Medical Billers and Coders

  The behavioral health industry has historically lagged behind physical healthcare in adopting value-based and outcomes-based care models. Value-based care is also known as accountable care. A value-based care system is focused on getting value from quality services. Value-based healthcare is a payment system that rewards healthcare providers in accordance with the quality of care provided to their patients. Payments are based on better health for populations and other things, such as cost reduction, which can lead to a focus on preventative care. The benefit of value-based care is a patient in a value-based healthcare model will have fewer doctor’s visits, medical tests, and medical procedures. Additionally, they pay less for medication as their health gradually improves. BlueCross BlueShield came into the value-based reimbursement arrangement with Value Network. The provider group has 100+ providers in behavioral health care in Western New York. “This is another step we’re t...

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 (CMS) is expanding access to behavioral health care. The Calendar Year 2023 Physician Fee Schedule (PFS) final rule announced today also promotes innovation and coordinated care in the Medicare program through Accountable Care Organizations (ACOs). This rule directly supports the Administration’s commitment to strengthening behavioral health, which the President outlined in his first State of the Union Address, and the comprehensive strategy to tackle the nation’s mental health crisis. In this article, we shared key behavioral health billing updates from CY 2023 MPFS which would act as a baseline for your behavioral health billi...

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 way they look at more traditional medical practices. For example, insurance carriers determine how long treatments are allowed to take and how many sessions can take place each day, making it challenging for behavioral health practitioners to balance effective billing with adequate patient treatment. In such challenging billing conditions, behavioral health practitioners can benefit from assistance from the medical billing company.   Medical Billers and Coders (MBC)   is a best-in-class   behavioral health billing   company providing complete behavioral health services. With our help, you can focus only on patie...

Medical Billing itself is 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 more 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, and the number of staff and their time availability, behavioral health facilities are often at a disadvantage compared to other health professionals. By ensuring that the process for Behavioral Health Billing is running error-free you can spend more time and energy focusing on what truly matters – you can focus on your patients. Why is Behavioral Health Billing So Difficult and Complex? Medical billing for behavioral health services is more complex than other areas of healthcare of the types of services, scope, time, and restraints placed on behavioral treatments. For an instance, if someone visits a beha...

  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 regular assessments of clinical status using validated tools and modification of treatment as appropriate. The psychiatric consultant provides regular consultations with the primary care team to review the clinical status and care of patients and to make recommendations. Billing Codes for Psychiatric Collaborative Care Management CPT Code 99492 Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, wi...

Optimization of your billing process is an opportunity to make behavioral health practice more manageable. It’s not a secret now that the less time you spend on managing your medical billing, the more time you can focus on your clients to give them proper treatment for their issues. Any practice will get benefitted from streamlined  medical billing  processes, like fast reimbursement, and increment in cash flow. Although, billing can be overwhelming to know what process developments will have the main impact on your practice. Looking for more information about Tips for Behavioral Health Billing click here: https://bit.ly/3dLDFGq. also, you can get in touch with us at info@medicalbillersandcoders.com or call us at 888-357-3226.

  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, and the number of staff and their time availability, behavioral health facilities are often at a disadvantage compared to other health professionals. By ensuring that the process for Behavioral Health Billing is running error-free you can spend more time and energy focusing on what truly matters – you can focus on your patients. Why is Behavioral Health Billing So Difficult and Complex? Medical billing for behavioral health services is more complex than other areas of healthcare of the types of services, scope, time, and restraints placed on behavioral treatments. For an instance, if someone visits a behavi...