APA SLC 2005 Recent Changes in Coding and Related Issues American Psychological Association American Psychological Association State Leadership Conference

APA SLC 2005APA SLC 2005

Recent Changes in Coding and Recent Changes in Coding and Related Issues Related Issues

American Psychological AssociationAmerican Psychological Association State Leadership ConferenceState Leadership Conference

Washington, D.C.Washington, D.C. 03.06.0503.06.05


OutlineOutline

Current Procedural TerminologyCurrent Procedural Terminology DocumentationDocumentation Defining TimeDefining Time Relative Value UnitsRelative Value Units Ongoing CPT DevelopmentsOngoing CPT Developments


CPT: BackgroundCPT: Background

American Medical AssociationAmerican Medical Association Developed by Surgeons (& Physicians) Developed by Surgeons (& Physicians)

in 1966 for Billing Purposesin 1966 for Billing Purposes 7,500+ Discrete Codes7,500+ Discrete Codes

CMSCMS AMA Under License with CMSAMA Under License with CMS CMS Now Provides Active Input into CPTCMS Now Provides Active Input into CPT


CPT: Background/DirectionCPT: Background/Direction

Current System = CPT 5Current System = CPT 5 CategoriesCategories

I= Standard Coding for Professional I= Standard Coding for Professional ServicesServices

II = Performance MeasurementII = Performance Measurement III = Emerging TechnologyIII = Emerging Technology


CPT: CompositionCPT: Composition

AMA House of DelegatesAMA House of Delegates 109 Medical Specialties109 Medical Specialties

HCPACHCPAC 11 Societies (e.g., APA)11 Societies (e.g., APA)

CPT Editorial PanelCPT Editorial Panel 17 Voting Members17 Voting Members

11 Appointed by AMA Board11 Appointed by AMA Board 1 each from BC/BS, AHA, HIAA, CMS1 each from BC/BS, AHA, HIAA, CMS 2 HCPAC 2 HCPAC


What Is a CPT Code?What Is a CPT Code?

Professional Health Service Provided Professional Health Service Provided Across the Country at Multiple Across the Country at Multiple locationslocations

Many Physicians Perform ServicesMany Physicians Perform Services Clinical Efficacy is Established and Clinical Efficacy is Established and

Documented in Peer-Reviewed Documented in Peer-Reviewed LiteratureLiterature


CPT: Applicable CodesCPT: Applicable Codes

Total Possible Codes = Approximately Total Possible Codes = Approximately 7,5007,500

Possible Codes for Psychology = Possible Codes for Psychology = Approximately 40 to 60Approximately 40 to 60

Sections = Five Separate SectionsSections = Five Separate Sections PsychiatryPsychiatry BiofeedbackBiofeedback Central Nervous AssessmentCentral Nervous Assessment Physical Medicine & RehabilitationPhysical Medicine & Rehabilitation Health & Behavior Assessment & ManagementHealth & Behavior Assessment & Management


CPT: Development of a CodeCPT: Development of a Code

InitialInitial Health Care Advisory Committee (non-Health Care Advisory Committee (non-

MDs)MDs) PrimaryPrimary

CPT Work GroupCPT Work Group CPT PanelCPT Panel

Time FrameTime Frame 3-5 to over a decade3-5 to over a decade


CPT: PsychiatryCPT: Psychiatry

SectionsSections Interview (90801) vs. Intervention (e.g., Interview (90801) vs. Intervention (e.g.,

908.06)908.06) Office vs. InpatientOffice vs. Inpatient Regular vs. Evaluation & ManagementRegular vs. Evaluation & Management OtherOther

Types of InterventionsTypes of Interventions Insight, Behavior Modifying, and/or Supportive Insight, Behavior Modifying, and/or Supportive

vs. Interactivevs. Interactive


CPT: CNS AssessmentCPT: CNS Assessment

InterviewInterview 9611596115

TestingTesting Psychological = 96100; 96110/11Psychological = 96100; 96110/11 Neuropsychological = 96117Neuropsychological = 96117 Aphasia = 96105Aphasia = 96105 Developmental = 96110/111Developmental = 96110/111


CPT: Physical Medicine & CPT: Physical Medicine & RehabilitationRehabilitation

97770 now 9753297770 now 97532 Note: 15 minute incrementsNote: 15 minute increments


CPT: Health & Behavior CPT: Health & Behavior Assessment & ManagementAssessment & Management

