Behavioral Health Billing Updates For Year 2024

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Behavioral Health Billing Updates For
Year 2024
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Behavioral Health Billing Updates For Year 2024
Introduction The field of behavioral health is
undergoing significant changes in the way
services are delivered and reimbursed. As we move
into 2024, several key updates will impact how
behavioral health providers bill for their
services. In this article, we will explore the
most important behavioral health billing updates
planned for 2024, focusing on both Medicare and
commercial payers. Behavioral Health Billing
Updates For Medicare 1. Direct Billing by MFTs
and MHCs One of the most significant changes for
Medicare in 2024 is the ability of marriage and
family therapists (MFTs) and mental health
counselors (MHCs) to directly bill for their
services. This change, which takes effect on
January 1, 2024, is expected to increase access
to behavioral health services for Medicare
beneficiaries who may not have otherwise been
able to afford them. 2. Telehealth
Payment Telehealth services furnished to
individuals in their homes will be paid at the
non-facility Physician Fee Schedule (PFS) rate in
2024. This change aligns with telehealth-related
flexibilities that were extended through the
Consolidated Appropriations Act, 2023. This
update is significant as it promotes greater
access to behavioral health services,
particularly for individuals in rural or
underserved areas.
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Behavioral Health Billing Updates For Year 2024
3. Extension of Telehealth Flexibilities for RHCs
and FQHCs In an effort to maintain access to
behavioral health services in rural and
underserved areas, payment for telehealth
services furnished in Rural Health Clinics (RHCs)
and Federally Qualified Health Centers (FQHCs)
will be extended through December 31, 2024. 4.
Delay of In-Person Requirements for RHCs and
FQHCs The in-person requirements for mental
health visits furnished by RHCs and FQHCs will be
delayed in 2024. This change provides additional
flexibility for these providers and ensures that
patients can continue to access necessary
services. Behavioral Health Billing Updates For
Commercial Payers 1. Adoption of New CPT
Codes Many private payers are expected to adopt
new CPT codes for behavioral health services in
2024. These new codes are more specific and
accurate than the codes currently used, which
should lead to improved claims processing and
reimbursement. 2. Increased Focus on Value-Based
Care There is a growing trend among payers to
move towards value-based care models for
behavioral health services. This means that
providers will be rewarded for achieving positive
outcomes for their patients, rather than simply
for the volume of services they provide. This
shift is expected to continue in 2024 and beyond.
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Behavioral Health Billing Updates For Year 2024

• Preparing for Behavioral Health Billing Updates
• With several significant billing updates planned
  for 2024, it is important for behavioral health
  providers to stay informed and prepare
  accordingly. Here are some tips
• Review the new CPT codes Familiarize yourself
  with the new CPT codes for behavioral health
  services and ensure your billing system is
  updated to accept them.
• Update your billing and coding policies Make
  sure your billing and coding policies are
  up-to-date to reflect the changes in Medicare and
  private payer rules.
• Get training Consider attending training
  sessions or webinars on the new billing updates
  to ensure you are fully prepared.
• Consult with your billing and coding specialists
  Your billing and coding specialists can provide
  you with personalized guidance on how to comply
  with the new rules and maximize your
  reimbursement.
• By staying informed and taking the necessary
  steps to prepare, behavioral health providers can
  ensure a smooth transition to the new billing
  rules and continue to provide high-quality care
  to their patients.
• Medisys Your Reliable Partner in Behavioral
  Health Billing
• At Medisys, we understand the unique challenges
  faced by behavioral health providers when it
  comes to medical billing. Our team of experts is
  dedicated to helping you navigate the
  complexities of ever-changing regulations and
  ensure accurate and efficient claims processing.
  Heres how Medisys can support your behavioral
  health practice

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Behavioral Health Billing Updates For Year 2024

• Compliance Expertise We stay up-to-date on the
  latest Medicare and private payer billing
  guidelines for behavioral health services,
  ensuring your claims are submitted correctly and
  maximize your reimbursement.
• Coding Accuracy Our team of certified medical
  coders uses the most recent CPT and ICD-10 codes,
  ensuring accurate coding that minimizes claim
  denials and delays.
• Telehealth Billing Expertise We understand the
  nuances of telehealth billing for behavioral
  health services, helping you navigate the
  specific requirements and maximize your revenue.
• Denial Management We proactively identify and
  address potential claim denials, minimizing lost
  revenue and ensuring you receive the
  reimbursement you deserve.
• Dedicated Account Management Youll have a
  dedicated account manager who understands your
  practices needs and provides personalized
  support throughout the billing process.
• Medisys is more than just a medical billing
  company. We are your partner in success,
  committed to helping your behavioral health
  practice thrive. Contact us at 888-720-8884 /
  info_at_medisysdata.com to know more about how we
  can help you achieve financial stability.

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