Behavioral Health Billing, Coding and Reimbursement Resources from InstaCode Institute

Links in The Behavioral Health MultiBook™

The links below can be found in the Behavioral Health MultiBook - THE "How to" Billing Guide for all Mental Health Providers. Some of these links are available by subscription only .

A-Insurance B-Documentation C-Denials & Appeals D-Compliance & Risk Mangement E-Diagnosis F-Procedure Codes G-Supplies H-Fees

Section A - Insurance and Billing

Page	Link	Description
A2	www.PsychCode.com/books	Reference books for the behavioral health office and mental health providers.
A6	www.PsychCode.com/resources.htm	Practice management and electronic health record and billing programs for mental health providers.
A7	www.instacode.com/news	Health Care news and updates
	www.PsychCode.com/2012MultiBook	Article "A System In Need of a Fix"
A8	www.instacode.com/security-news	Security Information
A9	www.PsychCode.com/2012MultiBook	Full page version of the "Patient Information" form.
A10	www.PsychCode.com/2012MultiBook	Full page version of the "Insurance" form.
A11	www.PsychCode.com/2012MultiBook	Full page version of the "Verification of Insurance Coverage" form.
A12	www.PsychCode.com/news	Information regarding the Federal Mental Health Parity Act (Insurance Payer Information)
A16	www.PsychCode.com/2012MultiBook	Full page version of the "Payment Agreement" form.
A17	www.PsychCode.com/2012MultiBook	Full page sample superbill.
A19	www.instacode.com/claim-forms	Purchase the preprinted red ink version of 1500 claim form.
A21	www.nucc.org	The National Uniform Claim Committee - NUCC Information about Claims
	www.cms.hhs.gov/Manuals/IOM/list.asp	Information from the NUCC about 1500 claim forms.
A28	www.nucc.org	Approved NUCC Code Sets
A34	www.wpc-edi.com/codes	Taxonomy code list
A39	www.PsychCode.com/2012MultiBook	Complete Place of Service code list
A51	www.instacode.com/claim-forms	Purchase the preprinted red ink version of 1500 claim form.
A56	www.PsychCode.com/2012MultiBook	Review the UB04-Medicare-Claims-Processing manual for more detailed definitions of "Point of Origin for Admission or Visit."
A56	www.findacode.com	Review the UB04-Medicare-Claims-Processing manual and complete list of codes or see online at findacode.com
A57	www.PsychCode.com/2012MultiBook	Review the UB04-Medicare-Claims-Processing manual for occurrence codes and guidelines
	www.PsychCode.com/2012MultiBook	FLs 39, 40, and 41 - Value Codes are found in the UB04-Medicare-Claims-Processing manual
A58	www.findacode.com	FL 42-43 - Revenue Codes are found in the UB04-Medicare-Claims-Processing manual or see online at findacode.com
A66	www.instacode.com/news	NPI information - helpful links and forms you can download.
A67	www.PsychCode.com/2012MultiBook	Complete Medicare Benefit Policy Manual.
A69	www.PsychCode.com/2012MultiBook	If there are updates to the Medicare Benefits, notification can be found here.
A70	www.PsychCode.com/2012MultiBook	Complete Medicare Benefit Policy Manual.
A71	www.PsychCode.com/NP-Certification.htm	Medicare list of recognized national certifying bodies for Nurse Practitioner
A-72	www.PsychCode.com/CNS-Certification.htm	Medicare list of recognized national certifying bodies for Clinical Nurse Specialists
A79	www.treas.gov/offices/public-affairs/hsa	Helpful information about Health Savings Accounts.
A79	www.cms.gov/msa	Information about Medicare Medical Savings Accounts (MSA).
A82	www.cms.hhs.gov/MedicareProvider...	Information about PECOS
	https://pecos.cms.hhs.gov/pecos/login.do	National List of LL US providers enrolled in the PECOS System with their NPI numbers
A83	www.PsychCode.com/2012MultiBook	Medicare Opt-Out Procedure, Downloadable Affidavit or Private Contract for those who have opted-out of Medicare
A85, 86	www.PsychCode.com/2012MultiBook	Editable and Downloadable forms. Advance Beneficiary Notice (ABN), PM AB-02-114 and more.
	www.instacode.com/forms.htm	CMS publication "What Doctors Need To Know about the ABN."
A88	www.PsychCode.com/2012MultiBook	Downloadable "Medicare Status Questionnaire" Form
A90	www.PsychCode.com/2012MultiBook	Downloadable "Notice of Medicare Coverage for Mental Health Services" Form for patients
A91	www.PsychCode.com/2012MultiBook	Medicare Benefit Policy Manual, Chapter 15

