The Psychological Approach To Mental Health Billing - PowerPoint PPT Presentation

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The Psychological Approach To Mental Health Billing


Partnering with a psychiatry or mental health billing company such as 24/7 Medical Billing Services can assist in psychological claims. – PowerPoint PPT presentation

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Title: The Psychological Approach To Mental Health Billing

The Psychological Approach to Mental Health
The prevalence of mental health disorders in the
United States has been increasing over time. All
segments of society have experienced increased
mental stress and psychosocial well-being. In
fact, psychiatrists are successfully diagnosing,
treating, and preventing mental, emotional, and
behavioral disorders using various techniques.
Depending on the patients needs, treatments may
include multiple forms of psychotherapy,
medications, psychosocial interventions, and
other modalities such as electroconvulsive
therapy (ECT). While they strive to provide
high-quality mental health care, submitting
claims for reimbursement is a significant
challenge because of the wide range of services
available and the numerous mental health coding
and billing rules and payer regulations.
Collaboration with psychiatry or mental health
billing companies can assist practitioners in
filing accurate claims and receiving appropriate
and timely payment. Read more..
The Psychological Approach to Mental Health
Psychological approach to mental health billing
Challenges Involved Anxiety, bipolar disorder,
depression, anorexia, schizophrenia, substance
abuse, OCD, ADHD, and PTSD are all conditions
treated by psychiatrists. However, billing and
coding mental health services differ from billing
and coding other medical conditions. Thats why
mental health services encountered the following
challenges while mental health billing and
coding Patients in a medical setting are
billed for standard services such as laboratory
tests, x-rays, and so on, which are nearly
identical for all patients and vary only slightly
in terms of time taken. Therapy, psychological
testing, and medical treatments are all examples
of mental health services. Insurers have specific
rules regarding how they pay for different mental
health services, making billing
difficult. Inpatient psychiatric care requires
pre-authorization, which adds to the complexity
of mental health billing.
Psychiatric Diagnostic Evaluation 90791
Psychotherapy (As per time with the patient
and/or family member) 90832 30 minutes for
sessions that run between 16 and 37
minutes 90834 45 minutes for sessions that run
between 38 and 52 minutes 90837 60 minutes for
sessions that run 53 minutes or more 90845
Psychoanalysis 90846 50 minutes of family
psychotherapy without the patient present 90847
50 minutes of family conjoint psychotherapy with
the patient present 90849 Multiple-family group
psychotherapy 90853 Group psychotherapy add on
Correctly Use Mental Health CT Code Modifiers
Mental health therapists should use CPT code
modifiers to report their license level and those
that best describe their services. Examples of
Modifiers are Synchronous Telehealth Services
Modifier 95 Synchronous Telehealth Services
Medicare Modifier GT Significant, separately
identifiable E/M service provided on the same day
as the procedure or other service by the same
physician Modifier 25 Distinct Procedural
Service Modifier 59 When a provider encounters a
patient in crisis Modifier UT Licensed Clinical
Social Worker (LCSW) Modifier AJ EAP or Employee
Assistance Program Visits (EAP) Modifier
HJ Mental Health Program (MHP) Modifier
HE Doctorate Level or Clinical Psychologist
(Ph.D. or PsyD) Modifier AH Psychiatrist (MD)
Modifier AF
Need for Outsourcing!
The mental health billing process includes
completing an intake assessment that covers all
the information needed to manage the patient's
psychological billing during the care process for
insurance reimbursement. The documentation must
also show that the care is medically reasonable
and necessary. Before services are provided, you
must verify insurance benefits to ensure that the
patient has active coverage with the insurance
company. This can be complicated as covered
benefits differ between providers and insurance
plans. With all the complexities involved, it's
clear that expert assistance would make mental
health billing and coding much more manageable.
Hiring a mental health billing outsourcing
company such as 24/7 Medical Billing Services is
a practical option to reduce the risk of denials
and optimize reimbursement. At the same time, you
focus on providing the psychological care your
patients require.
About Us
We are a medical billing company that offers
24/7 Medical Billing Services and support
physicians, hospitals, medical institutions and
group practices with our end to end medical
billing solutions. We help you earn more revenue
with our quick and affordable services. Our
customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional
revenue and reduce administrative burden or
Contact Us
Media Contact 24/7 Medical Billing
Services Georgia 3001 Greenfield Drive, Marietta
GA Ohio 28405 Osborn Road, Cleveland, OH
4414030068 Texas 2028 E Ben White Blvd,
240-1030 Austin TX, 78741 Delaware 16192
Coastal Highway, Lewes, Delaware 19958, United
States Phone no / Fax 1 888-502-0537
Email us info_at_247medicalbillin
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