What is it about?
This paper reviews the use of the testing codes for neuropsychological services as well as issues involved when technicians and students are utilized. Issues covered include Medicare Fraud and billing. There has been some confusion in the professional community due to differences between the American Medical Association's interpretation of the codes developed by the CPT Committee and the interpretation and implementation by CMS and Medicare carriers.
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Why is it important?
This commentary will help clarify why there are differences in reported interpretations and suggestions among professionals. Understanding these differences and the proper coding is necessary to avoid accusations of Medicare fraud that may arise from misunderstanding correct procedures.
Perspectives
It is hoped that this paper will help fellow professionals understand why there has been confusion in the field. Additionally, it is hoped that professionals will understand that ultimately each payor will have their requirements for billing procedures involving technicians, and it is important to understand those contractual requirements.
Leslie Rosenstein
UT Southwestern
Read the Original
This page is a summary of: Commentary on the use of 96119 in billing for neuropsychological services, The Clinical Neuropsychologist, May 2017, Taylor & Francis,
DOI: 10.1080/13854046.2017.1329459.
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