The coding and billing for this service is more complex than a basic visit, especially if you want to maximize revenue from testing.
Neuropsychology testing involves the evaluation of cognitive and behavioral functions such as attention, memory, language, problem-solving, and decision-making. These assessments are typically administered by a licensed neuropsychologist and can be used to diagnose conditions such as traumatic brain injury, dementia, and ADHD.
When it comes to medical billing for neuropsychology testing, there are a few key considerations to keep in mind.
First, specific codes must be used to accurately bill for these services. For one test to be completed, there could be as many as 7 different codes billed. These codes describe the length and complexity of the evaluation, as well as whether the testing was done with a computerized device, if a technician was present, and how long it took to interpret the results.
Another important consideration is the role of insurance coverage. Many insurance plans will cover some or all of the cost of neuropsychology testing, particularly if it is deemed medically necessary. When it comes to billing the testing, you have to know whether to send it to medical insurance or the behavioral health insurance. Navigating the various insurance rules and requirements can be a time-consuming process, unless you work with a medical billing team that has experience doing this type of billing.
To maximize reimbursement for neuropsychology testing services, healthcare providers may need to obtain authorization for the testing before administering it. It is also important to ensure that they have accurate documentation of the tests administered, the reasons for the testing, and the results. This documentation should be included in the patient's medical records, and may be requested by insurance companies to support the billing claim.
Additionally, it's important to stay up-to-date on changes to billing codes and regulations, which is something a qualified billing team should be able to do for you.
In general, neuropsychology testing can be an important tool for diagnosing and treating cognitive and behavioral disorders. However, accurate and effective medical billing is essential for healthcare providers who offer these services. By staying informed and organized, healthcare providers can ensure that they are providing high-quality care to their patients while also being reimbursed fairly for their services.
At Priority Medical Billing, we have been billing Neuropsychology testing for over 10 years now and we pride ourselves in maximizing revenue from these tests through working with our providers to ensure they are being billed accurately.
If you believe you should be making more from offering neuropsychology testing or if you are not sure how to approach the billing, reach out to us at email@example.com and we would love to help you out!