| cpt code for case management behavioral health: The Social Determinants of Mental Health Michael T. Compton, Ruth S. Shim, 2015-04-01 The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the take-away messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a Call to Action, offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health. |
| cpt code for case management behavioral health: ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) Department Of Health And Human Services, 2020-09-06 These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated. |
| cpt code for case management behavioral health: CDT 2021 American Dental Association, 2020-09-08 To find the most current and correct codes, dentists and their dental teams can trust CDT 2021: Current Dental Terminology, developed by the ADA, the official source for CDT codes. 2021 code changes include 28 new codes, 7 revised codes, and 4 deleted codes. CDT 2021 contains new codes for counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use, including vaping; medicament application for the prevention of caries; image captures done through teledentistry by a licensed practitioner to forward to another dentist for interpretation; testing to identify patients who may be infected with SARS-CoV-2 (aka COVID-19). CDT codes are developed by the ADA and are the only HIPAA-recognized code set for dentistry. CDT 2021 codes go into effect on January 1, 2021. -- American Dental Association |
| cpt code for case management behavioral health: HIV Psychiatry James A. Bourgeois, Mary Ann Adler Cohen, Getrude Makurumidze, 2021-11-18 This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS. |
| cpt code for case management behavioral health: The Animal Doctor Tayo Amoz, 2008 |
| cpt code for case management behavioral health: Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Board on Health Care Services, Forum on Mental Health and Substance Use Disorders, 2021-01-30 Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars. |
| cpt code for case management behavioral health: Definition of Serious and Complex Medical Conditions Institute of Medicine, Committee on Serious and Complex Medical Conditions, 1999-10-19 In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients. |
| cpt code for case management behavioral health: Gareth and Lynette Lancelot and Elaine the Passing of Arthur Houghton Mifflin Company, 2019-03-16 This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. |
| cpt code for case management behavioral health: The Future of Nursing 2020-2030 National Academies of Sciences Engineering and Medicine, Committee on the Future of Nursing 2020-2030, 2021-09-30 The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report. |
| cpt code for case management behavioral health: Cancer Care for the Whole Patient Institute of Medicine, Board on Health Care Services, Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting, 2008-03-19 Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met. |
| cpt code for case management behavioral health: Evaluation of the Department of Veterans Affairs Mental Health Services National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee to Evaluate the Department of Veterans Affairs Mental Health Services, 2018-03-29 Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€related outcomesâ€in particular, suicideâ€at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services. |
| cpt code for case management behavioral health: Current Procedural Terminology , 1966 |
| cpt code for case management behavioral health: Psychiatric Rehabilitation Programs Marianne D. Farkas, William Alan Anthony, 1989 Seven contributions present recent advances in psychiatric rehabilitation practice and the ways they are being translated into program services. Areas covered: approach and programs, housing, vocational rehabilitation, education, mental health programs, supports, the future. Name index only. Annotation copyrighted by Book News, Inc., Portland, OR |
| cpt code for case management behavioral health: Diagnostic Interviewing Daniel L. Segal, Michel Hersen, 2009-12-15 This volume represents a clear, jargon-free overview of diagnostic categories with helpful hints regarding a psychiatric interview. Completely revised and updated, detailing current innovations in theory and practice, including recent changes in the DSM-IV. |
| cpt code for case management behavioral health: CPT Professional 2019 American Medical Association, 2018-09-25 CPT(R) 2019 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. |
| cpt code for case management behavioral health: CPT 2017 Professional Edition American Medical Association, 2016-09 This is the only CPT codebook with official CPT coding rules and guidelines developed by the CPT editorial panel. The 2017 edition covers hundreds of code, guideline, and text changes. In addition to the most comprehensive updates to the CPT code set, this edition...includes notable changes to these subsections: cardiovascular system, mammography, moderate sedation, musculoskeletal, pathology and laboratory, physical medicine, prolonged services, radiation oncology, respratory system, synchronous telemedicine services and vaccines. Exclusive features include procedural and anatomical illustrations; clinical examples of the CPT codes for E/M services; and updated citations. -- back cover. |
| cpt code for case management behavioral health: The Medicare Handbook , 1988 |
| cpt code for case management behavioral health: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. |
| cpt code for case management behavioral health: Implantable Drug Delivery Systems Urban Laffer, Irène Bachmann-Mettler, Urs Metzger, 1991 |
| cpt code for case management behavioral health: Occupational Therapy Practice Framework: Domain and Process Aota, 2014 As occupational therapy celebrates its centennial in 2017, attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal. |
