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Billing for Med management & Psychotherapy - 99214 + 90833

Discussion in 'Psychiatry' started by Information Underload, May 27, 2015.

  1. sweetlenovo88

    sweetlenovo88 7+ Year Member

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    Apr 30, 2009
    I am enjoying this thread and wanted to bump my question:

    Any thoughts on billing like this in an hour with PRIVATE INSURANCE: (99214+90833, 16 min of therapy), (99214+90833, 16 min of therapy), 99213. This should generate right above $400 an hour. Can this be done on a consistent basis? 24 patients a day, 8 hours day, day in/day out? I wonder if insurance will pay without hassles
     
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  3. boogaaloo

    boogaaloo Banned Banned Account on Hold

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    Nov 13, 2017
    Try it and report back to us.
     
  4. hamstergang

    hamstergang may or may not contain hamsters 5+ Year Member

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    May 6, 2012
    NJ
    In my opinion, no. Patients aren't that consistent and you need some breaks in that for your sake and for administrative tasks.
     
  5. TexasPhysician

    TexasPhysician Moderator Physician 7+ Year Member

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    Sep 1, 2008
    Insurance rates can vary by zip code, size of practice, and negotiation skills. In some areas, those codes pull about $250. Variation can be huge.
     
  6. Armadillos

    Armadillos 2+ Year Member

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    Feb 5, 2013
    When people are doing the E/M + therapy add on are they actually trying to do a specific course of planned therapy or more just getting paid for the extra time we take compared to an internist and conceptualizing it as supportive therapy?

    Wondering because many therapies would recommend weekly visits, but seems tough to justify weekly E/M visits for majority of therapy patients.
     
  7. hamstergang

    hamstergang may or may not contain hamsters 5+ Year Member

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    May 6, 2012
    NJ
    Therapy for billing purposes is not the same as real therapy for treatment. You certainly can pull in elements of actual psychotherapy and hope that it actually improves patient outcomes. But as you point out, 16 minutes once per month is rather substandard care and therefore should not be thought of as an actual course of psychotherapy.
     

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