Discover essential best practices to streamline behavioral health billing for success. Optimize reimbursement and compliance efficiently.

1. Streamlining The Behavioral Health Billing: Best Practices For
Success
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2. Streamlining The Behavioral Health Billing: Best
Practices For Success
Mental and behavioral health billing is a challenging endeavor to nail down. The reason for this complication is that charges
for different services vary, as do the credentials of the professional delivering the therapy. Before we know it, the practice or
RCM staff may face a never-ending pile of behavioral health billing specialists to manage with limited resources and time.
Let’s streamline Streamlining the behavioral health billing best practices for success.
Another area that presents a concern is the issue of correctly processing pre-authorization. Due to the differences in the types
of treatments and procedures associated with mental and behavioral health facilities, pre-authorization for these facilities is
separate from that for other specializations. This makes it difficult for RCM workers to unbundle and improve the claims
submission process.
Billing consistency in mental and behavioral health facilities differs from that of other medical specialties. In some facilities, a
consistent method is followed when a patient walks in, beginning with a height and weight check, blood pressure, and so on,
resulting in a recurring pattern when billing for one patient to the next.

3. Streamlining The Behavioral Health Billing: Best
Practices For Success
Stay on Top of the CPT codes
A HIPAA-compliant system aligns rendered services with appropriate medical codes by using Current Procedural
Terminology (CPT) codes. Coders utilize modifiers to specify the details of a certain operation or treatment for more
detailed information on the given codes. Making errors, even in the most minute code, can have severe consequences for
claims.
The most typical occurrence of coding errors has been owing to the re-occurring of identical procedures. As a result, it is
critical to ensure that coders successfully differentiate comparable procedures. The CPT code Editorial Panel is regularly
updating the regulations and codes. As a result, mental and behavioral health practices must revisit the source and modify
it accordingly.
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4. The E/M codes include:
● The patient’s medical history, such as illness history, system reviews, family and social history, and so on, followed by
● Examination, which includes the type of procedure, test, and examination that needs to be performed, the nature of the
patient’s issue, and so on, and
● Medical Decision Making includes the number of treatments needed and documented, the risk factors, and
complexities associated with reviewed data.
The psychiatric evaluation codes, however, are only used for diagnostic purposes and may also fall under the E/M code
umbrella. However, coders must understand which codes to use to generate clean claims.
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Psychiatric Evaluation Codes vs. E/M

5. Even with a streamlined approach, claims may be denied for various reasons. Although these claims are appealable, practice
personnel must identify patterns and find strategies to eliminate the unusual denial. As insurers may have a short time
constraint for re-submissions, timely and regular evaluation of prior denials must be done effectively and promptly.
Mental and behavioral health practices must be linked with best practices to guarantee effective billing and coding clear claim
submissions. We at 24/7 Medical Billing Services are aware of the challenges associated with appropriate behavioral billing
and coding company. We provide a billing and receivables solution to help your practice succeed. Speak with one of our
specialists to learn how we expect to enhance payments to your healthcare organization.
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Outsourcing to 24/7 Medical Billing
Services

6. About us
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.
Media Contact:
24/7 Medical Billing Services
28405 Osborn Road, Cleveland, OH 44140
Phone no / Fax : +1 888-502-0537
Email us: info@247medicalbillingservices.com
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