| cpt code for case management behavioral health: Score Higher on the UCAT Kaplan Test Prep, 2020-04-07 The Expert Guide from Kaplan for 2021 entry One test stands between you and a place at the medical school of your dreams: the UCAT. With 1,500 questions, test-like practice exams, a question bank, and online test updates, Kaplan’s Score Higher on the UCAT, sixth edition, will help build your confidence and make sure you achieve a high score. We know it's crucial that you go into your UCAT exam equipped with the most up-to-date information available. Score Higher on the UCAT comes with access to additional online resources, including any recent exam changes, hundreds of questions, an online question bank, and a mock online test with full worked answers to ensure that there are no surprises waiting for you on test day. The Most Practice 1,500 questions in the book and online—more than any other UCAT book Three full-length tests: one mock online test to help you practise for speed and accuracy in a test-like interface, and two tests with worked answers in the book Online question bank to fine-tune and master your performance on specific question types Expert Guidance The authors of Score Higher on the UCAT have helped thousands of students prepare for the exam. They offer invaluable tips and strategies for every section of the test, helping you to avoid the common pitfalls that trip up other UCAT students. We invented test preparation—Kaplan (www.kaptest.co.uk) has been helping students for 80 years. Our proven strategies have helped legions of students achieve their dreams. |
| cpt code for case management behavioral health: The Social Transformation of American Medicine Paul Starr, 1982 Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. The definitive social history of the medical profession in America....A monumental achievement.—H. Jack Geiger, M.D., New York Times Book Review |
| cpt code for case management behavioral health: You Need Help! Mark S Komrad, 2012-07-31 If you feel that a friend or loved one has a problem and needs professional help, this step-by-step guide will give you the tools to approach, engage, and support him or her. Just about everyone knows a relative, friend, or coworker who is exhibiting signs of emotional or behavioral turmoil. Yet figuring out how to reach out to that person can feel insurmountable. We know it is the right thing to do, yet many of us hesitate to take action out of fear of conflict, hurt feelings, or damaging the relationship. Through a rich combination of user-friendly tools and real-life stories, Mark S. Komrad, MD, offers step-by-step guidance and support as you take the courageous step of helping a friend who might not even recognize that he or she is in need. He guides you in developing a strong course of action, starting by determining when professional help is needed, then moves you through the steps of picking the right time, making the first approach, gathering allies, selecting the right professional, and supporting friends or relatives as they go through the necessary therapeutic process to resolve their problems. Included are scripts based on Komrad’s work with his own patients, designed to help you anticipate next steps and arm you with the tools to respond constructively and compassionately. You will also find the guidance and information needed to understand mental illness and get past the stigma still associated with it, so you can engage and support your loved one with insight and compassion in his or her journey toward emotional stability and health. |
| cpt code for case management behavioral health: Long Term Care Services in the United States: 2013 Overview National Center for Health Statistics, 2014-03 Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers. |
| cpt code for case management behavioral health: CPT Professional 2020 American Medical Association, 2019-09-23 This AMA-authored resource helps health care professionals correctly report and bill medical procedures and services. |
| cpt code for case management behavioral health: Step-By-Step Medical Coding, 2017 Edition Carol J. Buck, 2016-12-06 Resource ordered for the Health Information Technology program 105301. |
| cpt code for case management behavioral health: COLLABORATE(R) for Professional Case Management Teresa Treiger, Ellen Fink-Samnick, 2015-04-15 This book is about the progressive improvement of case management beyond that which it exists to that of a practice specialty focused on professionalism and collegiality across all practice settings. Our desire to produce a framework for such practice began when we connected several years ago. It was a result of a dialogue; the sharing of our stories and experiences. Separately, we were already passionate about and committed to case management excellence. Together, our vision coalesced to form this competency-based framework for advancing case management captured by an acronym which defined the essence of professional practice---COLLABORATE. We spent hours discussing the implications of a perceived epidemic involving less than productive interactions between individuals working under the title of case manager with consumers, providers, and clinical colleagues. These accumulated experiences heightened our commitment to lead much-needed change. Our conversation endured over many months as we realized a shared: Respect for case management’s rich heritage in healthcare, across professional disciplines and practice settings; Concern for those factors which devalue case management’s professional standing; Agreement that while the practice of case management transcends many representative professional disciplines and educational levels, each stakeholder continues to cling to their respective stake in the ground; and Belief of the importance for case management to move from advanced practice to profession once and for all. COLLABORATE was borne from a vision; the mandate to solidify a foundation for case management practice which combines unique action-oriented competencies, transcends professional disciplines, crosses over practice settings, and recognizes educational levels. The ultimate focus is on improving the client’s health