Are You Coding Your Psych Visits Wrong? (A Medical Auditor Answers) No Prior Auth with Crystal Stone

Are you coding your psych visits wrong? Crystal Stone has sat on every side of your insurance claim. She's a double board-certified family and psychiatric NP, an Air Force veteran, and the founder of three businesses in Southern Illinois: an integrated primary care and behavioral health practice, a psychiatric rounding service for nursing facilities, and a billing, coding, and auditing company whose motto deserves a t-shirt. "Professional on Paper. Savage in Appeals." She's also a certified professional coder, biller, and medical auditor, and when she looks at how psych visits get billed, she sees a lot of fraud. Most of it starts as confident advice in a Facebook group. In this one: • The "two chronic illnesses = automatic 99214" myth, and why it's wrong • The 90833 time rule a 20-minute visit can't satisfy • In-network vs. out-of-network billing, explained from zero • Her case against Headway, Alma, and the VC-backed platforms: PHI access, credentialing roadblocks when you leave, reimbursement they can change anytime • Clawbacks, and why your NPI makes you the responsible one no matter who bills • The audit-proof note formula: target, intervention, response, progress, plan, time • Where audit risk really comes from • Her story: the Air Force, the ADHD diagnosis that turned a C student into a straight-A student, and the day she fired her biller A note before you press play: this episode is education, not billing or legal advice. Payer rules vary, so verify everything for your own practice. CONNECT WITH CRYSTAL New Leaf (practice, SNF rounding + billing firm): https://www.newleaf618.com/ New Leaf Billing, Coding & Auditing Solutions: https://www.newleaf618.com/new-leaf-b... She also teaches a monthly billing and coding series with Psychiatry Circle. LISTEN & SUBSCRIBE Apple Podcasts: https://podcasts.apple.com/us/podcast... Spotify: https://open.spotify.com/show/5tNbJqe... Website: https://psychnpfellowship.com/podcast/ Community: https://www.skool.com/psych #pmhnp #psychnp #nursepractitioner #medicalbillingservices #medicalcoding #privatepractice #mentalhealth