Behavioral Health / Psychiatry
  Behavioral Health/Psychiatry billing is a specialized area of medical billing that involves the process of submitting claims and managing reimbursements for mental health services provided by psychiatrists, psychologists, therapists, and other mental health professionals. This type of billing requires a thorough understanding of mental health coding, compliance with regulations, and dealing with various insurance plans.
Patient Registration:
  Accurate collection of patient information, including demographics and insurance details, is crucial.
  Verification of insurance coverage to determine patient eligibility and coverage for mental health services.
Procedure Coding:
  Certified coders assign specific Current Procedural Terminology (CPT) codes and diagnosis codes (ICD-10) to accurately represent mental health services provided.
  Codes may include evaluation and management (E/M) codes, psychotherapy codes, medication management, and other specific psychiatric procedures.
Charge Capture:
  Detailed capture of charges for various mental health services, including therapy sessions, psychiatric evaluations, and medication management.
  Proper documentation of the type and duration of therapy sessions and any additional services provided.
Claim Generation:
  Generation of claims with comprehensive details, including patient information, coded procedures, and associated charges.
  Claims can be submitted electronically or through paper forms, adhering to the specific requirements of different payers.
Claim Submission:
  Submission of claims to insurance carriers, including private insurance, Medicaid, Medicare, and other relevant payers.
  Adherence to payer-specific guidelines and requirements for mental health billing.
Insurance Follow-Up:
  Ongoing follow-up to track the status of submitted claims, ensuring they are processed and paid in a timely manner.
  Addressing any denials, rejections, or discrepancies through appeals or necessary corrections.
