3 Proven Tips To Reduce Mental And Behavioral Health Billing Denials – The Manomet Current
Medical billing is a complicated process as it is, in which medical billing for mental health services is more complicated than ever before and comes with a bunch of unique challenges. Several services are covered by mental health, such as pre-authorization, unbundling issues and the size and availability of office staff, mental and behavioral health billing is more disadvantageous compared.
Paying more attention to patients is one of the best factors in understanding the process of mental and behavioral health billing. This is a good reason why denial management greatly increases the importance of medical billing for healthcare professionals. In this blog we will see how and why mental health billing is complex and difficult to manage and what can be done to reduce denials of billing claims.
Why is mental health billing so difficult?
Look at other areas of medical billing. You may see some standard procedures followed due to its defined treatment and recovery period, which may not be the case for mental and behavioral health. Factors such as time, service variations, scope and restrictions on mental health treatments make it more complicated and undefined.
Since consultation and billing differs from patient to patient, the provider may have difficulty billing and submitting claims, as the reasons may vary from patient to patient.
Best Practices for Billing Mental Health Services:
While it is difficult to manage the billing process for mental health services, providers can follow these tips to make their approach and system easier.
# 1: double check your patients’ insurance and coverage
Since your patients carry their insurance card, you can quickly check their policy benefits and whether the service they are receiving is covered by the policy. This is how you do VOB. It also lets you know how much the insurer is paying the patient for the service rendered.
# 2: Understand CPT Codes:
If the CPT codes are not mentioned appropriately, then there is no point in you doing the whole process correctly. These codes tell you the amount of reimbursement for a specific health service when it is issued to patients. Unlike other medical billing processes, you may not be able to find CPT codes for mental health and billing as easily. No standard CPT code is used for cognitive and behavioral health billing; instead, it should have E / M codes specified with the respective CPT codes.
Your payer reviews the mental health billing claim form in three ways: history, examination, and medical decision-making.
The story contains details of the current illness, family and social history, and systems review. The exams section includes the type of exams / tests performed, the nature of the problem and the patient’s record. The medical decision-making column includes the number of diagnoses or treatments the patient has had, the complexity of the data, and the risk of complications.
CPT codes play a leading role in reduction denials mental health billing claims; therefore, the practitioner / hospital should be aware and updating their system with CPT codes instantly can help overcome grievances related to mental health billing.
# 3: Know how to properly submit complaints
Just as codes are essential in a complaint form, so too, understanding how to complete each column on the complaint form also makes sense. You must first go through everything thoroughly and before filling in, if in doubt, clarify it with an expert who was involved in the submission of the complaint, and then proceed to fill in and submit the form.
To make your mental health billing process easier and get your refunds without any denial of claims, outsourcing your billing and medical coding process is a smart option. You can contact 24/7 Medical Billing Services, the leading medical billing and coding outsourcing company that offers extensive quality, maximum support and reimbursement in medical billing and coding.