Posted and filed under Fraud, Medical Record Auditing.

Behavioral Health Billing Errors

A 2017 audit fronted by Massachusetts State Senator Suzanne M. Bump revealed over $190 billion dollars in improper or ambiguous payments within MassHealth’s Behavioral Health program. The audit uncovered years of questionable billing practices, lack of administrative oversight, and conflicting understandings of requirements, regulations, and internal policies. The Senator went on the record explaining the…

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Posted and filed under YouBeTheCoder.

You Be The Coder: Halloween Edition

Assess your knowledge of Evaluation and Management while taking our free E/M Calculator for a test drive! Review the below patient notes and plug the appropriate information into our audit tool. History of Present Illness (HPI) A 12 year old female patient is experiencing auditory hallucinations, severe head pain, and is presenting with abnormal posture. …

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On-Demand: Evaluation and Management – Psych Specialty

This exclusive, specialty specific presentation will provide attendees with a brief overview of Evaluation and Management before diving into the depths of E/M for behavioral health. This session will examine the differences between E/M services for medicine and behavioral health, while reviewing code additions, new revisions, and changes as they relate to Evaluation and Management….

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