Note specifically that this code is for use with a single automated instrument via electronic platform, with automated result only. Screening: Mental Health screening is the attempt to detect mental health symptoms in a large number of apparently healthy individuals. Now, providers will bill with one code for the first hour of testing and include a different add-on code for each additional hour of testing services. Under the new coding structure for testing services, psychologists and neuropsychologists will bill using codes that are valued differently than the current codes. If you have any questions please contact Cynthia Parsons at 304-356-4936 or through email at.
TherapyNotes is definitely worth a look if you are shopping around for a new clinical documentation, scheduling, and billing program or thinking about switching from your current software. Billing the add-on code without the base code would likely result in an unpaid claim. Testing services will have a new coding structure along with the new codes. The current codes, 96101-96103 and 96119-96120, will be eliminated after Dec. The payment for a neuropsychological test battery, both administered and evaluated by a psychologist, would decrease by just over 3 percent.
Starting January 1, 2019 there will be a brand new set of psychological and neuropsychological testing codes, while some of the current codes will be eliminated. Psychologists will report new psychological and neuropsychological testing codes beginning January 1, 2019. Please review the following links concerning the closed codes and replacement codes for 2019. This could be paper, verbal, or electronic. Typically, TherapyNotes offers a 30-day free trial, so having an additional month to test drive the software is my way of saying thanks for your support. We are pleased to see that based on the proposal most psychologists will not see a decrease and will in fact receive a 6 percent increase for providing a psychological assessment battery regardless of whether they use a technician or collect their own data. This license is unique to Wisconsin, where I practice.
Most of those doing the authorizations working for the insurance companies did not know of the change until Jan 1. The intent of this new code set is to unbundle testing codes to more accurately reflect the work that psychologists do. This could be paper, verbal, or electronic. It also has a description of the most typical modifiers that mental health providers are likely to use, some of which I was not aware of. Test Administration: Once the potential for a mental health condition has been established by either screening or the presence of a comorbid condition, testing is used to determine the presence or absence of that mental health condition. Further guidance on the new codes and how to use them will also be provided via additional upcoming webinars.
This is not a watered down trial version of the program. I am a School Psychologist in Private Practice, a license I had since 1979. In the past many healthcare organizations would administer tests and screening for mental health, but lacked the financial resources to actually treat mental health. Based on a close examination of the proposal we project that the Medicare payment for a six-hour battery of psychological tests would increase 6. My understanding is that in order to use either code, you have to administer at least two tests. It will also include scoring time for tech work.
Under the new codes, they can be. The codes for technician-administered tests must be billed along with the code s for evaluation by the psychologist as highlighted on slide 19 in the July 2018 testing codes webinar. This can be done in many different ways from paper-based instruments in the exam room, to computer based screening in the waiting room, to physician interviews during a routine exam. There are 3 main categories of focus; screening, test administration, and test evaluation. The goal is to evenly apply the screening process to as many patients as possible in order to identify the largest number of individuals suffering from mental health issues. The new code structure allows you to bill across multiple days, rather than billing for the entire battery at once. Evaluation domains for neuropsychological evaluation may include intellectual function, attention, executive function, language and communication, memory, visual-spatial function, sensorimotor function, emotional and personality features, and adaptive behavior.
The Medicare payment for a neuropsychological test conducted with the assistance of a technician would increase 6. I received notice of these changes 3 days prior to January 1 from United Behavioral Health. These changes will lead to a new method for coding, documentation, and reimbursement. Psychological Testing Test Evaluation Services 96130 Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data,interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report and interactive feedback to the patient, family member s or caregiver s , when performed; first hour +96131 Each additional hour List separately in addition to code for primary procedure Neuropsychological Testing Neuropsychological Test Evaluation Services 96132 Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report and interactive feedback to the patient, family member s or caregiver s , when performed; first hour +96133 Each additional hour List separately in addition to code for primary procedure Neurobehavioral Status Exam 96116 Neurobehavioral status exam clinical assessment of thinking, reasoning and judgement, e. Please note that these examples reflect the rates for nonfacility services and are based on a total of six hours of administration and evaluation only. What are the new codes? Anybody else for all practical purposes is a technician.
Q: What were some of the problems with the current system that the new testing codes attempt to address? Thanks to my friends over at TherapyNotes, I am pleased to be able to offer you an exclusive two-month free trial of TherapyNotes! One neuropsychological example showed an add-on code with 7 units. Q: With the expected changes, will psychologists see increases or decreases in their Medicare payments for testing services in 2019? Q: Are there certain qualifications a technician must have? Note specifically that this code requires documentation on the report, clinical decision making, treatment plan, and interactive feedback with the patient etc. Based on a close examination of the proposal, we project that the Medicare payment for a six-hour battery of psychological tests, with the tests administered by the psychologist, would increase 6. This update includes 335 code changes, however only a handful of these changes impact mental and behavioral health providers. Evaluation domains may include acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities.
Neuropsychological testing evaluation services typically include integration of patient data with other sources of clinical data, interpretation, clinical decision making, and treatment planning and report. Note specifically that this code requires that at least 2 tests are administered and that they may be administered using any method. I would not bill your claim until all the testing is completed that way you have the base code 96136 and the add-on code 96137 on the same claim. They said 96101 would be good which of course it was not. Since 96136 is a 30 minute code, that would have to be on one day. The reimbursement rate for a one-hour neuropsychological status exam would increase almost 2%, with reimbursements for a two-hour exam declining 5.
State Mental Health Clinic since 1981. Along with a detailed description of the codes, it will tell you the maximum number of units per code that can be billed. Psychological testing evaluation services typically include integration of patient data with other sources of clinical data, interpretation, clinical decision making, and treatment planning and report. It is important to understand the underlying spirit of what they were trying to accomplish with this decision in order to understand how these new codes are designed to be used. The Medicare payment for a comparable six-hour battery of neuropsychological tests administered by a technician and evaluated by the psychologist would increase 6.