decisionhealth Newsletters, Part B News - 2024 Issue 3 (March)
After code switch, psych and neuro tests perform well, with exceptions
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Article Overview
This article examines how psychological and neuropsychological testing claims have performed after the 2019 code changeover, using recent Medicare claims data to compare utilization and denial trends across related services. It is aimed at coders, billing staff, compliance teams, and clinicians who report these services, and it covers broad reporting patterns, relative performance of related code groups, and payer-policy considerations for automated testing.
Why This Topic Matters
Understanding post-change utilization and denial patterns helps practices monitor reimbursement risk, compare performance across related testing services, and identify areas where payer policy review may be important.
What You Will Learn
- How psychological and neuropsychological testing claims have changed since the 2019 code transition
- Which related testing services showed stronger utilization trends and which experienced softer results
- How denial patterns and payer policy issues can affect claims performance for these services
- Why automated testing may require closer review of coverage and diagnosis policies
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Behavioral health providers
- Neuropsychology practices
- Practice managers
Codes Discussed
Code Ranges Discussed
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