One minute separates two of the most-billed behavioral health CPT codes, and that minute changes what a therapy session pays. A 52-minute session is 90834. At 53 minutes it becomes 90837, provided the note shows the clock. Reimbursement in mental health rarely hinges on exotic codes. It comes down to time thresholds, add-ons that go […]
Behavioral Health Billing, Behavioral Health CPT Codes, Telehealth
Behavioral health billing runs on a stack of moving parts, and a claim only gets paid when every one of them lines up. A diagnosis code has to support the service, the service code has to match the time spent, the place of service has to match where the patient was, and the whole thing […]
Behavioral Health Billing, CPT Codes, EDI, HIPAA, Mental Health Billing
Behavioral health presents unique challenges and opportunities. One of the key elements in ensuring accurate billing and appropriate reimbursement is the proper use of modifiers. These two-character codes provide additional information about the services rendered, helping to paint a complete picture of the care provided. In behavioral health, where treatment often involves multiple providers, various […]
Behavioral Health Billing, Behavioral Health Coding, Behavioral Health Modifiers, Revenue Cycle Management, Value Based Care
Billing and claims processing is probably not what got you into the behavioral health field in the first place. You were driven by a passion to help people overcome mental health challenges, develop positive coping strategies, and improve their overall well-being. But as much as we might wish it were different, managing billing is an […]
Behavioral Health Billing, Billing Challenges, Billing Codes, Modifier Codes, Modifiers
Behavioral health HCPCS codes such as H0004, H0031, H0036 and H2019 are how most state Medicaid programs pay for community mental health and substance use services, while CPT codes such as 90834 and 90837 cover psychotherapy billed to Medicare and commercial plans. Many practices bill both sets in the same week, and the two follow […]
Behavioral Health Billing, Behavioral Health CPT Codes, Medical BillingHealthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using a qualified, outsourced behavioral health billing company can provide better service […]
Behavioral Health Billing, Mental Health, Mental Health Billing, Outsourced Billing