Medical Billing and Coding Resources
Whether you currently employ a medical billing company or are considering doing so, E2E Medical Billing Services must be considered. Our Behavioral Health Billing Services include entering claims, applying payer edits, monitoring for compliance, submitting claims to all payers, posting payments and denials, submitting secondary claims, resolving denials and under-payments, and managing A/R functions. Our clients routinely see 10 to 40 plus percent increases in collections and 10 to 14-day reductions in Days Outstanding in Accounts Receivable. A strong understanding of various codes that behavioral health treatments comprise of is required to be able to successfully bill the claims. It is important for practices to bring in reliable and expert vendors to handle billing, to overcome unique behavioral health billing challenges. Outsourcing behavioral health billing services can reduce practices’ overhead costs, increase in reimbursements, decrease in claim denials, and rejections. This can enable practices to focus more on their patients rather than spending hours on constructing and interpreting the billing reports. E2E Medical Billing staff is highly trained, certified, and ready to meet your specific needs. We know that behavioral health billing has unique challenges. These are reflected in our personalized service. We strive every day to be an effective business partner. This means regular communications, listening and responding to your questions and concerns, and putting your priorities first. When you entrust E2E Medical Billing Services to provide your billing services, we know you will be concerned about cash flow impacts during the transition. For that reason, we employ a rigorous implementation process covering each detail. Meetings and calls keep you and your staff informed throughout the process. Call us today at 888-552-1290 or email info@e2eMedicalBilling.com for more information.
New Cognitive Function Intervention Code Effective January 1, 2020, CPT code 97127 (cognitive function intervention, per day) and Healthcare Common Procedure Coding System (HCPCS) code G0515 are deleted and replaced with two new timed codes: a base code for the initial 15 minutes of cognitive function intervention (97129 CPT Code) and an add-on code for […]
Basics of Modifier 95 Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system. The modifier 95 was introduced in 2017 and is different from CPT or procedure codes, and describes the claim. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified healthcare professional […]
Basics of 90834 CPT Code 90834: Psychotherapy, 45 minutes with a patient in an outpatient setting. 90832, 90834, and 90837 describe individual psychotherapy services for the patient and may include an informant. The patient is required to be present for all or most of the service. The codes include an ongoing assessment and adjustment of […]
90853 CPT Code Description 90853 CPT Code represents psychotherapy administered in a group setting, involving no more than 12 participants, facilitated by a trained therapist simultaneously providing therapy to these multiple patients. The group therapy session typically lasts 45 to 60 minutes. Personal and group dynamics are discussed and explored in a therapeutic setting allowing […]
90846 CPT Code Description: Family psychotherapy (without the patient present), 50 minutes. 90847 CPT Code Description: family psychotherapy (with the patient present), 50 minutes. The main difference between these codes is that 90846 CPT code is used for appointments when the patient is not present, and 90847 CPT code is used for appointments when the […]
Add-on CPT Code 90833 – Use add-on code for Individual psychotherapy, insight-oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes), when performed with an evaluation and management service. Add-on CPT Codes 90833, 90836, 90838 To report both an E/M code and a psychotherapy add on code, the […]
When CPT codes for psychotherapy were revised in 2017, it became possible to bill for longer therapy sessions. The one being addressed in this blog is CPT Code 90837, which is 53 minutes or more. Many of us spend 55 to 60 minutes with clients anyway because, for many clients, the additional 10 -15 minutes […]
90832 CPT Code is an insurance billing procedure code describing individual psychotherapy services rendered for 30 minutes by a licensed mental health provider. Insurance companies require coders, billers, or therapists to use CPT Code 90832 for 30-minute routine outpatient therapy appointments. Appointments billed as 90832 may also include an additional family member or caregiver. 90832 […]
Procedure code 90791, along with 90834 and 90837, is one of the most frequently billed CPT codes for licensed behavioral health providers. In this article, we answered one of the most asked questions about CPT Code 90791 i.e. ‘How Often Can You Bill 90791?’. We also provided detailed information on accurately using CPT Code 90791 […]
According to the American Academy of Child & Adolescent Psychiatry, “interactive complexity refers to 4 specific communication factors during a visit that complicates the delivery of the primary psychiatric procedure.” It is reported with the CPT Code 90785. Interactive Complexity (90785) is an add-on code specific for psychiatric services and refers to communication difficulties during […]
