Reimbursement Rates for Mental Health Treatments Analysis
Reimbursement Rates for Mental Health Treatments Analysis essay assignment
Reimbursement Rates for Mental Health Treatments Analysis essay assignment
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 |
Psych diagnoses evaluation w/med services |
90792 |
||||
Office/outpatient visit new |
99201 |
||||
Initial hospital care |
99221 |
||||
Psych treatment w/patient 60 minutes |
90837 |
||||
Group psychotherapy |
90853 |
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90791 | 1 | Psychiatric diagnostic evaluation |
90837 | 6 | Psychotherapy, 60 minutes with patient and/or family member |
90870 | 1, 5 | Electroconvulsive therapy (includes necessary monitoring) |
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.
CPT Codes for Psychiatric and Psychological Procedures
Billing
These links might be helpful:
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
https://www.cms.gov/apps/physician-fee-schedule/overview.aspx