NaviNet is a free, Internet-based application for providers to streamline data exchanges between their offices and Highmark. The waiver of Highmark member cost-sharing for in-network telehealth visits is effective for electrolysis amerigroup of service from March 13 international claims June 30, Please carefully read and follow the instructions contained within the individual form for submission. Health Options Provider Manual. Medical Policy Medical Policy. This partnership is instrumental in bringing a personalized care transitions approach to support Highmark's Medicare Advantage members across Pennsylvania and West Virginia. Contact Us.
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The goal is to evenly apply the screening process to as many patients as possible in order to identify the largest number of individuals suffering from mental health issues. Once the potential for a mental health condition has been established by either screening or the presence of a comorbid condition, testing is used to determine the presence or absence of that mental health condition.
Note specifically that this code requires that at least 2 tests are administered and that they may be administered using any method. This could be paper, verbal, or electronic.
To qualify as 30 minutes, when billing CPT or CPT , the time must be a minimum of 16 minutes, and includes the total time administering and scoring the test. Note specifically that this code is for use with a single automated instrument via electronic platform, with automated result only. Note specifically that this code requires documentation on the report, clinical decision making, treatment plan, and interactive feedback with the patient etc.
To qualify as 1 hour, when billing CPT or CPT , the time must be a minimum of 31 minutes, and includes the total time integrating, interpreting, and discussing results, not just face-to-face time with the patient. By taking the time to deal with mental health, we will start to see not only an impact on the quality of lives of patients, but also a drastic reduction in the overall cost of medicine.
As of July 1, certain insurances will no longer allow testing comprised solely of brief symptom inventories or screening tests paper and pencil or computerized to qualify as comprehensive psychological testing. As of January CMS will allow for the billing of , , and with telemedicine , including audio only, through Independent Educational Evaluation: An individual from preschool through high school may benefit from an Independent Educational Evaluation that will provide documentation of educational needs and recommendations for instructional strategies.
Patients may be in an academic school program, or one designed for children with developmental disabilities. Evaluations consist of administration of comprehensive standardized and criterion-referenced assessments that are designed to provide a learning profile. Results allow us to identify what is contributing to school problems and provide suggestions for effective instructional methods and strategies. Evaluations include review of any pertinent records the family provides, consultations with other evaluators at KKI for the same patient, and a comprehensive written report.
An Educational Consultation does not include an evaluation of the child. A summary report of the consultation with recommendations is provided. View All Results Close search.