Purpose: Medical DiagnosisPurpose: Medical Diagnosis Time: 15 Minute IncrementsTime: 15 Minute Increments AssessmentAssessment InterventionIntervention


Rationale: GeneralRationale: General

Acute or chronic (health) illness may not Acute or chronic (health) illness may not meet the criteria for a psychiatric meet the criteria for a psychiatric diagnosisdiagnosis

Avoids inappropriate labeling of a patient Avoids inappropriate labeling of a patient as having a mental health disorderas having a mental health disorder

Increases the accuracy of correct coding Increases the accuracy of correct coding of professional servicesof professional services

Increase range of servicesIncrease range of services


Overview of CodesOverview of Codes

New SubsectionNew Subsection Six New CodesSix New Codes

AssessmentAssessment InterventionIntervention

Established Medical Illness or Established Medical Illness or DiagnosisDiagnosis

Focus on Biopsychosocial FactorsFocus on Biopsychosocial Factors


Health & Behavior Health & Behavior Assessment CodesAssessment Codes

9615096150 Health and behavior assessment (e.g., health-Health and behavior assessment (e.g., health-

focused clinical interview, behavioral focused clinical interview, behavioral observations, psychophysiological monitoring, observations, psychophysiological monitoring, health-oriented questionnaires)health-oriented questionnaires)

each 15 minuteseach 15 minutes face-to-face with the patientface-to-face with the patient initial assessmentinitial assessment

9615196151 re-assessmentre-assessment


Health & Behavior Health & Behavior Intervention CodesIntervention Codes

9615296152 Health and behavior interventionHealth and behavior intervention each 15 minuteseach 15 minutes face-to-faceface-to-face individualindividual

9615396153 group (2 or more patients)group (2 or more patients)

9615496154 family (with the patient present)family (with the patient present)

9615596155 family (without the patient present; not being family (without the patient present; not being

reimbursed)reimbursed)


CPT: Model SystemCPT: Model System

PsychiatricPsychiatric NeurologicalNeurological Non-Neurological MedicalNon-Neurological Medical AlternativesAlternatives


CPT ModelCPT Model

Rationale for CPT Code:Rationale for CPT Code: Choose Code that Best Describes the Choose Code that Best Describes the

Service ProvidedService Provided Match the Interview with the Testing Match the Interview with the Testing

with the Intervention Codewith the Intervention Code Match All that With a DiagnosisMatch All that With a Diagnosis Goal = Uniformity and FluencyGoal = Uniformity and Fluency


CPT: Psychiatric ModelCPT: Psychiatric Model(Children & Adult)(Children & Adult)

InterviewInterview 90801- adult90801- adult 90802- child90802- child

TestingTesting 96100- adult96100- adult 96110/11- child96110/11- child

InterventionIntervention e.g., 90806- adulte.g., 90806- adult e.g., 90820-childe.g., 90820-child


CPT: Neurological ModelCPT: Neurological Model(Children & Adult)(Children & Adult)

InterviewInterview 9611596115

TestingTesting 9611796117

InterventionIntervention 9753297532


CPT: Non-Neurological CPT: Non-Neurological Medical ModelMedical Model

(Children & Adult)(Children & Adult)

Interview & AssessmentInterview & Assessment 96150 (initial)96150 (initial) 96151 (re-evaluation)96151 (re-evaluation)

InterventionIntervention 96152 (individual)96152 (individual) 96153 (group)96153 (group) 96154 (family with patient)96154 (family with patient) 96155 (family without patient)96155 (family without patient)


Recent CPT ChangesRecent CPT Changes

Biofeedback (90911)Biofeedback (90911) Minor editorial changes in biofeedback Minor editorial changes in biofeedback

trainingtraining


Recent CPT ChangesRecent CPT Changes

Developmental Testing CodesDevelopmental Testing Codes ApplicabilityApplicability

ChildrenChildren BackgroundBackground

Part of Central Nervous System family of codesPart of Central Nervous System family of codes Hence, no work value (& lower reimbursement rate)Hence, no work value (& lower reimbursement rate) Recently “re-surveyed” by pediatriciansRecently “re-surveyed” by pediatricians

Specific ChangesSpecific Changes 96110 96110

Continues to have no work valueContinues to have no work value Use for completion of forms (Connors; by parents)Use for completion of forms (Connors; by parents)

