This article is for behavioral health hospitals and facilities, child psychiatrists, clinical psychologists, community mental health centers, opioid treatment centers, psychiatrists, and psychiatrist/neurologists.
We recently posted a News Alert for behavioral health providers with updates to the codes you use to bill for central nervous system assessments and tests (including psychological and neuropsychological testing services) that will take effect on January 1, 2019. To read your News Alert, log in and go to News>Claims, Coding, Payment and scroll to the News Alert dated November 30, 2018.
Prior authorization requirements are not changing
Key documents will be updated
We are currently preparing to update our Behavioral Health and Substance Use payment policy and your fee schedule prior to January 1, 2019. Please review these documents prior to billing for services effective January 1, 2019. This will reduce your claim denials and appeals. To view your fee schedule, log in and go to Office Resources>Billing and Reimbursement> Fee schedules.
In addition, the Mass Collaborative will be updating this form:
Familiarize yourself with coding standards
The new CPT codes require that you familiarize yourself with two coding standards:
Important: Your claim submission should reflect the date the service was rendered, rather than bundling all CPT codes on a single date.
Please refer to your professional association’s website and other communications for more information about appropriate coding.