The Psychological Approach to Mental Health Billing

1. 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 patient’s 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 Billing HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

2. The Psychological Approach to Mental Health Billing HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

3. 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. That’s 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. Psychological approach to mental health billing: HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

4. 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 codes Psychiatric Diagnostic Evaluation: 90791 HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

5. 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 Correctly Use Mental Health CT Code Modifiers HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

6. 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. Need for Outsourcing! HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

7. 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 losses. About Us HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

8. 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@247medicalbillingservices.com Contact Us HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/