care experience through the promotion of effective transdisciplinary collaboration. COLLABORATE recognizes the hierarchy of competencies and practice behaviors defined by the educational levels of all professionals engaged; associate, bachelors, masters and doctoral degrees across practice disciplines. Through this approach, every qualified health and human service professional has a valued place setting at case management’s ever-expanding table. Each of the competencies are presented as mutually exclusive and uniquely defined however, all are complementary and call on the practitioner to conduct work processes in a wholly integrated manner. While appearing in order for the acronym’s sake, they are not necessarily sequential. Ultimately, case management is an iterative process. When united in a comprehensive and strategic effort, the COLLABORATE competencies comprise a purpose-driven, powerful case management paradigm. The agility of this model extends to use of key concepts that include both action-oriented verbs and nouns, which are significant elements in any professional case management endeavor. To date, case management practice models have been driven by care setting and/or business priorities. Unfortunately, this exclusivity has contributed to a lack of practice consistency due to shifting organizational and regulatory priorities. However, this is only one reason for a fragmented case management identity. COLLABORATE recognizes and leverages these important influencers as critical to successful practice and quality client outcomes. Interprofessional education and teamwork are beginning to emerge as the means to facilitate relationship-building in the workplace. Through this approach, health care practitioners absorb the theoretical underpinning of intentionally work together in a mutually respectful manner which acknowledges the value of expertise of each care team stakeholder. This educational approach provides the opportunity to engage in clinical practice that incorporates the professional standards to which we hold ourselves accountable Innovative and emerging care coordination models, defined by evidence-based initiatives, appear across the industry. Each promotes attention to interprofessional practice in order to achieve quality patient-centered care. Herein lies an opportunity to demonstrate the value drawn from diverse expertise of case managers comprising the collective workforce. However a critical prefacing stage of this endeavor involves defining a core practice paradigm highlighting case management as a profession. The diverse and complex nature of population health mandates that case management intervene from an interprofessional and collaborative stance. While inherent value is derived from the variety of disciplines, this advanced model unifies case management’s unique identity. Now is the time to define and adopt a competence-based model for professional case management. COLLABORATE provides this framework. This text is presented in four sections: Section 1: Historical validation of why this practice paradigm is critical for case management to advance to a profession; Section 2: Presentation of the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; Section 3: Practical application of the book’s content for use by the individual case manager and at the organizational level; and The Epilogue: Summarizes the COLLABORATE approach in a forward-looking context. For the reader with limited time, reviewing Section 2 provides the substantive meat associated with each of the competencies. Our ultimate desire is that the COLLABORATE approach provides an impetus for all stakeholders (e.g., practitioners, educational institutions, professional organizations) to take the necessary steps toward unified practice in order to facilitate the transition of case management considered as a task-driven job to its recognition as being a purpose-driven profession. The book provides a historical validation of why this new practice paradigm is critical for case management to advance as a profession; presents the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; and covers the practical application of the book’s content by individual case managers, and at the organizational level. |
| cpt code for case management behavioral health: Health Care Facilities Code Handbook National Fire Protection Association, 2017-12-22 |
| cpt code for case management behavioral health: ICD-10-CM 2021: The Complete Official Codebook with Guidelines American Medical Association, 2020-09-20 ICD-10-CM 2021: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2021 are bound into this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2021 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes. |
| cpt code for case management behavioral health: ICD-10-CM 2022 the Complete Official Codebook with Guidelines American Medical Association, 2021-09-20 ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes. |
| cpt code for case management behavioral health: DC: 0-5 , 2016-11-01 |
| cpt code for case management behavioral health: CPT Changes American Medical Association, 2013-11 Written by the creator of the CPT(R) code set, CPT(R) Changes 2014: An Insider's View helps health care practitioners stay current on CPT changes. Organized in the same manner as the CPT codebook, this guide provides the official AMA rationales for every added, revised and deleted CPT code and guideline. This edition will provide explanation for changes in the following areas of the 2014 code set: Molecular Pathology, Digestive System, Cardiovascular System, Complex Chronic Care Coordination Services, Transitional Care Management Services and Appendix C. CPT Changes 2014: An Insider's View helps health care providers stay current on annual CPT updates. It includes information and rationale on: CPT code and guideline additionsCPT code and guideline deletionsCPT code and guideline revisions |