96111 96111 Has physician work value Has physician work value Assessment of child’s social, emotional, etc status (WJ)Assessment of child’s social, emotional, etc status (WJ)


Recent CPT Changes :Recent CPT Changes :Health & Behavior Assessment Health & Behavior Assessment

CodesCodes Brief HistoryBrief History

Inter-divisional Health Care Committee (22, 38, 40, 54; Glueckauf)Inter-divisional Health Care Committee (22, 38, 40, 54; Glueckauf) Convened in 1995 by APA Practice Directorate (Phelps)Convened in 1995 by APA Practice Directorate (Phelps) DraftsDrafts

First Draft - September 11, 1998; Final Working Draft – July 1, 2000First Draft - September 11, 1998; Final Working Draft – July 1, 2000 PresentationsPresentations

First Presentation to AMA November 6, 1998 ; Final Presentation – August 8, First Presentation to AMA November 6, 1998 ; Final Presentation – August 8, 20002000

7 total presentations- Ft. Lauderdale, Chicago, Denver, San Francisco, 7 total presentations- Ft. Lauderdale, Chicago, Denver, San Francisco, Washington, DC, Chicago, ChicagoWashington, DC, Chicago, Chicago

SurveysSurveys First Survey January 31, 2001; Final Survey April 26, 2001First Survey January 31, 2001; Final Survey April 26, 2001

Revisions to LanguageRevisions to Language First Preamble revision – March, 2002; Last Preamble revision – November, First Preamble revision – March, 2002; Last Preamble revision – November,

20042004 ApplicabilityApplicability

When behavioral, cognitive, emotional, and/or psychological techniques When behavioral, cognitive, emotional, and/or psychological techniques are used to assess and/or treat health (medical not psychiatric) are used to assess and/or treat health (medical not psychiatric) problemsproblems


Recent CPT Changes:Recent CPT Changes:Health & Behavior Assessment Health & Behavior Assessment

CodesCodes AcceptabilityAcceptability

All Medicare carriers (minus Florida’s)All Medicare carriers (minus Florida’s) Some Medicaid programs (e.g., Colorado, Vermont)Some Medicaid programs (e.g., Colorado, Vermont) Some private insurers (BC/BS in NC, DC; Nationwide) Some private insurers (BC/BS in NC, DC; Nationwide)

ChangesChanges PreamblePreamble ClarificationClarification

Not a preventive medicine codeNot a preventive medicine code Patient can have a history or presence of mental illnessPatient can have a history or presence of mental illness

Future ExpectationFuture Expectation No further changesNo further changes Increased carrier acceptance, especially if providers educate carriersIncreased carrier acceptance, especially if providers educate carriers

Final Verification AnticipatedFinal Verification Anticipated December 1, 2004December 1, 2004 Applicability starting January 1, 2005Applicability starting January 1, 2005


Develiping CPT Changes:Develiping CPT Changes:CNS Assessment CodesCNS Assessment Codes

Neurobehavioral Status ExamNeurobehavioral Status Exam Re-write (different language; same concept)Re-write (different language; same concept) Addition of “Physician” Work ValueAddition of “Physician” Work Value

Psychological TestingPsychological Testing Expansion of existing codeExpansion of existing code Addition of “Physician” Work ValueAddition of “Physician” Work Value

Neuropsychological TestingNeuropsychological Testing Expansion of existing codeExpansion of existing code Addition of “Physician” Work ValueAddition of “Physician” Work Value


Probable CPT Changes:Probable CPT Changes:CNS Assessment CodesCNS Assessment Codes

Net EffectNet Effect Avoidance of Continuation of Reimbursement Strictly Avoidance of Continuation of Reimbursement Strictly

Based on Practice Expense Based on Practice Expense Potential catastrophe in terms of reimbursementPotential catastrophe in terms of reimbursement Potential reimbursement rates in the vicinity of $40/hrPotential reimbursement rates in the vicinity of $40/hr

Greater Clarity of Professional and Non-Professional Greater Clarity of Professional and Non-Professional ActivitiesActivities

Differentiation of professional, technical and computer Differentiation of professional, technical and computer activityactivity

Accounting/auditing, research, and salary purposesAccounting/auditing, research, and salary purposes Recognition of “Physician” WorkRecognition of “Physician” Work

Ending a 10 year struggleEnding a 10 year struggle Possibly, Increased ReimbursementPossibly, Increased Reimbursement


