Prescribers now have a new invoice form designed to make billing more compliant and efficient. This structured approach replaces the current free-form CPT selection with guided decision-making. Our updates are designed to eliminate guesswork, reduce rework, and get you paid faster.
Updates to prescribers' invoicing
Video walkthrough
What updates have been made to prescriber invoicing?
A clear, structured workflow will now guide you to the correct CPT code based on time with Medical Decision Making (MDM). The CPT code will automatically generate for you, allowing you to focus less on billing decisions and more on clinical work.
Key details and functionality of guided billing:
Smart Detection: The system identifies new versus established patients and displays only relevant codes.
Service Type Selection: Select whether psychotherapy was provided, which influences billing options.
Guided Assessment: For MDM-based billing, select answers from simple dropdowns for Problem complexity, Data review, and Risk level.
Automatic Calculation: The system applies the CMS "2 of 3" rule to determine the overall MDM level and recommends suitable codes.
Validation Checks: Built-in safeguards prevent common errors before invoice submission.
Why is this change being made?
Evaluation and Management (E&M) billing is complex and driven by complex factors. Building this logic into the invoice enables you to focus on the care provided and MDM assessments and eliminate guesswork when selecting CPT codes.
Why can't I manually select my CPT code anymore?
This update has built-in guardrails to reduce the likelihood of errors and reduce time spent on manual CPT code selection.
How is a CPT code generated?
The CPT code is generated by the system that looks for the following:
If the client is a new or existing patient.
If psychotherapy is present, MDM billing must be used for code selection.
If no psychotherapy is provided, billing can be generated based on time with MDM or Psychiatric Diagnostic Evaluation with Medical Services.
Updating codes
How do I change the psychotherapy code?
To change the psychotherapy add-on code, the actual time in session must be long enough to contain the psychotherapy time by 1+ minute. The length of time spent on psychotherapy services must be determined or adjusted during the documentation process.
You can adjust the total time spent on psychotherapy services within the "Interventions" section of your notes, as seen below.
To make edits to your notes from the invoicing screen, select the back arrow icon in the upper left to return to your notes.
What if I'm using off-platform notes and selecting 'skip note'?
If you are using the 'skip note' function, you'll need to manually enter psychotherapy time on the invoice to bill a psychotherapy code.
How do I change the E/M code?
To update the E/M code, you must adjust the levels of MDM (Problem complexity, Data review, and Risk level) or time in session from the "Invoice Details" section.
Troubleshooting
What if I disagree with the CPT code that was selected?
Prescribers can be confident that the system strictly adheres to CMS guidelines. If you need additional assistance:
Review your MDM selections against Medical Decision-Making for Prescribers.
Watch Crack the Code: CPT Billing Essentials for Outpatient Psychiatry, a free webinar hosted by Grow's Clinical team in the Grow Community.
If you believe there's a system error, contact the Provider Support teams using the Help Widget in your Provider Portal. An agent can help you investigate the issue.