billing and coding..
1) Can you use 99213/99214 E&M code and use add-on 90833 psychotherapy code for a 20 minute f/u visit?
2) Can you use 99204/99205 E&M code for a 60 min new eval and also use 90838 psychotherapy code since you are seeing the patient >53 face-to-face? (or use 90836 if the visit ends somewhere around 38-52 min...?)
Thanks for all the experts on the coding and billing subject..! (Source: Student Doctor Network)
Source: Student Doctor Network - March 22, 2022 Category: Universities & Medical Training Authors: justordinary Tags: Psychiatry Source Type: forums
Income expectations?
I’m an employed psychiatrist. I work for a hospital system that thus far has been really good to me. About a year ago I asked to expand my psychotherapy patients from a handful to half of my practice. They agreed. Since this time, a few nps have left and they are starting to make statements about improving access that give me the impression they might ask me to forgo therapy to see more patients. I can’t go back to that model full time. I love practicing psychotherapy and feel passionate...
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Source: Student Doctor Network - March 8, 2022 Category: Universities & Medical Training Authors: Attending1985 Tags: Psychiatry Source Type: forums
general psychologist typical work week
So looking at my geographic area, it says the average salary is $97,350 a year translating to $45 an hour. Which adds up to 41 hours a week assuming no vacation (becomes 45 hours a week with 4 weeks vacation). I'm trying to figure out how these numbers come to be? But also, time and work is precious and I'd like to see first hand what typical work weeks you see. This is for say, providing general psychotherapy 1:1 to an adult population. Like, is it 28 therapy sessions a week and rest of...
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Source: Student Doctor Network - March 4, 2022 Category: Universities & Medical Training Authors: randomdoc1 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Emory vs Michigan vs UNC vs Utah
Hey y'all,
Struggling a bit with ranking these four programs and would be grateful for some help. I love all that Emory has to offer regarding diversity of training and psychotherapy but am not as excited about living in Atlanta. On the other hand, living in Salt Lake City would be a dream and I loved Utah's program, but am concerned by the psychotherapy training and diversity of training in general.
Psych Interests:
- med ed stuff
- psychotherapy (can see myself doing further...
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Source: Student Doctor Network - February 2, 2022 Category: Universities & Medical Training Authors: P1doc Tags: Psychiatry Source Type: forums
How to approach pre-clinical years for Psych?
I'm going to be starting my first year this fall at a D.O. school and just wanted to get a sense of how to approach my interest in psychiatry. I have been working as a guardian advocate at a local mental health facility where I get to see some of the psychotherapy and clinical aspects of psych, and I really find it interesting and something I might want to pursue. I think last year only 74% of D.O.'s got to match psych, but it was 85% in 2020. While I know that many end up changing their...
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Source: Student Doctor Network - January 27, 2022 Category: Universities & Medical Training Authors: Sidus1011 Tags: Medical Students (DO) Source Type: forums
What is a skill residency didn't prepare you well on for your career and one that did?
When trying to rank my programs, I realized each program was unique, either with more psychotherapy or neuro based, different variety of populations, different experts, ect.
So what skillset from residency did you wish you learned from residency, and what skillset did the residency program teach you that was valuable to your practice/job/outside of work? (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: Beedoc Tags: Psychiatry Source Type: forums
The psychotherapy subreddit has gone Private. What are everyone ’s thoughts on this?
r/psychotherapy is now Private as of about 3 months ago. In order to obtain membership, you must be a licensed and practicing professional. The application process requires you to submit a photocopy of your ID, psychotherapy license, and your graduate school transcripts in order to obtain access.
What are your thoughts about one of the major public online spaces for therapist discussion going this route?
Personally, I am quite upset. I have been licensed for 4 years now as a Clinical...
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Source: Student Doctor Network - January 3, 2022 Category: Universities & Medical Training Authors: Groupthink Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Cornell versus MGH for psychiatry training
Hi guys, I am trying to build my psychiatry residency rank list right now. Cornell and MGH are both at the top of my list. I think both would have strong opportunities for psychotherapy training which is important to me, as well as opportunities for mentorship in my areas of interest.