ProPro2828bable CPT Changes:bable CPT Changes:CNS Assessment CodesCNS Assessment Codes

Timetable (activity x date)Timetable (activity x date) Initial Decision by AMA CPT Panel, November 7, 2004Initial Decision by AMA CPT Panel, November 7, 2004 Call for Other Societies to Participate, November 19, 2004Call for Other Societies to Participate, November 19, 2004 Final Decision by AMA CPT Panel, December 1, 2004Final Decision by AMA CPT Panel, December 1, 2004 Submission of CPT Codes to AMA RUC Committee Submission of CPT Codes to AMA RUC Committee

immediately thereafterimmediately thereafter Review by AMA RUC Research Subcommittee in January, Review by AMA RUC Research Subcommittee in January,

20052005 Review by AMA RUC Panel in February 3-6, 2005Review by AMA RUC Panel in February 3-6, 2005 Survey of Codes, second & third week of February, 2005Survey of Codes, second & third week of February, 2005 Analysis of surveys, March, 2005Analysis of surveys, March, 2005 Presentation to RUC Committee in April, 2005Presentation to RUC Committee in April, 2005 Hopeful inclusion in the 2006 Physician Fee Schedule for Hopeful inclusion in the 2006 Physician Fee Schedule for

January 1, 2006January 1, 2006


CPT X ReportCPT X Report

Each CPT Code Should Generate a Each CPT Code Should Generate a Separate ReportSeparate Report

Alternative Clearly Label/Title Alternative Clearly Label/Title Sections of the Report to Match Sections of the Report to Match Codes UsedCodes Used


Documentation:Documentation:SuggestionsSuggestions

Avoid Handwritten NotesAvoid Handwritten Notes Do Not Use Red InkDo Not Use Red Ink Avoid Color PaperAvoid Color Paper Document On and After Every Document On and After Every

Encounter, Every Procedure, Every Encounter, Every Procedure, Every PatientPatient

Review Changes Whenever ApplicableReview Changes Whenever Applicable Avoid Standard Phrases & ProtocolsAvoid Standard Phrases & Protocols


TimeTime

DefiningDefining Professional (not patient) Time Professional (not patient) Time

Including:Including: pre, intra & post-clinical service activitiespre, intra & post-clinical service activities

Interview & Assessment CodesInterview & Assessment Codes Use 15 minute incrementsUse 15 minute increments

Intervention CodesIntervention Codes Use 15 minute incrementsUse 15 minute increments


Time: DefinitionTime: Definition

AMA Definition of TimeAMA Definition of Time

Physicians also spend time during work, Physicians also spend time during work, before, or after the face-to-face time with before, or after the face-to-face time with the patient, performing such tasks as the patient, performing such tasks as reviewing records & tests, arranging for reviewing records & tests, arranging for services & communicating further with services & communicating further with other professionals & the patient through other professionals & the patient through written reports & telephone contact.written reports & telephone contact.


Time: TestingTime: Testing

Quantifying TimeQuantifying Time Round up or down to nearest incrementRound up or down to nearest increment

Time Does Not IncludeTime Does Not Include Patient completing tests, forms, etc.Patient completing tests, forms, etc. Waiting time by patientWaiting time by patient Typing of reportsTyping of reports Non-Professional (e.g., clerical) timeNon-Professional (e.g., clerical) time Literature searches, learning new techniques, Literature searches, learning new techniques,

etc.etc.


Relative Value Units: OverviewRelative Value Units: Overview

ComponentsComponents UnitsUnits ValuesValues Current ProblemsCurrent Problems


RVU: ComponentsRVU: Components

Physician Work Resource ValuePhysician Work Resource Value Practice Expense Resource ValuePractice Expense Resource Value MalpracticeMalpractice GeographicGeographic Conversion Factor (approx. $34)Conversion Factor (approx. $34)


RVU Components PercentagesRVU Components Percentages

Physician WorkPhysician Work == 52%52% Practice ExpensePractice Expense == 44%44% LiabilityLiability = 4%= 4%


Defining Physician WorkDefining Physician Work

Clinical WorkClinical Work Mental Effort and JudgmentMental Effort and Judgment Technical Skill/Physical EffortTechnical Skill/Physical Effort Psychological StressPsychological Stress


Estimate of Psychologists’ Estimate of Psychologists’ ValueValue

AudiologistAudiologist .52.52 DieticianDietician .43.43 RNRN .42.42 Speech PathologistSpeech Pathologist .55.55

