Category: Billing

ICD 10 mental health 0

Useful ICD 10 Codes That You Probably Don’t Know About

Now that the transition to ICD 10 is complete, providers are shifting to a new diagnostic system that they aren’t familiar with. Since we tend to think in DSM language you may be looking for the appropriate ICD 10 code for the typical DSM diagnoses that we are all familiar...

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Increase Insurance Reimbursement with These Two Billing Tips

Diagnostic Evaluations One way to increase insurance reimbursement is to bill for a second 90791 (psychiatric diagnostic evaluation) when appropriate. Since the diagnostic evaluation tends to pay more than other therapy services, increased utilization of this code will improve your bottom line. The guidelines presented here are provided from Medicare, but most commercial...

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Billing with Modifiers

Understanding insurance billing is confusing in and of itself. This article will explore the use of modifiers when submitting insurance claims. If you need a refresher on the basics of insurance claims see my article on CPT Billing codes. Let’s get started. What is a modifier? A modifier is a...

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Understanding Medicare Sequestration Payments

Medicare Payments & Sequestration Understanding Medicare EOB’s can be confusing as a result of the mandatory 2% reduction known as sequestration. In this video I will explain what sequestration is and show you how to make sense of your Medicare EOB. This took me a while to figure out, so I...

ICD-10 0

Is Your Practice Ready for ICD-10?

Preparing for the Transition to ICD-10 Codes The transition to ICD-10 will occur on October 1st, 2015.  ICD, which stands for the International Classification of Diseases, is the worldwide standard for reporting diagnostic codes. ICD-10 is in its tenth edition and replaces ICD-9 which is now 30 years old. It is...

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What is the Medicare Physician Quality Reporting System (PQRS)?

Understanding Medicare Reporting using PQRS The Medicare Physician Quality Reporting System (PQRS) is a voluntary reporting system, which provides incentive payments to eligible practitioners and practices. For 2013 and 2014 the incentive payment is .5% of allowed Medicare charges. It is important to note that although the program is voluntary...

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Billing Guidelines Using the New CPT Codes

How to Bill Using the New CPT Codes By now I’m sure that you are aware of the changes affecting behavioral health CPT codes which take effect on January 1, 2013. To help you prepare for the transition, I have compiled a reference guide to help you make sense of...

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Psychotherapy Billing Codes

Billing codes, or CPT codes, are used by mental health providers to submit claims to insurance companies for reimbursement.  As of January 1st, 2013 there are several new billing codes that you need to familiarize yourself with. Here are some of the important changes. Initial Evaluation and Psychotherapy Codes An initial...