The CPT code 90791 can be tricky, so we thought we’d try to clear up any confusion you may have. Here’s what you need to know.
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Being a successful therapist requires communicating the procedures you’ve performed. This is not only important for your clients to know what’s going on, but also necessary when working with insurers, hospitals, and colleagues. To accomplish this, there’s a uniform process for reporting medical services called the CPT® coding system.
The Health Insurance Portability & Accessibility Act (HIPAA) requires healthcare providers to maintain written policies and procedures, which are commonly called a “privacy manual.” The privacy manual governs how your practice safeguards protected health information or in HIPAA-speak “PHI.” Regulators have increasingly targeted smaller practices for HIPAA audits, knowing that they struggle the most with compliance and are less likely to maintain a privacy manual. In fact, the first thing that regulators will do if you’re audited is ask to review your privacy manual. An inability to produce those required policies is itself is a HIPAA violation, which may subject your practice to fines and penalties.
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