PsychologistPsychologist .82.82


Defining Practice ExpenseDefining Practice Expense

Medical SuppliesMedical Supplies Expendable medical equipment (e.g., Expendable medical equipment (e.g.,

forms)forms) Medical EquipmentMedical Equipment

Durable medical equipment (e.g., tests)Durable medical equipment (e.g., tests) Professional Support StaffProfessional Support Staff

e.g., timee.g., time


RVU: ValuesRVU: Values

Psychotherapy:Psychotherapy: Prior Value =1.86Prior Value =1.86 New Value = 2.65New Value = 2.65

Psych/NP Testing: Psych/NP Testing: Work value= 0Work value= 0 Hsiao study recommendation = 2.2Hsiao study recommendation = 2.2 New Value = undeterminedNew Value = undetermined

Health & BehaviorHealth & Behavior .25 (per 15 minutes increments).25 (per 15 minutes increments)


RVU: AcceptanceRVU: Acceptance

Medicare (100% since 01.01.92)Medicare (100% since 01.01.92) Medicaid 100%Medicaid 100% Private Payors 74%Private Payors 74%

Blue Cross/Blue Shield 87%Blue Cross/Blue Shield 87% Managed Care 69%Managed Care 69%

Other 44%Other 44% New Trends: New Trends:

RVUs as a Model for All Insurance CompaniesRVUs as a Model for All Insurance Companies RVUs as a Basis for Compensation FormulasRVUs as a Basis for Compensation Formulas


CPT x RVUCPT x RVUCPTCode

WorkValue

PracticeExpense

MalpracticeExpense

TotalRVU

MutuallyExclusive

90801 2.80 1.14 0.06 4.00 90802, 90846, 90847,90853, 99291, 99292

90806 1.86 0.75 0.04 2.65 90801 (?)

96100 0 1.67 0.15 1.82 96110, 96 115

96115 0 1.67 0.15 1.82 - // -

96117 0 1.67 0.15 1.82 96110, 96111

96150 0.5 0.2 0.02 0.72 96151, 96152, 96153,96154, 96155

96152 0.46 0.18 0.02 0.66 96150, 96151, 96153,96154, 96155


Medicare RatesMedicare Rates

TypeType DeductibleDeductible Co-Co-PaymentPayment

Part APart A $912$912 0-$456 (days)0-$456 (days)

Part BPart B $110$110 Health – 20%Health – 20%

Psych- 50%Psych- 50%

Note: Premiums are $78.20/monthNote: Premiums are $78.20/month


Problem:SupervisionProblem:Supervision

SupervisionSupervision 1.General = overall direction1.General = overall direction 2.Direct = present in office suite2.Direct = present in office suite 3.Personal = in actual room3.Personal = in actual room 4.Psychological = when supervised by a 4.Psychological = when supervised by a

psychologistpsychologist


SupervisionSupervisionProgram Memorandum CarriersProgram Memorandum Carriers

Department of Health and Human Services- HCFADepartment of Health and Human Services- HCFATransmittal b-01-28; April 19, 2001Transmittal b-01-28; April 19, 2001

Levels of SupervisionLevels of Supervision GeneralGeneral

Furnished under overall direction and control, Furnished under overall direction and control, presence is not requiredpresence is not required

DirectDirect Must be present in the office suite and immediately Must be present in the office suite and immediately

available to furnish assistance and direction available to furnish assistance and direction throughout the performance of the procedurethroughout the performance of the procedure

PersonalPersonal Must be in attendance in the room during the Must be in attendance in the room during the

performance of the procedureperformance of the procedure


Problem: Incident toProblem: Incident to Rationale for Incident toRationale for Incident to

Congress intended to provide coverage for services Congress intended to provide coverage for services not typically covered elsewherenot typically covered elsewhere

Definition of Physician ExtenderDefinition of Physician Extender HowHow LimitationsLimitations

Definition of In vs. OutpatientDefinition of In vs. Outpatient Geographic Vs FinancialGeographic Vs Financial

Why No Incident to (DRG)Why No Incident to (DRG) Solution Available for Some Training ProgramsSolution Available for Some Training Programs Probably no Future to Incident toProbably no Future to Incident to


Problem: More Incident toProblem: More Incident to

When is “Incident to” Acceptable:When is “Incident to” Acceptable: Testing Testing Cognitive Rehabilitation; BiofeedbackCognitive Rehabilitation; Biofeedback PsychotherapyPsychotherapy

