Behavioral Health Billing For Dummies

Our beginner s guide to mental health billing is for the brand new and having no clue outpatient therapist looking to learn how to bill insurance companies.

Behavioral health billing for dummies. Behavioral health specific billing guidelines the following information is intended to assist you when billing behavioral health professional and facility claims. For general claims filing instructions please refer to section vi. In business since 1994 psychiatric. Every mental health insurance claim will require a large amount of information but that information.

Each code includes its official description and lay description coding tip documentation and reimbursement. It helps practices handle claims process payment and generate revenue better than using a generic billing application. You will learn what client information you need how to verify mental health benefits create and submit claims and account for eobs. Initiating visit consent and co payments.

Make sure to collect all your client s demographic and insurance card information. Check the eligibility and benefits of the client. Check with your billing finance department. This comprehensive and easy to use guide is updated for 2020 and organized by specialty specific cpt codes.

Psychiatric billing associates is a national mental health billing service that focuses on assisting psychiatrists psychologists social workers and therapists. Mental health billing for dummies. All behavioral health providers reimbursement for the behavioral health and evaluation and management cpt codes are subject to the billing requirements established by the american medical association ama and the american psychiatric association apa. For example medicare part b will cover mental health services as long as they are medically necessary for the diagnosis or treatment of an.

Working with a mental health billing company can help behavioral health practices improve their collection rates often allowing practices to collect 96 percent or more of money owed to them. A healthy mind is part of a healthy body. Conduct a session if the client is eligible. Cpt codes 90832 90834 90836 90839 90875 90876 and 90899 are time based.

Inpatient professional services inpatient professional behavioral health services must be filed on a cms1500 hcfa 1500. This visit is required for new patients and for those who have not been seen within the year prior to commencement of integrated behavioral health services. The coding and payment guide for behavioral health services 2020 is your one stop coding reimbursement and documentation resource developed exclusively for behavioral health. Billing and reimbursement in this manual.

Bill their insurance plan via their website or a cms1500 form. Medical billing with behavioral health revenue cycle management software. What are the special needs of a mental health biller and coder. An initiating visit is required prior to billing for the 99492 99493 99494 and 99484 codes.

Behavioral health revenue cycle management or rcm software is a specialized application developed specifically for practices that treat patients for behavioral issues.