| cpt code for case management behavioral health: Principles of CPT Coding American Medical Association, 2017 The newest edition of this best-selling educational resource contains the essential information needed to understand all sections of the CPT codebook but now boasts inclusion of multiple new chapters and a significant redesign. The ninth edition of Principles of CPT(R) Coding is now arranged into two parts: - CPT and HCPCS coding - An overview of documentation, insurance, and reimbursement principles Part 1 provides a comprehensive and in-depth guide for proper application of service and procedure codes and modifiers for which this book is known and trusted. A staple of each edition of this book, these revised chapters detail the latest updates and nuances particular to individual code sections and proper code selection. Part 2 consists of new chapters that explain the connection between and application of accurate coding, NCCI edits, and HIPAA regulations to documentation, payment, insurance, and fraud and abuse avoidance. The new full-color design offers readers of the illustrated ninth edition a more engaging and far better educational experience. Features and Benefits - New content! New chapters covering documentation, NCCI edits, HIPAA, payment, insurance, and fraud and abuse principles build the reader's awareness of these inter-related and interconnected concepts with coding. - New learning and design features -- Vocabulary terms highlighted within the text and defined within the margins that conveniently aid readers in strengthening their understanding of medical terminology -- Advice/Alert Notes that highlight important information, exceptions, salient advice, cautionary advice regarding CMS, NCCI edits, and/or payer practices -- Call outs to Clinical Examples that are reminiscent of what is found in the AMA publications CPT(R) Assistant, CPT(R) Changes, and CPT(R) Case Studies -- Case Examples peppered throughout the chapters that can lead to valuable class discussions and help build understanding of critical concepts -- Code call outs within the margins that detail a code description -- Full-color photos and illustrations that orient readers to the concepts being discussed -- Single-column layout for ease of reading and note-taking within the margins -- Exercises that are Internet-based or linked to use of the AMA CPT(R) QuickRef app that encourage active participation and develop coding skills -- Hands-on coding exercises that are based on real-life case studies |
| cpt code for case management behavioral health: Understanding the Behavioral Healthcare Crisis Nicholas A. Cummings, William T. O'Donohue, 2012-03-29 Understanding the Behavioral Healthcare Crisis is a necessary book, edited and contributed to by a great variety of authors from academia, government, and industry. The book takes a bold look at what reforms are needed in healthcare and provides specific recommendations. Some of the serious concerns about the healthcare system that Cummings, O’Donohue, and their contributors address include access problems, safety problems, costs problems, the uninsured, and problems with efficacy. When students, practitioners, researchers, and policy makers finish reading this book they will have not just a greater idea of what problems still exist in healthcare, but, more importantly, a clearer idea of how to tackle them and provide much-needed reform. |
| cpt code for case management behavioral health: "Code of Massachusetts regulations, 2009" , 2009 Archival snapshot of entire looseleaf Code of Massachusetts Regulations held by the Social Law Library of Massachusetts as of January 2020. |
| cpt code for case management behavioral health: "Code of Massachusetts regulations, 2012" , 2012 Archival snapshot of entire looseleaf Code of Massachusetts Regulations held by the Social Law Library of Massachusetts as of January 2020. |
| cpt code for case management behavioral health: "Code of Massachusetts regulations, 2010" , 2010 Archival snapshot of entire looseleaf Code of Massachusetts Regulations held by the Social Law Library of Massachusetts as of January 2020. |
| cpt code for case management behavioral health: "Code of Massachusetts regulations, 2008" , 2009 Archival snapshot of entire looseleaf Code of Massachusetts Regulations held by the Social Law Library of Massachusetts as of January 2020. |
| cpt code for case management behavioral health: Mastering the Reimbursement Process Joanne M. Waters, 2008 Up-to-date information on proper medical billing reimbursement and the codes, third party payers, and laws that affect it--Provided by publisher. |
| cpt code for case management behavioral health: Integrated Care in Addiction Treatment Philip Hemphill, 2021-11-22 This book emphasizes the importance of integrative care among the healthcare professionals involved in addiction treatment and includes a plan for executing and assessing the success of the system. Drawing on three decades of experience helping practitioners, managers, administrators, and funders understand and implement this treatment, Dr. Hemphill discusses the history and integration of coordinated care, and details how it works in practice from the medical and business perspectives. He outlines a model that encourages the expansion of detection systems and stresses the importance of behavioral health treatment in addiction treatment centers, which can reduce treatment costs and enhance care management. Resources are included for assessing organizational readiness, monitoring outcomes, and suggestions for continuous improvement to ensure a seamless transition, leading to better outcomes, patient engagement, and worker job satisfaction. This book offers innovative solutions that any healthcare professional practicing behavioral health and addiction medicine can utilize to ensure optimal care. |
CPT Code Lookup, CPT® Codes and Search - Codify by AAPC
Aug 19, 2024 · CPT® Codes Lookup Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical …
CPT® (Current Procedural Terminology) | CPT® Codes | AMA
2 days ago · Review the criteria for CPT® Category I, Category II and Category II codes, access applications and read frequently asked questions.
