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Mental Health Billing Codes: 3 Tips to Increase Approvals

Mental health providers, more than any other, have to pay special attention to the way they bill their services. As time progresses, insurance providers are becoming increasingly particular with the claims they approve and deny.

It is becoming more important that mental health providers understand how CPT coding works in their billing process. CPT is the standardized coding system that was created by the American Medical Association to streamline the billing process. Originally this meant little for mental health providers. But as the understanding of mental health continues to develop in terms of understanding it and treating it, providers must maintain a strong grasp on mental health billing codes in order to increase their claim approvals. Mental health billing codes are constantly changing. Here are four tips to not only keep up with, but to ensure your claims are approved to protect your bottom line.

Tools for Mental Health Billing Codes:

1) Documentation

While efficient documentation is crucial to practice workflow, the accuracy and attention to detail expressed throughout your documenting process is vital to mental health providers. Insurance companies look for certain details in the provider’s notes in partner with the appropriateness of their mental health billing code to determine approval. They look for details including the length of a visit, whether or not it was completed in the allowed time, and the frequency of visits to determine whether or not they want to approve a claim. For this reason, providers must make sure they document each visit in detail on top of inputting the appropriate mental health billing code. If a visit with a patient goes over the average 45 minute time window, make sure to document why that happened and why that extra time was necessary for the patient’s well-being.

2) Mental Health Billing Software

Billing software is a tool that is available for physicians of any variety to utilize to ensure an increase in approved claims. It simplifies the claims process by streamlining how you identify mental health billing codes and document for those codes. For the mental health provider, it narrows down the most used mental health billing codes. A quality vendor of mental health billing software knows that you have a lot on your plate, and do not have time to be slowed down with extraneous codes built into your software. Equipped with only the mental health billing codes you need, mental health billing software can help you code more accurately and increase your claim approval rate.

3) RCM Services

The utilization of RCM services has not always been something that mental health providers have turned to. But as mental health billing codes are becoming more complicated, it is something they should consider. Vendors of RCM services can help mental health providers maintain a high clean claims rate by taking on the brunt of the work. Experts on mental health billing codes can help you code your claims right the first time. The utilization of RCM services helps mental health providers identify errors in mental health billing codes or documenting before a claim is submitted to a payer. While many providers hope to accomplish this in-house, it can become difficult to maintain accurate billing while also providing top-of-the-line care. Partnering with a quality practice management software and RCM service will help you maintain accurate mental health billing codes and increase approvals.

While mental health providers traditionally manage billing in-house, partnering with a quality vendor of mental health billing software or RCM services will help automate the processes, and save time. Mental health billing codes are becoming more complicated, and it’s important to have a solution in place to help you navigate the ever-changing healthcare industry.



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