Section B- Documentation

Page	Link	Description
B2	www.PsychCode.com/2012MultiBook	CMS and CPT E&M Documentation Guidelines
B15	www.PsychCode.com/books	Treatment Planners and Treatment Plan Software Programs
	www.PsychCode.com/insurance-forms.htm	Insurance Forms specific to individual Insurance Companies
B27	www.cms.hhs.gov/manuals/downloads/...	Electronic signature information as found in The Medicare Program Integrity Manual, Pub. 100-08, Chapter 3
	www.cms.hhs.gov/MLNMattersArticles/...	Medicare Medlearn Article #MM5971 regarding Electronic signatures
B28	www.ama-assn.org/ama/pub/...	PQRS Information from the Performance Measurement Coordinating Council
B29	www.instacode.com/downloads...	PQRS Getting Started Information
	www.cms.hhs.gov/PQRS	PQRS exclusions and more complete details and qualifying information on CMS website
	www.ama-assn.org	PQRS guidelines from the American Medical Association
	www.PsychCode.com/2012MultiBook	New Maintenance of Certification (MOC) Program information from CMS
B30	Individual PQRS measures for Mental Health	Detailed Instructions Antidepressant Medication Assessment Depression Diagnostic Evaluation Suicide Risk Assessment Document & Verify Medications Pain Assessment Prior to Therapy Depression Screening & Follow-Up Plan Elder Maltreatment Screening & Follow-Up Plan Adoption & Use of Electronic Health Records (EHR) Unhealthy Alcohol Use Screening
	Other Performance Measurement Codes	Substance Use Disorders (SUD) Major Depressive Disorder - Child & Adolescent (MDD-ADOL)
B31	e-Prescribing Incentive Program	Medicare’s Practical Guide to the e-Prescribing Incentive Program A Clinician's Guide to Electronic Prescribing Qualified EHR Vendors
B34	www.PsychCode.com/e-Prescribing.htm	E-Prescribing Information and helpful resources
B35	www.PsychCode.com/mse	MMSE Information and sample Mental Status exam form

Section C - Denials and Appeals

Page	Link	Description
C11	www.PsychCode.com/2012MultiBook	Downloadable, full-sized Medicare "Transfer of Appeal Rights" form
C14	www.PsychCode.com/2012MultiBook	Downloadable, full-sized Medicare "Redetermination request" form
C15	www.PsychCode.com/2012MultiBook	Downloadable, full-sized Medicare "Reconsideration request" form
C16	www.medicare.gov/Basics/...	Final Appeal Forms available through CMS
	www.cms.hhs.gov/manuals/...	Official CMS instructions regarding Medicare Appeals - Downloadable
	www.cms.hhs.gov/medlearn/...	Toll-free phone numbers for Part B Appeals
	www.ncsl.org/...	Mental Health Parity Laws (States)

