Introduction to the 2020 Health Behavior Assessment and ...
Getting Reimbursed:
Updates on Billing and Documentation for Health Behavior Assessment & Intervention (HBAI) Services in 2020
Stephen Gillaspy, PhD
APA Senior Director of Health Care Financing
Meghann Dugan-Haas
APA Coding & Payment Policy Officer
American Psychological Association Services, Inc.
November 2019
Objectives
Understand the H&B code set review & revision process Introduce the 2020 Health Behavior Assessment and Intervention
Services
o Review of the new CPT? codes, descriptions, and coding structure o Explanation of how the existing codes crosswalk to the new codes
Apply the new codes using clinical examples Review coding guidelines, payment policies and reimbursement
values
2
Introduction to the 2020 Health Behavior Assessment
and Intervention (HBAI) CPT? Code Family
Stephen Gillaspy, PhD Meghann Dugan-Haas
32
HBAI Services
? Used to identify and address the psychological, behavioral, emotional, cognitive, and interpersonal factors important to the assessment, treatment, or management of physical health problems.
? Patient's primary diagnosis is physical in nature.
? Assessment and intervention focused on factors complicating medical conditions and treatments.
4
Health Behavior Assessment
? Includes evaluation of the patient's responses to disease, illness or injury, outlook, coping strategies, motivation, and adherence to medical treatment.
? Conducted though completion of three (3) required elements: ? Health-focused clinical interview; ? Behavioral observation; and ? Clinical decision making.
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