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Top 5 Common Errors With Mental Health Billing.pptx
1. Top 5 Common Errors With Mental Health
Billing
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2. Top 5 Common Errors With Mental Health
Billing
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
Navigating the insurance claim can be challenging for mental health
practitioners, mainly if you are into individual or small facility practice.
While most large medical facilities have an entire dedicated department
trained in researching, submitting, and following up on the billing and the
claims, you might be 'winging it. It is because mental health billing is
more complex and complicated than other medical billing. In fact, there
is a lack of uniformity in the billing process.
In most medical practices, standardized tests and services are
performed. However, in mental health, the practitioner has to undertake
various procedures to treat a patient. Adding to this, the different
approaches in mental therapy make the billing and coding process quite
convoluted.
3. Top 5 Common Errors With Mental Health
Billing
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Billing and coding mistakes can doom your practice financially; hence,
while you take care of the patients, you need to take care of the billing.
However, if you thought you were the only one struggling with billing as a
mental health practitioner, you are wrong. So, to warrant your revenue
flow is regular with the reimbursements, here are the top five mistakes
any mental health practitioner must avoid.
1.Wrong CPT Code Usage
It would help if you were quite specific with the procedure codes in
mental health billing, mainly when it has to be recorded for the time
spent in a session. In most cases, if you are using the auto-pilot mode,
you will be using the same code for every session.
2.Mentioning Out-dated Codes
ICD and the CPT codes are being updated continually, so as a mental
health practitioner, you need to know the latest codes and the changes.
There is a grace period when the code sets are changed.
4. Top 5 Common Errors With Mental Health
Billing
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3. Unbundling Codes
In mental health billing, using multiple codes to raise the payment is
called unbundling codes. In unbundling codes, the practitioner uses
various codes when there is a single code available for the service,
which can be used to reflect the procedure accurately.
Any mental health practice should avoid unbundling because it is a red
flag for the audit team. In addition, unbundling is often associated with
fraud or abuse. It is vital to know what is included in the code
description, and when a single code is available, you should be using
that.
4. Using Up-coding
Even up-coding is used for getting higher claims, and once again, it is a
red flag. Unlike unbundling, where multiple codes are used instead of a
single code to increase the payment, up-coding uses a single code that
offers higher payment than the service provided. For instance, when a
psychotherapy session is for thirty minutes, and the code 90837 is used
for sixty minutes, you are doing up-coding.
5. Top 5 Common Errors With Mental Health
Billing
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5. Using Incorrect Modifiers
Modifiers are used to provide additional information to the payer. For
example, a two-digit code is added at the end of the CPT code. It can
suggest where and how the service was offered. But a practitioner
cannot just randomly use the modifiers. There are rules for it that need
to be adhered to.
Failure to abide by the rules and use the correct modifier can result in
claim denial or rejection. Also, the misuse of modifiers can bring the
practice under scrutiny by the authorities due to fraud or abuse if it is
done regularly. Hence, unless you are sure about the modifiers and the
rules that come with them, please don't use them.
6. Top 5 Common Errors With Mental Health
Billing
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How to Mitigate these Issues?
One of the best ways to overcome mental health billing issues is using
good ERM software. It can help you with the proper coding and reduce
errors. Also, it can help you go paperless, and by digitizing the process,
you can stay organized easily by attaching the intake forms and
insurance cards to the clients' files. In addition, adding session notes
and comments and collecting them for billing becomes easy.
ERM software also helps in monitoring the practice's health by providing
comprehensive reports regularly. But if you are wondering where to find
the right ERM software and how to operate it for your mental health
practice, the solution is 24/7 Medical Billing Services. We work with all
the latest ERM and other revenue management software to ensure a
scalable and profitable practice while reducing billing and coding errors.
We are one of the best mental health billing and coding outsourcing
company that can help you flourish without worrying about making any
billing mistakes.
7. Top 5 Common Errors With Mental Health
Billing
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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.
8. Top 5 Common Errors With Mental Health
Billing
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Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA
Ohio
28405 Osborn Road, Cleveland, OH 4414030068
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax : +1 888-502-0537
Email us: info@247medicalbillingservices.com