Basics of documentation for Mental Health Specialty

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• Basics of documentation for Mental Health
  Specialty

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Basics of documentation for Mental Health
Specialty
Mental health billing documentation has specific
responsibilities to perform in order to receive
reimbursement from the Medicare program. Medical
billers have to ensure that the claims submitted
are true and accurate, while justifying the
medical record documentation for billed
services. Mental health billing documentation is
simple terms is the process of recording details
about a patient and his illness right from his
first visit to his progress and discharge. Always
remember the great old saying, If it isnt
written, it doesnt exist. The point to be made
here is the need for clear, consistent
documentation of procedures to ensure that a
patients history is clearly recognized, within
the treatment plan, the services given and the
clinical changes that have taken place during the
treatment. Mental health billing documentation
should be done in a simple and easy to understand
language, and should be for the long-term use of
all the involved parties. Keep in mind that
without billing documentation, one cannot find a
pattern. It is vital to ensure that billing
documentation and record keeping is not
disregarded due to focus on providing patient
care. I
Medical Billing Services in Oregon
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Basics of documentation for Mental Health
Specialty

• In fact, documentation and record keeping are
  critical in order to maintain accountability and
  simplify coordination to develop services
  provided to the patients. In such a situation,
  proper mental health billing documentation should
  not be neglected. And if the in-house staff is
  falling short in performing those duties, you can
  assign the task to a specialized mental health
  medical billing company.
• Accentuate Quality Billing Documentation
• Poor mental health billing documentation can
  adversely impact the reimbursement process. You
  have to make sure that everyone in your facility
  comprehends the value of correct, legible and
  complete documentation. If not, it will be
  difficult to make a perfect or complete claim.
• Documentation of every patient encounter should
  include
• Reason of the encounter and the history
• Physical examination report and previous
  diagnostic test results
• Assessment, clinical impression, and diagnosis
• Plan verification
• Date and legible identity

Medical Billing Services in Oregon
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Basics of documentation for Mental Health
Specialty
In the billing and documentation process proper
coding also plays a vital part. Most mental
health clinicians want to spend their time and
energy in providing the patient care possible.
However, while doing so they are not looking into
coding process, and stand to lose a lot of
revenue due to billing and coding errors.
Medisysdata with a team of experienced personnel
can step in and take care of the tedious work of
mental health billing documentation while you can
get back to doing what you love.
Medical Billing Services in Oregon