Coding,Documenting,andBillingamp;AuditingNeuropsychological编码，记录，和计费amp；审计的神经心理学.pptVIP

Coding, Documenting, and Billing Auditing Neuropsychological Services: revision of a 10 year of progress report Antonio E. Puente Department of Psychology University of North Carolina at Wilmington 28403-3297 Tel 910.962.3812, Fax 910.962.7010, e-mail Puente@; web “” Massachusetts Neuropsychological Society Boston, MA, December 5, 2000 Outline of Presentation History/Background of Involvement Procedural Coding Reimbursement Documentation Auditing Related Issues Future Trends Purpose of My Involvement with Coding Medicare Short Term Reimbursement Long Term Why the Focus on Medicare Bring Some Standardization to the Field Expand the Scope and Value of Clinical Neuropsychology Parity with Other Doctoral Level Health Providers in Health Care Shape Psychology Towards a Biological Model History/Background North Carolina Psychological Association Blue-Cross Blue Shield American Psychological Association Chair or Member of Approx.a Dozen Committees/Boards, (e.g., Neuropsychology) Division 40 Board- 1987 to present Two Terms on APA’s Council of Representatives (1994 to present) Policy and Planning Board History/Background (continued) American Medical Association CPT- 4 CPT- 5 Health Care Financing Administration Model Mental Health Policy Workgroup Medicare Coverage Advisory Committee Procedural Coding Defining Coding History of Coding Coding Defining Coding Description of Professional Service Rendered Purpose of Coding Archival/Research Reimbursement Coding Systems SNOMED WHO / ICD AMA / CPT History of CPT Coding First Developed in 1966 Currently Using the 4th Edition The 5th Edition Will be Used in 2002 A Total of 7,500 Codes AMA Developed and Owns the CPT Under Contract with the HCFA Overview of Coding Total Possible Codes = 60+ # Of Typically Reimbursed Codes = 5 interview, testing, psychotherapy # Of Codes Sometimes Reimbursed = 35 family/group therapy biofeedback # Of Codes Rarely Reimbursed = 20+ evaluation and management report evaluation and writing Overview o