Shah Vikram N, Lustig Stuart L
The authors are with Cigna Behavioral Health (e-mail
Psychiatr Serv. 2015 Apr 1;66(4):418-20. doi: 10.1176/appi.ps.201400321. Epub 2015 Feb 17.
As of January 1, 2013, psychiatrists should be billing for services by using Evaluation and Management Current Procedural Terminology (CPT) codes for any encounter related to medical services. Because detailed information about these CPT codes became available only toward the end of 2012, clinicians had little time to be trained in their use, resulting in widespread confusion about when and how to use these codes for reimbursement. The authors describe strategies that psychiatrists can use to ensure appropriate reimbursement for patient care, such as how to code the initial psychiatric evaluation, acute or chronic conditions, medical decision-making complexity, psychotherapy, counseling, coordination of care, and crisis care. The authors suggest use of templates, with checklists, during patient examinations to facilitate documentation.
自2013年1月1日起,精神科医生应使用评估与管理现行程序术语(CPT)编码为与医疗服务相关的任何诊疗计费。由于这些CPT编码的详细信息直到2012年底才公布,临床医生几乎没有时间接受使用培训,导致在何时以及如何使用这些编码进行报销方面普遍存在困惑。作者描述了精神科医生可用于确保为患者护理获得适当报销的策略,例如如何对初次精神科评估、急性或慢性病症、医疗决策复杂性、心理治疗、咨询、护理协调和危机护理进行编码。作者建议在患者检查期间使用带有检查表的模板以方便记录。