A physician spends fifteen minutes counseling a patient with a family history of early heart disease on diet and activity. The visit is valuable and the claim looks simple. Then the
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If you’ve ever had a clean-looking psychotherapy claim bounce back for no obvious reason, there’s a decent chance a missing or misapplied credential modifier was the culprit. The HO modifier is
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Mental Health Billing CPT Code 96113: Description, Billing, Reimbursement & 96112 Comparison CPT code 96113 never shows up on a clean claim by itself it’s an add-on code that only exists
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A psychiatrist spends forty minutes putting together a written status report for a patient’s disability carrier. Three weeks later, the claim for CPT 90889 comes back denied not because anything was
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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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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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H2017 is a HCPCS code, not a true CPT code Providers search for the “H2017 CPT code” all the time, so the phrase is worth using, but the classification behind it
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Behavioral health billing does not behave like the rest of medical billing. Therapy is billed by the minute, mental health benefits are frequently administered by a different insurer than the rest
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Front desk staff hear a version of this question several times a shift: “I think I have insurance, but I’m not sure who it’s with.” Sometimes the patient lost their card.
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