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CPT Code 90853: Group Therapy Billing & Coding Guide [2020]

cpt code 90853

CPT Code 9053 for group therapy services can be complex to bill and code accurately. In our guide to CPT Code 90853 we’ll teach you the size, length, and services that are allowed and not allowed in group therapy billing.  We’ll also let you know CPT code 90853 reimbursement rates at the end of the […]

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CPT Code 90792: Billing Guide with Reimbursement Rates [2020]

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CPT Code 90792 can be hard to understand.  How long does a medical assessment and diagnostic interview last? What’s required to bill procedure code 90792? What are the reimbursement rates for 90792 and what are the license level requirements? Our Definitive Guide to CPT Code 90792 will teach you how to understand when to bill […]

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CPT Code 90834: Complete Guide with Reimbursement Rates [2020]

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CPT Code 90834 is the most common procedure code used in mental health and behavioral health billing. Learn how to bill Cpt Code 90834 accurately every time with our insurance billing guide. You’ll discover the differences between procedure codes 90834 and 90837, the reimbursement rate for 90834, which add-on codes to use, and how to […]

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AJ Modifier: Billing and Coding for Licensed Clinical Social Workers

AJ Modifier on CMS 1500 Claim

The AJ Modifier, like some of the HCPCS H modifiers, is used in coding claims. These modifiers differ from diagnosis or CPT procedure codes, and are used to describe a different aspect of the claim. One similar example is the HO modifier which is sometimes required by insurance companies and shows the degree level (Master’s […]

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HE Modifier for Mental Health Program Billing [2020 Guide]

HE Modifier on CMS 1500 Claim

The HE modifier is a H Code HCPCS modifier used in coding claims. This H group of modifiers are used to describe something else about the claim beyond the procedure or ICD10 diagnosis code. The most commonly used modifier in this group is HJ used to code Employee Assistance Program (EAP) visits. Insurance companies will […]

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HN Modifier: Bachelors Degree Billing Guide

HN Modifier on CMS 1500 Claim

The HN modifier, like the HO modifier, is a HCPCS modifier used in coding some claims. These modifiers are different from CPT or procedure codes and are used to describe something else about the claim. One commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Modifiers […]

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Cigna Telehealth Billing for Therapy and Mental Health Services

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Cigna telehealth billing for therapy is straight forward.  They do require attestation but otherwise it should be easy to code and bill telehealth mental health sessions with Cigna coverage.  Ensure you are attested before billing Cigna for telehealth therapy. Cigna Telehealth Billing and Coding Guidelines In 2017, Cigna launched behavioral telehealth sessions for all their […]

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United Healthcare Telehealth Billing for Therapy and Mental Health

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United Healthcare telehealth billing is simple.  Utilize our guide for UHC telehealth billing for therapy and mental health services in general to ensure your claims are coded as accurately as possible. UHC Telehealth Billing for Therapy United Healthcare which operates under the Optum brand umbrella (alongside of United Behavioral Health) has authorized an expansion of […]

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Aetna Telehealth Billing for Therapy and Mental Health Providers

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Billing Aetna for telehealth therapy services and general telemedicine for mental health is straightforward, fortunately.  Review our short guide to understand how to code Aetna telehealth billing in general and psychotherapy in particular. How To Bill Aetna for Telehealth Services NOTE:  Due to Covid-19, Aetna has dramatically changed their telehealth requirements.  You can review their […]

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Telehealth Medicare Billing for Therapy and Mental Health Providers

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Telehealth medicare billing for therapy isn’t too complex, fortunately for mental health providers.  Our guide to Medicare insurance billing for telehealth will help you learn the CPT codes, modifiers, and license you need to bill Medicare for telehealth psychotherapy. Medicare Telehealth Billing Guidelines The following are guidelines created by the Centers for Medicare Services (CMS) […]

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