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August, 2008
Medicare Payments for Part B Mental Health Services
As recommended by the Office of Inspector Generals (OIGs) April 2007
report, this special edition article is being provided to explain
Medicare's guidelines for payment of Part B mental health services
including: qualification requirements for mental health providers;
incident to services; reasonable and necessary services; reasonable
expectation of improvement; general principles of medical record
documentation; documentation guidelines for evaluation and management
(E&M) services involving a general psychiatric examination or the single
system psychiatric examination; and documentation guidelines for
psychiatric diagnostic or evaluative interview procedures, psychiatric
therapeutic procedures, central nervous system assessment, and health and
behavior assessment.
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