Psychiatry billing for nursing home services: understanding coding options.
This article reviews information on coding options, documentation, and payment for both initial and follow-up visits in the nursing home setting. Specific information is provided for both the psychiatry as well as the Evaluation & Management (E&M) code series. Payments are compared for comparable services in order to provide the nursing home psychiatrist with an understanding of the options available. Documentation, background information, and proposed note formatting are also provided. Proper use of the E&M series can provide valuable coding options.
Goldberg
Richard J
RJ
Rhode Island Hospital and The Miriam Hospital, Brown University, Providence, RI 02903, USA. rjgoldberg@lifespan.org
D000368:Aged; D000369:Aged, 80 and over; D039702:Current Procedural Terminology; D004282:Documentation / Q000379:methods / Q000592:standards; D005069:Evaluation Studies as Topic; D018588:Fee-for-Service Plans; D005260:Female; D005568:Forms and Records Control / Q000145:classification*; D006707:Homes for the Aged / Q000191:economics*; D006801:Humans; D007344:Insurance Claim Reporting / Q000145:classification* / Q000191:economics; D007358:Insurance, Psychiatric; D038801:International Classification of Diseases; D008297:Male; D008605:Mental Health Services / Q000191:economics; D009735:Nursing Homes / Q000191:economics*; D011570:Psychiatry / Q000191:economics* / Q000592:standards; D014481:United States