Intended Audience: Psychiatrists

Accreditation Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute, LLC and American Physician Institute for Advanced Professional Studies, LLC. PeerPoint Medical Education Institute, LLC is accredited by the ACCME to provide continuing medical education for physicians.

The American Board of Psychiatry and Neurology has reviewed Code Right Current Procedural Terminology for Psychiatry and has approved this program as a part of a comprehensive Self-Assessment Program, which is mandated by the ABMS as a necessary component of Maintenance of Certification.

Designation Statement:
Online Course v2.1, Release Date January 1, 2024, Termination Date December 31, 2026:
The PeerPoint Medical Education Institute, LLC designates this enduring material activity for a maximum of 11 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of these 11 credits: 2 also qualify as ABPN Self Assessment credits.

Nurses: For all of your CNE requirements for recertification, the ANCC will accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

Physician assistants: The NCCPA accepts AMA PRA Category 1 Credits™ from organizations accredited by the AMA (providers accredited by the ACCME).

What is Current Procedural Terminology?

Current Procedural Terminology, commonly referred to as CPT, is the AMA’s annually updated and published set of medical codes which provide a uniform language for communicating medical services and procedures. Healthcare professionals and facilities assign a CPT code to each service or procedure they perform to report rendered healthcare to various payors for reimbursement. CPT has six main sections, including the Evaluation & Management codes (99202- 99499) and the Medicine Services and Procedures codes (90281- 99607) sections which cover most Psychiatry and Behavioral Health services. Evaluation & Management or E/M codes include the commonly used Office/Outpatient Visit, New Patient codes 99202- 99205 and Office/Outpatient Visit, Established Patient codes 99211-99215, as well as Initial Hospital Inpatient or Observation Care codes 99221- 99223 and Subsequent Hospital Inpatient or Observation Care codes 99231 – 99233. CPT’s Medicine Services and Procedures section contains the commonly used psychotherapy codes 90832, 90834, 90837 and 90838, and the psychiatric evaluation codes 90791 and 90792.