I would really like to live in NYC both for the diverse patient population and because it seems like a great city to experience, especially for a defined time of the four years of residency. However I am...
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Source: Student Doctor Network - December 30, 2021 Category: Universities & Medical Training Authors: saxboychair1 Tags: Psychiatry Source Type: forums
Notes not individualized enough - 90833
A friend of mine is having problems with Blue-cross paying for 90833. He is providing supportive psychotherapy
and documenting as such
but they have been telling him the notes are not individualized enough . He is at a loss to understand what this means.
Is the insurance company dictating what type of notes the psychiatrist writes? Does any one else have a similar problem? (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2021 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums
Patient vs Client: Democratization or Corporatization of Psychiatry
I had been listening to some interesting talks about the corporatization of education in America and universities starting to model their education system after businesses and the corporate structure. The guy mentioned that some universities had started to think about calling students "clients" instead. I searched a bit and found this article which made some interesting points:
4 Reasons to Say 'Patient' Instead of 'Client' — Mark Ettensohn, Psy.D.
It's an unspoken rule that we don't treat patients ...
Source: Student Doctor Network - September 11, 2021 Category: Universities & Medical Training Authors: Psychic Meep Tags: Psychiatry Source Type: forums
Contract renegotiation opinion/input
Working with a specialized psychotherapy practice on a 1099 basis. Currently getting admin assistance in screening and getting paperwork done for new clients, scheduling new appointments, and generation of some kinds of paperwork (ROIs etc). Got assistance with credentialling and they handle billing the one insurance I take. Doing prior auths myself. No benefits otherwise. Currently on a 70/30 split. I've posted revenue numbers before, but so far working three days a week generating revenue...
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Source: Student Doctor Network - July 28, 2021 Category: Universities & Medical Training Authors: clausewitz2 Tags: Psychiatry Source Type: forums
Psychotherapy paper work
Psy.D Student wondering about Psychotherapy session/ any session paper work.
Currently I am in the State of Cali. and I really can't remember the paper work steps. I know Intake is First, but during the session is when we do progress notes right ? I feel like I am over thinking this , can someone please list out the steps for beginning a session, during and after session paper work. Or even point me in the right direction of a video showing the types of paper work that needs to be completed...
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Source: Student Doctor Network - July 9, 2021 Category: Universities & Medical Training Authors: Creative-thinker Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Psyd in School Psychology or Counseling Psychology -
Hello All,
Thank you in advance for your responses.
I have been accepted to Rutgers University’s School PsyD Program and Felician University’s Counseling Psychology PsyD. Program.
I am choosing to pursue a doctorate to conduct neuropsychological testing, but am also interested in conducting psychotherapy.
Does it matter which degree path I choose if I plan to work in private practice? Long term goals are to start an Article 16 clinic in NY - providing services for people with...
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Source: Student Doctor Network - May 23, 2021 Category: Universities & Medical Training Authors: psychologist3811 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Seroquel for Anxiety?
Hello. I need help with figuring out this choice of medications.
Patient is a ~35 yo M with no PMH, including no psychiatric history being seen in an IOP setting. He was referred by his employer for mild anxiety symptoms which appear performance type social anxiety. He has since starting receiving psychotherapy. The patient was also initially offered Seroquel (only) but was eventually started on Lexapro 5 mg. 4 days after starting treatment the attending psychiatrist commented if he wanted...
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Source: Student Doctor Network - March 24, 2021 Category: Universities & Medical Training Authors: PhuturePsychMD Tags: Psychiatry Source Type: forums
Clinical Differences Between Psychologist and Psychiatrist
As the title states, I'm wondering about any differences there might be between psychiatrists and psychologists as it relates to their respective capacities for clinical work. Are there types of mental illnesses that a psychologist can treat that a psychiatrist can't? I know that psychiatrists receive clinical training during their residency, but I also heard they can't treat certain mental illnesses like phobias for example because their clinical psychotherapy training isn't as extensive...
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Source: Student Doctor Network - December 4, 2020 Category: Universities & Medical Training Authors: NicotinePoop Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
