MBC: Best-in-Class Behavioral Health Billing Company

Behavioral health billing is quite challenging as various factors affect the billing process. The length of the session, the approach to therapy, and the willingness of the patient to partake make it far more difficult to standardize treatment and billing. Moreover, the manner in which insurance carriers look at behavioral health is noticeably unlike the […]

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MPFS Strengthening Behavioral Health Billing for 2023

CY 2023 Medicare Physician Fee Schedule (MPFS) The Centers for Medicare and Medicaid Services (CMS) on Nov. 1, 2022, released the final 2023 Medicare Physician Fee Schedule (MPFS), addressing Medicare payment and quality provisions in the coming year. The U.S. Department of Health and Human Services (HHS) through its Centers for Medicare & Medicaid Services […]

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Expanding Medicare Telehealth Use after PHE

CY 2023 Medicare Physician Fee Schedule Proposed Rule On 7th July 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, […]

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Common Outpatient Rehabilitation Therapy CERT Errors

Billing Part B Outpatient Therapy Services Outpatient rehabilitation therapy includes Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) services. Medicare covers outpatient PT, OT, and SLP services when: A physician or Non-Physician Practitioner (NPP) certifies the “treatment plan,” called the Plan of Care (POC), ensuring: A patient needs therapy services  POC is:  Established […]

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Unique Challenges of Substance Abuse Billing

Medical billing on its own can be a complex process, requiring specific expertise. However, substance abuse billing comes with unique challenges even for certified billing and coding experts. Substance abuse billing is one of the major areas with which drug and alcohol addiction treatment centers struggle resulting in lost revenue and delayed payments. Many drug […]

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Billing Codes for Psychiatric Collaborative Care Management

What is Collaborative Care Management (CoCM)?  Psychiatric Collaborative Care Management (CoCM) typically is provided by a primary care team consisting of a primary care physician and a care manager who work in collaboration with a psychiatric consultant, such as a psychiatrist. Care is directed by the primary care team and includes structured care management with […]

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Initial Step in Behavioral Health Billing Process

Medical Billing itself a complicated process. However, medical billing for Behavioral health is a whole new level of complexity. We make the Behavioral Health Billing Process smoother and efficient to get paid faster. Behavioral Health billing comes with its own set of unique and complex challenges. Between the types of services offered, unbundling concerns, pre-authorization, […]

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What Constitutes Behavioral Health Billing Services?

You might be already aware of how behavioral health billing is different from medical billing, you’ll wonder what falls under billing for behavioral health services with reference to the services we offer at Medical Billers and Coders and the kinds of behavioral health billing we will assist with include: Behavioral Health Billing To successfully bill […]

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