DefinitionDefinition Commonly furnished serviceCommonly furnished service Integral, though incidental to psychologistIntegral, though incidental to psychologist Performed under the supervisionPerformed under the supervision Either furnished without charge or as part of Either furnished without charge or as part of

the psychologist’s chargethe psychologist’s charge


Difference Between Difference Between Supervision and “Incident to”Supervision and “Incident to”

SupervisionSupervision Applies to whether and Applies to whether and

how a “physician” how a “physician” oversees the work of oversees the work of ancillary personnelancillary personnel

A A clinicalclinical concept concept Can occur at any level Can occur at any level

of supervision (from of supervision (from general to personal)general to personal)

““Incident to”Incident to” Applies when billing for Applies when billing for

services supervised by services supervised by a “physician”a “physician”

An An economiceconomic concept concept Can only occur when Can only occur when

supervision is “direct” supervision is “direct” (i.e., in the same office (i.e., in the same office suite)suite)

Note: no “incident to” in Note: no “incident to” in inpatient settings for inpatient settings for MedicareMedicare


Problem: Face-to-FaceProblem: Face-to-Face

ImplicationsImplications Technical versus Professional Technical versus Professional

ServicesServices Surgery is the Foundation for CPT Surgery is the Foundation for CPT

(and most work is face-to-face)(and most work is face-to-face) Hard to Document & Trace Non-Face-Hard to Document & Trace Non-Face-

to-Face Workto-Face Work


Problem: Work ValueProblem: Work Value

Physician Activities (e.g., Physician Activities (e.g., Psychotherapy) Result in Work ValuesPsychotherapy) Result in Work Values

Psychological Based Activities (i.e., Psychological Based Activities (i.e., Testing) Have Testing) Have nono Work Values Work Values

RVUs are Heavily Based on Practice RVUs are Heavily Based on Practice Expenses (which are being reduced)Expenses (which are being reduced)

Net Result = Maybe Up to a Half LowerNet Result = Maybe Up to a Half Lower


Problem:Problem:An Artificial Practice An Artificial Practice

ExpenseExpense Five Year ReviewsFive Year Reviews Prior MethodologyPrior Methodology Current MethodologyCurrent Methodology Current Value = approximately 1.5 of 1.75 Current Value = approximately 1.5 of 1.75

is practice expenseis practice expense Deadline for New Practice Expense = 11.04Deadline for New Practice Expense = 11.04

New numbers recently submittedNew numbers recently submitted Expected Value = closer to 50% of total Expected Value = closer to 50% of total

value value at bestat best


Continued Expansion of AuditsContinued Expansion of Audits(Office of Inspector General; Red Book)(Office of Inspector General; Red Book)

Increase from Last YearIncrease from Last Year Requested records 124, 379 timesRequested records 124, 379 times Increase activity has resulted in outsourcing of auditing Increase activity has resulted in outsourcing of auditing

servicesservices Major Applicable Areas Major Applicable Areas

Psychological and Neuropsychological TestingPsychological and Neuropsychological Testing Individual PractitionersIndividual Practitioners Skilled Nursing FacilitiesSkilled Nursing Facilities In Institutions, supervision and “incident to”In Institutions, supervision and “incident to”

Primary Issues of ConcernPrimary Issues of Concern Medical NecessityMedical Necessity DocumentationDocumentation


Resources Resources (continued)(continued)

LMRP Reconsideration ProcessLMRP Reconsideration Process www.cms.gov/manuals/pm_trans/R28PIM.pdfwww.cms.gov/manuals/pm_trans/R28PIM.pdf

Coding Web SitesCoding Web Sites www.aapcnatl.orgwww.aapcnatl.org (academy of coders) (academy of coders) www.ntis.gov/product/correct-codingwww.ntis.gov/product/correct-coding (coding edits) (coding edits)

Compliance Web SitesCompliance Web Sites www.apa.orgwww.apa.org (psychologists & hipaa) (psychologists & hipaa) www.cms.hhs.gov/hipaawww.cms.hhs.gov/hipaa. (hipaa). (hipaa) www.hcca-info.orgwww.hcca-info.org (health care compliance assoc.) (health care compliance assoc.)

Documents

APA SLC 2005 Recent Changes in Coding and Related Issues American Psychological Association American Psychological Association State Leadership Conference