A 34-minute follow-up visit gets billed as a 99213 more often than most practice owners would like to admit. The provider spends the extra time reviewing labs, adjusting a medication and
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A therapist finishes a 53-minute video session on a Tuesday morning. The note is solid. The diagnosis supports the service. Nine weeks later the claim is sitting in the 90-day A/R
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A therapist finishes a 53-minute session with a stroke patient. The note is thorough. The goals are functional. The patient is progressing. Six weeks later the claim shows up in the
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Billers who search for the H0033 CPT code are usually trying to answer one of three questions: does my payer cover it, what has to be in the chart to support
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Behavioral health billers run into H2019 constantly and it rarely behaves the way a CPT code does. There’s no national fee schedule, no single set of modifier rules and no Medicare
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Behavioral health programs that treat substance use disorders bill for far more than counseling sessions. A large share of the work happens between appointments, when a case manager calls a patient’s
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Search for “case management CPT codes” and you land on two different parts of the CPT manual that are easy to confuse. One is a small subsection the American Medical Association
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A claim for H2027 rarely arrives alone. Billers usually run into the code while reconciling a psychiatric rehabilitation program’s monthly claims, sitting next to case management units and a partial hospitalization
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Before working out how to bill T1017, it helps to correct a label that trips up new billers. T1017 is not a CPT code. It is a HCPCS Level II code
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Revenue code 124 appears on inpatient psychiatric claims far more often than most new billers expect and it carries denial risks that general medical billing does not. On the UB-04 (form
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