Our billers ensure that the Documentation for individual Psychotherapy includes the patient's capacity to participate in and benefit from Psychotherapy. The estimated duration of treatment in terms of number of sessions are specified. The medical record documents that the treatment is expected to improve the health status or function of the patient. Target symptoms, goals of therapy, response to therapy, and methods of monitoring outcome have been documented.

Our billers ensure that the Documentation for group Psychotherapy indicates that cognitive skills, such as behavior modification, supportive interactions, and discussion of reality were applied to produce therapeutic change. The record documents the person's participation and an evaluation of its benefit or lack thereof.

Pain Points 

There are three categories of errors most commonly noted in psychotherapy review; Non- documentation, Non-covered services, and Not Medically Necessary services. Listed below are examples of errors we see under each category.

1. Non-documentation / Insufficient Documentation

  • No medical records received for services billed.
  • Insufficient documentation to support level of care billed.
  • No documentation of face-to-face time spent with patient.
  • No documentation of Psychotherapy interventions used and the patient's response to those interventions.
  • Billing provider’s active participation in the service rendered not clearly documented.

2. Non-covered Services

  • Unlicensed individuals performing Psychotherapy services

3. Not Medically Necessary Services

  • No documentation of the patient's capacity to participate in and benefit from Psychotherapy medical record does not indicate expected improvement in the health status or function of the patient.

With years of experience in handling Mental Health Billing, our billers are professionally trained to handle billing processes for all Psychiatrists, Psychologists, Psychiatric Social Worker, and Psychoanalysts.

So no matter which of these your practice specializes in, our billers will be able to cater to your Billing requirements. They understand the nitty-gritty of Mental health billing and support claims for

  • Both initial visits & established visits
  • Family therapy with the patient present
  • Family therapy without the patient present
  • Marriage counseling
  • Group therapy
  • Nursing home visits
  • Medication management

Their expertise in Billing Medications, Psychological Testing, EAP Visits, using appropriate Modifiers can not be questioned for practicing Mental Health billing for several years. Our billers have a history of servicing mental health organizations with their Authorizations and referrals and participating in Medicare & Medicaid as well as commercial insurance payers.

These billers are attuned to submitting and tracking workers comp claims and handle all ICD10 codes & CPT Codes for Mental Health practices. Our billers have come together and deciphered reasons for the most common denials for mental health practices which help practices like yours to optimize their revenue cycle management.

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