Health and Behavior Codes

HEALTH & BEHAVIOR CODES

Non-physician behavioral health providers now have a more accurate way of billing for services provided to patients with a medical diagnosis. The advent of six new reimbursement codes, called Health & Behavior Codes, under the Current Procedural Terminology (CPT) coding system dramatically changes billing for behavioral medicine services.

Until now, almost all intervention codes used by non-physician behavioral health providers involved psychotherapy and required a psychiatric diagnosis. In contrast, health and behavior assessment and intervention services focus on patients whose primary diagnosis is physical in nature.

Proper use of these codes may:

Significantly increase reimbursement
Decreased managed care burdens
Permit provision of treatment in more flexible time units (e.g., 45, 75 or 90 minutes)

Dr. Goldberg offers a presentation & consultation that will help you better understand:

how to use these codes
which payers allow these codes
how to seek contracts
how to obtain authorizations
how to submit claims

Note taking requirements for use of Health and Behavior services are very detailed to ensure compliance with Medicare and other payer requirements. Dr. Goldberg has created a document template to increase compliance with these requirements and protect reimbursement. This template is available for purchase.

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Child & Family Psychological Services, Inc. 89 Access Road, Unit 24 Norwood, MA 02062	Child & Family Psychological Services, Inc. 160 Commonwealth Ave, U3 Boston, MA 02116	Child & Family Psychological Services, Inc. 639 Granite Street, Suite 414 Braintree, MA 02184	Child & Family Psychological Services, Inc. 100 Jeffrey Avenue Holliston, MA 01746
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