What's Inside
Crystal Stone, PMHNP-BC, FNP-BC, CPMA, CPC, and CPB of New Leaf Billing, Coding, and Auditing Solutions, LLC, conducted an independent content review of this second edition for general alignment with documentation and coding standards.
- Clear breakdowns of time-based and Medical Decision Making (MDM) coding
- Real note examples for E/M 99213, 99214, and 99215
- Quick-reference tables for time thresholds, billing criteria, and documentation requirements
- Step-by-step guidance on combining E/M with 90833 and 90836
- Documentation template you can model in your own practice
- Documenting therapy time on as a distinct billable service
- 2026 Telehealth billing support including modifiers and place-of-service codes
- Treatment plan tie-back examples to strengthen medical necessity
- What auditors and reviewers are looking for and avoid audit red flags
- FAQ addressing common documentation mistakes and billing pitfalls
The Psychotherapy Documentation & Coding Handbook gives you the structure to document what you are already doing, bill accurately for the full scope of your work, and feel confident every time you sign a note.
Whether you are new to therapy-integrated practice or refining your existing workflow, this is the reference you will actually use.