Section D - Compliance

Page	Link	Description
D5	www.instacode.com/hipaa...	HIPAA resources
D8	www.hhs.gov/ocr/privacy/hipaa/...	Treatment, Payment, and Health Care Operations information
D9	www.hhs.gov/ocr/privacy/hipaa/...	Notice of Privacy Practices by HHS
	www.hhs.gov/ocr/privacy/index.html	OCR Guidance, Summaries, and FAQs related to key HIPAA points
	www.PsychCode.com/2012MultiBook	Proposed Privacy Rule Modifications
D10	www.instacode.com/hipaa	HIPAA tools and resources
	www.instacode.com/de-identifiers	Destroying PHI according to Privacy rule
D11	www.instacode.com/security	HIPAA and computer security information
	www.PsychCode.com/downloads/...	How to appropriately destroy electronic media - official guidelines
	http://ocrnotifications.hhs.gov	Proper notifications to HHS if there is a Breach of Privacy
	http://ocrnotifications.hhs.gov/	Online breach notification
D12	https://nppes.cms.hhs.gov	Submit NPI Applications here
	www.nucc.org	NUCC Health Care Provider Taxonomy List
	www.wpc-edi.com/codes	More Codes and Taxonomy codes for Non-individuals such as residential treatment centers
	www.wpc-edi.com/taxonomy	Complete Taxonomy list with definitions
D13	www.PsychCode.com/HIPAA.htm	Complete Rules and other helpful HIPAA related information and documents
D14	www.instacode.com/red-flags	Red Flags Rule - Current legislation information
	www.PsychCode.com/2012BHB/...	Sample procedures checklist for Red Flags by AMA
D15	www.ftc.gov/bcp/edu/micorsites/	Identifying Red Flags
D18	www.instacode.com/rac-regions	Map of Recovery Audit Contractors program
D24	www.PsychCode.com/2012MultiBook	CMS and CPT E/M Guidelines
	www.PsychCode.com/2012MultiBook	Medicare Claims Processing Manual
		OIG booklet “How to Avoid Medicare Fraud and Abuse Complete OIG Work Plan
D27	oig.hhs.gov	OIG Federal Register information
	oig.hhs.gov/fraud/...	OIG infromation on the Civil Monetary Penalties Law
D32	www.PsychCode.com/2012MultiBook	Refund Request Response Letter - Downloadable
	www.instacode.com/icd-10-news	More about ICD-10
	www.instacode.com/icd-10-codes	Training materials for ICD-10
	www.findacode.com	ICD-10-CM and ICD-10-PCS code search
D36	www.dsm5.org	DSM-V task group

Section E - Diagnosis Codes

Page	Link	Description
E3	www.instacode.com/icd-10-news	Find out information about ICD-10.
	www.FindACode.com	A complete online code reference. ICD-9-CM.
E5	www.PsychCode.com/free-code-search.htm	Free Basic search for entire ICD-9-CM and HCPCS code set
	www.FindACode.com	A complete online code reference. ICD-9-CM and HCPCS.

Section F - Procedures

Page	Link	Description
F3	www.FindACode.com	CPT Codes available for electronic searching (AMA intellectual property)
F7	www.cms.hhs.gov/...	Official information on NCCI Edits
	www.FindACode.com	Complete NCCI edits for all codes
F18	www.PsychCode.com/telehealth	Telehealth services - Additional guidelines, information and resource documents
F20	www.PsychCode.com/free-code-search.htm	Search entire ICD-9-CM code set
	www.PsychCode.com/MHPA	Mental Health Parity Act Information
F25	www.PsychCode.com/telehealth	Online (tele-health) Evaluations - Additional guidelines, information and resource documents
F46	www.PsychCode.com/screenings.htm	AUDIT and DAST available here
F47	www.PsychCode.com/telehealth	Telehealth services - Additional guidelines, information and resource documents
F57	www.PsychCode.com/screenings.htm	AUDIT and DAST available here
F64	www.ama-assn.org/go/cpt	Full listing of temporary Category III codes
F73	www.AlternativeLink.com	ABC Coding Manual for Integrative Healthcare ABC Coding Solutions
	www.FindACode.com	All ABC Codes may be searched and viewed here

Section G - Supply Codes

Page	Link	Description
G3	www.instacode.com	Order the complete unabridged book of the 2012 HCPCS code set.
	www.cms.gov/MedHCPCSGenInfo/...	The "HCPCS Code Modification Process" is available here.
	www.palmettogba.com	Apply for Durable Medical Equipment and Suppplies.
	www.cms.hhs.gov/center/dme.asp	Durable Medical Equipment Medicare Administrative Contractors (DME-MAC).

Section H - Fees

Page	Link	Description
H6	www.instacode.com/medicare-fee-news	Information about Dollar Conversion Factor Changes and other Medicare fee schedule news
H7	www.PsychCode.com/2012MultiBook	Behavioral Health MultiBook Fee Calculator
H8	www.instacode.com/medicare-fee-news	News about fee proposals and methodology changes posted here
H9	www.cms.hhs.gov/apps/pfslookup	Find your local Medicare carrier. Easy one page state references are included in the online subscriber section.