What is Behavioral Health?
Behavioral health refers to the study, diagnosis, and treatment of mental and emotional disorders, as well as substance abuse and addiction. It encompasses a wide range of conditions, including depression, anxiety, bipolar disorder, addiction, and schizophrenia, among others.
Behavioral health professionals, such as psychiatrists, psychologists, and counselors, work to help individuals overcome these conditions and improve their overall well-being. This can involve a combination of therapy, medication, and lifestyle changes, depending on the individual’s needs.
Behavioral health is essential for overall health and wellness and is becoming increasingly recognized as an integral part of primary care.
Behavioral Health Billing, Credentialing Services
Services:
- Primary and Secondary claims processing
- 24-hour turn around on Claims Submission
- Prompt follow-up with Approved and Denied Claims
- Posting EOB’s
- Correcting Patient Information
- Clean AR under 90-days
- Creation of a Payer Matrix
- Fee Schedule Set-up and Maintenance
- Credentialing for new and established Providers
- Etc,.
We serve the following types of Behavioral Health Providers
- Inpatient
- Outpatient
- Residential
- Inpatient Hospital
- Small and Large Private Practices
Common Mental / Behavioral Health CPT Codes
- 90791: Psychiatric or psychological intake interview without medical services
- 90792: Psychiatric intake interview with medical services
- 90832: 30 minutes of individual psychotherapy
- 90833: 30 minutes of individual psychotherapy performed with an E/M service
- 90834: 45 minutes of individual psychotherapy
- 90836: 45 minutes of individual psychotherapy performed with an E/M service
- 90837: 60 minutes of individual psychotherapy
- 90838: 60 minutes of individual psychotherapy performed with an E/M service
- 90847: 50 minutes of family psychotherapy with the patient present
- 90846: 50 minutes of family psychotherapy without the patient present
- 90853: Group psychotherapy
- 96101: Psychological testing, interpretation, and reporting per hour by a psychologist
- 96102: Psychological testing per hour by a technician
- 96111: Developmental testing
New CPT Codes for Mental Health Services
- Code 96156 has replaced codes 96150 and 96151
- Code 96152 has been updated to 96158 plus 96159
- Code 96153 has been updated to 96164 plus 96165
- Code 96154 has been updated to 96167 plus 96168
- Code 96155 has been updated to 96170 plus 96171
Summary
Outsourcing your behavioral health billing can offer several advantages to mental health providers and facilities. Billing for mental health services can be complex, time-consuming, and requires specialized expertise. By outsourcing this process to a third-party billing company, mental health providers can save time and reduce administrative burden, while ensuring billing accuracy and compliance with regulations.
Additionally, outsourcing can provide access to advanced billing technology and expertise in mental health billing, which can help maximize revenue and improve the financial health of the practice or facility.
Medwave is a leader in providing comprehensive medical billing services to behavioral (mental) health providers. Whether you are a psychiatrist, psychologist or clinical social worker, we work with you to provide an excellent performance-driven experience that will make a difference in your office’s reimbursement.
With over 20 years plus of behavioral health billing and credentialing experience, we have assisted new and established practices accurately process many hundreds of thousands of claims. We are able to utilize your current cloud-based software or we can help you discover new products tailored to your behavioral health practice volume.
Let our team of professionals guide your practice to a successful and productive new year. Contact us today to speak to a member of our team on how we can help your behavioral health practice.