Choosing the right CPT/HCPCS billing code and ensuring that clinical documentation is adequate to support it are complex components of mental health care. Many new and soon-to-be PMHNPs report feeling ill-prepared for the administrative components of understanding, choosing, and reporting billing codes for client encounters.
In this book, I discuss the most common billing codes used by PMHNPs, introduce my seven-step process to grasp the decision-making process of choosing a billing code, and provides examples of documentation.
If you've ever asked
"How can I write more efficiently? How can I be sure I record enough information? What if there is a subpoena or audit in the future? Does my documentation meet coding and billing standards? Which codes should I choose based on what you charted?"
... then this book is for you.
If you feel like you spend more time documenting your work than performing it and you still wonder if your charting is sufficient for billing purposes, I wrote this book specifically for you to address questions about adequate charting, evaluate content of notes as they relate to billing requirements, break down the SOAP note format into an easy-to-apply format that works for every client interaction, and share time-saving tips.