Medical Billing & Coding For Dummies Cheat Sheet

Follow up with the insurance company if there are delays or issues with processing the claim. The NPI is a unique identification number assigned to healthcare providers by the Centers for Medicare and Medicaid Services (CMS). Mental health professionals must include their NPI on claims and other billing documents. If you’ve filed a claim and had it denied because the client is no longer covered by his or her old plan, you’ll need to contact the client and get their new information.

Reach out about our billing service if you are a licensed mental health provider (we only work with licensed mental health providers). Our billing service exclusively for mental health providers is here to help. Regulations, billing codes, and insurance policies are subject to change. Staying updated on these changes is crucial for maintaining billing efficiency and compliance.

Medical Billing: Filing a Clean, Error-Free Claim

Every client and practice is unique, and medical billing standards are ever-evolving. Intuitive billing software makes it easier to customize your operations and maintain ongoing compliance. Mental health services are essential for the well-being and emotional healing of so many. These services and treatments span a wide range of necessary components to ensure a smooth process.

The unique payers that still cling on to paper stand no chance against the most ideal alternative for claims processing. Your clearinghouse’s sole purpose is to “have your back” when it comes to mental health billing. So, although you’re technically submitting your claims electronically in this sense, it’s STILL a very manual process.

Sign up for the Dummies Beta Program to try Dummies’ newest way to learn.

● +90840 ­ Add­on code for an additional 30 minutes (75 minutes and over). In either case, you should have your National Provider Identifier and tax identification number readily available. You should also understand the type of information required in each section of the form because various payers may require different information. Don’t worry about memorizing all the CPT Codes (there’s alot!) or even all of the mental health ones. Interactive complexity can be used in conjunction with the primary CPT Codes for diagnostics, psychotherapy, or group therapy and cannot be used for couple/family therapy or crisis codes.

• If any family member of the insurance holder starts facing any mental health issue or condition, then the immediate family member can connect with the providers.
• This is important because the claims address on the card isn’t always the correct address and if you submit to the wrong address your claims will be rejected.
• If you can bill patients for their portion of expenses online, you’re more likely to collect payment.
• In other words, if you’re wondering if there are ways to improve your billing processes and increase the revenue for your mental health organization, there’s hope.
• We help our clients be more precise with their coding, documentation, and billing and save up quite a lot of time for the practice so that you can fully concentrate on patient welfare.
• If your organization uses the “more ideal” claim submission process that I detailed above, these payers throw a wrench into things.
• However you end up doing them, you need to transcribe this information onto a CMS1500 form and send it electronically or physically to the insurance company.

EFT (electronic funds transfer) services help you keep abreast of your claims by delivering payment quickly upon approval, so you can check unpaid items off your list faster. Collect the patient’s copay at the time of the visit whenever possible. The odds of obtaining that payment shrink once your patient has left the facility.

Beginner’s Guide to Mental Health Billing Video

Connecting with insurance services for mandatory information and verification is also easy. If your questions are not resolved with the above techniques, you can pull the required insurance data from EHR (Electronic Health Record). VOB helps avoid unnecessary mental health billing for dummies claim voids and increases reimbursement rates. The provider is responsible for checking patient insurance before appointments, which will help to reduce loss of charges. Double checking with patient insurance details is always beneficial for the provider.

There is a wide range of factors that contribute to the differences in these services. The length of a session, the location of services, the therapeutic approach, the age of the patient and their willingness to participate can all affect coding and billing. We translate the gibberish that is medical billing into English for you. We do your eligibility and benefit verification phone calls to figure out if you can see the new client that you want to see.