Author Topic: Billing for Psychiatrist  (Read 5256 times)

rdmoore2003

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Re: Billing for Psychiatrist
« Reply #15 on: November 04, 2010, 10:42:03 AM »
In Louisiana, before 2010, a medical psychologist was licensed thru the state board of psychology.  Starting in 2010, now thru state medical board.   My office has the medical psychologist, lpc's, ph.d. interns, and counseling interns.   Under state law, my M.P. does have to coordinate benefits with a primary care provider of each patient that he sees for medication.   It does not require him to contact a psychiatrist.   In our state, there is more psychiatrists than psychologists, however, as stated before, psychiatrists charge a large fee, hand you a Rx, and out the door you go.  All in about 5 minutes.   We continue to have referrals, from our state and other states, that are showing numerouse over medicated patients and over medicated with wrong medications prescribed by psychiatrists and your "general" md's.     One issue in mental health, I find that most do not take any insurance at all, whether psychiatrist or psychologist.   In this economy, who can afford anything......
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Michele

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Re: Billing for Psychiatrist
« Reply #16 on: November 04, 2010, 07:23:23 PM »
I think it's a shame when a patient gets meds but doesn't get counseling.  Unfortunately I have seen this with my own family members.   :'(
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PMRNC

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Re: Billing for Psychiatrist
« Reply #17 on: November 05, 2010, 06:27:12 AM »
One of the thing I have to educate my psychiatrists on is the use of M0064 VS. 90862  especially in nursing home settings. If a psychiatrist is seeing you and doing a simple and quick med check or prescription they should NOT be coding the visit with a 90862!!

Quote
I think it's a shame when a patient gets meds but doesn't get counseling.

I have to disagree, this world is TOO medication happy. Many are under impression there is a mental health provider shortage and I would have agreed with them up to a few years ago, there are many qualified counselor's, psychologists, therapists and psychotherapists, people want the dr in the white coat to prescribe the happy pills.  JMO
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DMK

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Re: Billing for Psychiatrist
« Reply #18 on: November 05, 2010, 10:29:52 AM »
Chiming in with my humble opinion only.  Counseling and lifestyle and diet changes should come first.  Meds should only be used in extreme conditions or as the last resort.  Unfortunately too many people think a pill will fix everything.

Our country is so dependent on anti-depressants (and aren't always getting the right one for them, there are BIG differences between them) and all they do is stop the low lows.  They do NOT bring you up, they are not happy pills, they only keep you from going way down.  Several studies have shown that a 15 minute walk, twice a day, or 30 minutes once a day is as effective as any anti-depressant.  The only down side is you have to get motivated to get up and go walk!

In our practice, everyday we come across people taking a laundry list of drugs and still not feeling any better.  We work with them and their family doctor to east them off the meds, or find more appropriate options.

Pain meds are even worse!  Please remember that pain relievers should not be a way of life!  And if the ones you're taking aren't relieving the pain, try something different!  There are many kinds of pain, and no one pain reliever can do it all!

I don't have any other forum to get this out to as many people as I'd like to, but we have to take control of our own lives and find every way we can to make our lives happy and healthy!!!

JMHO

Dina

rdmoore2003

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Re: Billing for Psychiatrist
« Reply #19 on: November 05, 2010, 02:13:57 PM »
I agree fully.     Our office policy is that a patient must go thru an entire evaluation before the M.P. will even consider doing medication.  He requires drug tests and close collaboration with pain doctors if they are a pain patient.   Also, we require that therapy be part of the treatment plan for medications to be given.    Ex:  evaluation shows severe bipolar d/o and mediation is required.   The patient must complete a weekly therapy visit and 1 monthly medication visit.    To often, we see drug seekers, and those that want a disability check rather than work, manipulators, etc.   A little common sense goes along way.
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Michele

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Re: Billing for Psychiatrist
« Reply #20 on: November 08, 2010, 06:43:51 AM »
Dina,

     AMEN SISTER!  I just wish some of my close family members were on the forum to read that.
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Alice Scott

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Re: Billing for Psychiatrist
« Reply #21 on: November 09, 2010, 04:35:53 AM »
Not me - She's not talking about me!! :o
Alice
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jcbilling

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Re: Billing for Psychiatrist
« Reply #22 on: November 09, 2010, 05:21:04 PM »
LOL!!

Sometimes I think I'm going crazy for choosing this field to work in :)

Alice Scott

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Re: Billing for Psychiatrist
« Reply #23 on: November 10, 2010, 04:32:10 AM »
I've always said that people in the mental health field are drawn to it for a reason. ;)
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rdmoore2003

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Re: Billing for Psychiatrist
« Reply #24 on: November 10, 2010, 02:35:04 PM »
lol    yeah it takes one to know one  ;D
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QueenAlicia

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Re: Billing for Psychiatrist
« Reply #25 on: December 31, 2010, 10:10:57 PM »
I am glad I went back started reading some responses. I am thinking about doing mental health billing.  Thanks for all the information.