Mental Health Medical Billing: A Strange Beast

There are many different areas of coding and billing that medical billers get into. This can range from general billing to medical billing, to radiology billing, and mental health billing. Sometimes it can be complicated when it comes to the filing of mental and behavioral health benefits, as the codes differ when compared to more general procedures such as x-rays. Getting your claims approval rate up requires a strong amount of diligence and a keen eye for the types of services offered and provided, pre-authorizations that are needed, and effective communication between all professionals involved.

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A Therapist’s Guide to Billing Insurance Companies

If you are a therapist, especially one just beginning to practice, you may have some questions when it comes to learning how to bill insurance companies. There are a lot of things to learn, including: how to submit CMS 1500 forms, how to set up ERAs and how to use a clearinghouse.

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Your Guide to Medical Billing Codes

One important thing to know about billing insurances companies as a psychologist are the CPT codes. So what are the most widely used CPT codes? Well, there are three main ones. These include: a 90791, which is an intake session that is to be billed for your first appointment with a new patient only, a 90834, which is to be used for a 45-55 minute individual therapy appointment, and a 90837, which is a 56 + minute individual therapy session. It really is this simple when you are dealing with an individual therapy session. However, if you are dealing with family therapy, therapy with a family member/individual who is not present for the session, group therapy or something else, you will need to know further CPT codes.

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