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Online solutions help you to manage your record administration along with raise the efficiency of the workflows. Stick to the fast guide to do HCFA-1513, steer clear of blunders along with furnish it in a timely manner:

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Video instructions and help with filling out and completing Cms 1513 fillable form

Instructions and Help about Cms 1513 fillable form

Hi I'm Angela James at the Centers for Medicare and Medicaid Services did you know that the main reason Medicare denies claims is because there's insufficient documentation that's right proper payment and sufficient documentation go hand in hand and today I have some pointers to help you submit documentation properly for psychiatry and psychotherapy services so let's start with the evaluation of management or E&M code the E&M code should be based on the complexity or intensity of the patient's condition next the psychotherapy code is based on the time spent providing psychotherapy so what happens when both of these services the E&M and psychotherapy happened on the same day with the same provider both services are payable if they are significant and separately identifiable and build using the correct codes and the way to do this is to use an add-on code so here's how an add-on code works first an add-on code is only payable if you report it with an appropriate primary service performed on the same day the time you spend on the E&M service is separate from the time you spend on psychotherapy and here is an important rule time is indicated in the code descriptor for the psychotherapy hickspicks code so make sure you clearly document the time you spend providing psychotherapy rather than entering one time period for the E&M service now you may be wondering what to do when the time doesn't match the times in the code descriptor the general rule is to find the one that matches closest and there are codes with ranges to help but documenting the amount of time you spend with a patient is only one part of the puzzle make sure you also include these three things so that you have sufficient documentation number one the modalities of treatment that you've provided to help the patient things like cognitive restructuring or behavior modification number two progress to date number three an updated treatment plan now let's talk through an example of insufficient documentation let's say a psychiatrist billed for level four E&M service using hick pics code nine nine to one for 60 minutes of psychotherapy using kik pics code nine zero eight three eight and unfortunately the documentation submitted for the review doesn't include the time spent in the psychotherapy encounter when the reviewer asked for additional documentation in this example what the provider sent didn't include specific goals or treatment plan and without proper documentation the claim was scored as an insufficient documentation error and the Mac recouped payment now often providers are concerned about HIPAA violations related to sharing sensitive information from psychotherapy notes you don't need patient authorization to release information excluded from the definition of psychotherapy notes so you can release the non psychotherapy note material to demonstrate medical necessity so what happens if you have combined information like symptoms excluded from the definition of psychotherapy notes with a psychotherapy note in this case just pull out the information.

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