Any insight appreciated
I work for a behavioral health practice with multiple facilities that do different things, (general therapy, IOP, residential treatment centers) Before I started they were billing the residential treatment encounters with 99212-99215, the notes read like an outpatient note. When I took over I didn’t notice any issue because of how the notes read. Now I have another person on the billing team telling me we need to be billing like a SNF/NF because she spoke to provider relations? On the phone and in her words “they said wink wink nod nod these codes get paid.” I’m the only coder here so I don’t have anyone to bounce ideas with, I do not agree at all obviously a “wink nod” is not justifiable. This person is stubborn and pushes back on anything I say, I will not attach my name to something I don’t feel comfortable with. Can anyone give me some insight to this before I lose it? Can psych residential treatment centers be billed with snf/nf codes?