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Medicare reimbursement rate for pmhnp

07/01/2021 Client: saad24vbs Deadline: 12 Hours

NURS 6670


Reimbursement Rate Template


Type of Service


eg. -New office visit


-Established office visit


-Inpatient hospital


-individual psychotherapy


-group psychotherapy (see examples below)


CPT code


Private insurer reimbursement rate for PMHNP


Private insurer reimbursement rate for physicians


Medicare


reimbursement rate for PMHNP


Medicare


reimbursement rate for physician


As the PMHNP becomes proficient in diagnosing and treating, it is also important to learn how to bill for your time. The CMS sets up codes to identify the type of service you are providing. You will generally complete this task at the end of the visit as you are documenting the visit with the client. Here are examples of the codes to know:


CPT Codes for Psychiatric and Psychological Procedures



HMSA recognizes the following service codes for the reporting of psychiatric and psychological services. (See Code Books for information on how to obtain the books.)




CPT Code


Footnote(s)


Description


90791


1


Psychiatric diagnostic evaluation


90792


1,3


Psychiatric diagnostic evaluation with medical services


90832


2


Psychotherapy, 30 minutes with patient and/or family member


90833


2,3


Psychotherapy, 30 minutes with patient and/or family member when performed with an evaluation and management service


90834


4


Psychotherapy, 45 minutes with patient and/or family member


90836


3,4


Psychotherapy, 45 minutes with patient and/or family member when performed with an evaluation and management service


90837


6


Psychotherapy, 60 minutes with patient and/or family member


90838


3,6


Psychotherapy, 60 minutes with patient and/or family member when performed with an evaluation and management service


90839


6


Psychotherapy for crisis; first 60 minutes


90840


2


each additional 30 minutes


90846


4


Family psychotherapy (without the patient present)


90847


4


Family psychotherapy (conjoint psychotherapy) (with patient present)


90849


4


Multiple-family group psychotherapy


90853


4


Group psychotherapy (other than of a multiple-family group)


90870


1, 5


Electroconvulsive therapy (includes necessary monitoring)


96101


1


Psychological testing (includes psychodiagnostic assessment of personality, psychopathology, emotionality, intellectual abilities, e.g., WAIS-R, Rorschach, MMPI) with interpretation and report, per hour.




Note: All hours of psychological testing done on a single day will be counted as one visit (either inpatient or outpatient as appropriate) toward the patient's inpatient or outpatient visit maximum. However, payment will be made to the participating provider on a per-hour basis.


96118


1


Neuropsychological testing battery (e.g., Halstead-Reitan, Luria, WAIS-R) with interpretation and report, per hour




Note: All hours of psychological testing done on a single day will be counted as one visit (either inpatient or outpatient as appropriate) toward the patient's inpatient or outpatient visit maximum. However, payment will be made to the participating provider on a per-hour basis.




Links to websites that discuss this:


https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement


http://www.mb-guide.org/medical-coding-guidelines.html


NURS 6670


Reimbursement Rate Template


Type of Service


eg.


-


New office visit


-


Established office visit


-


Inpatient hospital


-


individual psychotherapy


-


group psychotherapy


(see examples below)


CPT code


Private insurer


reimbursement


rate for PMHNP


Private


insurer


reimbursement


rate for


physicians


Medicare


reimbursement


rate for PMHNP


Medicare


reimbursement


rate for physician


As the PMHNP becomes proficient in diagnosing and treating, it is also important to learn how to bill for your time. The CMS


sets up codes to


identify the type of service you are providing. You will generally complete this task at the end of the visit as y


ou are documenting the visit with the


client. Here are examples of the codes to know:


CPT Codes for Psychiatric and Psychological Procedures


HMSA recognizes the following service codes for the reporting of psychiatric and psychological services. (See


Code Books


for information on how to obtain the


books.)


CPT Code


Footnote(s)


Description


NURS 6670


Reimbursement Rate Template


Type of Service


eg. -New office visit


-Established office visit


-Inpatient hospital


-individual psychotherapy


-group psychotherapy


(see examples below)


CPT code Private insurer


reimbursement


rate for PMHNP


Private insurer


reimbursement


rate for


physicians


Medicare


reimbursement


rate for PMHNP


Medicare


reimbursement


rate for physician


As the PMHNP becomes proficient in diagnosing and treating, it is also important to learn how to bill for your time. The CMS sets up codes to


identify the type of service you are providing. You will generally complete this task at the end of the visit as you are documenting the visit with the


client. Here are examples of the codes to know:


CPT Codes for Psychiatric and Psychological Procedures


HMSA recognizes the following service codes for the reporting of psychiatric and psychological services. (See Code Books for information on how to obtain the


books.)


CPT Code Footnote(s) Description

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