CPT® Codes - American Medical Association
Jun 16, 2025 · Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Here you'll find the AMA's latest updates on new …
CPT - CPT Codes - Current Procedural Terminology - AAPC
CPT is a listing of standardized alphanumeric codes medical coders use to report services. Know all about CPT codes and procedures for medical coding.
CPT® overview and code approval - American Medical Association
2 days ago · The Current Procedural Terminology (CPT®) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline …
Medical Coding & Billing Tools - CPT®, ICD-10, HCPCS Codes …
Online medical coding solutions: Codify by AAPC easy CPT®, HCPCS, & ICD-10 lookup, plus crosswalks, CCI, MPFS, specialty coding publications & webinars.
CPT® 2025 In Review - AAPC Knowledge Center
Dec 2, 2024 · Don’t let these code changes come as a surprise in January. Each year, updates to the CPT® codes are made to reflect advancements in medical procedures Don’t let these …
CPT® coding support with CPT Assistant - American Medical …
Apr 18, 2025 · CPT® Assistant is the official source for CPT coding guidance. This monthly content is an essential resource for medical coding and billing professionals, which offers …
CPT® Code - Modifiers cpt-modifiers - Codify by AAPC
Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Modifiers cpt-modifiers is a medical code set maintained by the American Medical Association.
2023 CPT E/M descriptors and guidelines
This document includes the following CPT E/M changes, effective January 1, 2023: E/M Introductory Guidelines related to Hospital Inpatient and Observation Care Services codes …
CPT Code Lookup, CPT® Codes and Search - Codify by AAPC
Aug 19, 2024 · CPT® Codes Lookup Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical Association …
CPT® (Current Procedural Terminology) | CPT® Codes | AMA
2 days ago · Review the criteria for CPT® Category I, Category II and Category II codes, access applications and read frequently asked questions.
CPT® Codes - American Medical Association
Jun 16, 2025 · Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Here you'll find the AMA's latest updates on new CPT …
CPT - CPT Codes - Current Procedural Terminology - AAPC
CPT is a listing of standardized alphanumeric codes medical coders use to report services. Know all about CPT codes and procedures for medical coding.
CPT® overview and code approval - American Medical Association
2 days ago · The Current Procedural Terminology (CPT®) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline …
Medical Coding & Billing Tools - CPT®, ICD-10, HCPCS Codes
Online medical coding solutions: Codify by AAPC easy CPT®, HCPCS, & ICD-10 lookup, plus crosswalks, CCI, MPFS, specialty coding publications & webinars.
CPT® 2025 In Review - AAPC Knowledge Center
Dec 2, 2024 · Don’t let these code changes come as a surprise in January. Each year, updates to the CPT® codes are made to reflect advancements in medical procedures Don’t let these 2025 …
CPT® coding support with CPT Assistant - American Medical …
Apr 18, 2025 · CPT® Assistant is the official source for CPT coding guidance. This monthly content is an essential resource for medical coding and billing professionals, which offers expert …
CPT® Code - Modifiers cpt-modifiers - Codify by AAPC
Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Modifiers cpt-modifiers is a medical code set maintained by the American Medical Association.
2023 CPT E/M descriptors and guidelines
This document includes the following CPT E/M changes, effective January 1, 2023: E/M Introductory Guidelines related to Hospital Inpatient and Observation Care Services codes 99221-99223, …
