Behavioral & Mental Health Billing
Navigating the Complexities of Behavioral & Mental Health Billing with INFINITI RCM
Behavioral and mental health services are crucial for addressing the mental well-being of patients, but the billing process for these services can be uniquely challenging. From understanding specific CPT codes to managing diagnosis codes (DX) and modifiers, behavioral and mental health billing requires specialized knowledge and attention to detail. INFINITI RCM is here to simplify this process, ensuring that your practice can focus on providing exceptional care without the burden of complex billing procedures.
The Unique Challenges of Behavioral & Mental Health Billing
Billing for behavioral and mental health services is distinct from other medical billing due to the sensitive nature of the treatments and the specificity required in coding and documentation. Here’s how INFINITI RCM supports your practice in overcoming these challenges:
Essential CPT Codes for Behavioral & Mental Health
Current Procedural Terminology (CPT) codes are critical for documenting and billing for services rendered. In the realm of behavioral and mental health, some of the most commonly used CPT codes include:
- 90791: Psychiatric diagnostic evaluation. This code is used for initial evaluations that include assessment of the patient’s history, mental status, and recommendations.
- 90834: Psychotherapy, 45 minutes with patient. This code covers a 45-minute psychotherapy session with the patient.
- 90837: Psychotherapy, 60 minutes with patient. Used for an extended 60-minute psychotherapy session.
- 96127: Brief emotional/behavioral assessment. This code is for brief assessments for emotional and behavioral issues.
Key ICD-10 Diagnosis Codes for Behavioral & Mental Health
Accurate diagnosis coding is paramount in behavioral and mental health billing to justify medical necessity and ensure proper reimbursement. Common ICD-10 diagnosis codes in this field include:
- F32.9: Major depressive disorder, single episode, unspecified. This code covers cases of major depressive disorder where specific details are not provided.
- F41.9: Anxiety disorder, unspecified. Used for various anxiety disorders that do not fall under a more specific category.
- F43.10: Post-traumatic stress disorder, unspecified. Covers unspecified PTSD cases.
- F33.1: Major depressive disorder, recurrent, moderate. Used for recurrent episodes of moderate major depressive disorder.
Comprehensive Revenue Cycle Management
INFINITI RCM provides a complete suite of services covering the entire revenue cycle, ensuring that your behavioral and mental health practice’s billing is managed efficiently. Our services include:
- Patient Registration and Insurance Verification: Ensuring accurate patient information and verifying insurance coverage to prevent claim denials.
- Charge Entry and Claims Submission: Accurately entering charges and submitting claims promptly to maximize reimbursements.
- Payment Posting and Denial Management: Posting payments accurately and managing denials effectively to ensure your practice receives the revenue it deserves.
- Compliance Monitoring: Ensuring that your practice adheres to all relevant regulations and guidelines, reducing the risk of audits and penalties.
Why Choose INFINITI RCM for Behavioral & Mental Health Billing?
- Specialized Expertise: Our team of certified coders and billing specialists has deep expertise in the nuances of behavioral and mental health billing, ensuring accurate and efficient claim processing.
- Technology Integration: We utilize advanced billing software that integrates seamlessly with your practice management system, enhancing accuracy and efficiency.
- Compliance Focus: We prioritize compliance with healthcare regulations, reducing your risk of audits and ensuring that your practice operates within legal guidelines.
- Improved Revenue: By minimizing claim denials and maximizing reimbursements, we help improve your practice’s financial health.
Conclusion
Behavioral and mental health billing is complex and requires specialized knowledge and attention to detail. INFINITI RCM is your trusted partner in navigating these challenges, offering expertise in CPT coding, ICD-10 diagnosis coding, and modifier usage, combined with comprehensive revenue cycle management. Let us handle your billing so you can focus on providing exceptional care to your patients.
For more information on how INFINITI RCM can support your behavioral and mental health practice, contact us today and take the first step towards streamlined and successful billing.
