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AJ Modifier for Mental Health Billing

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 Billing

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 for Mental Health Billing

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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HIPAA Compliant Telehealth Video Therapy

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Telehealth video therapy requires three things for HIPAA regulations to be upheld: Fully encrypted data transmission Peer-to-peer secure network connections No storage of video As always, you will need a Business Associates Agreement to be signed with your clients.  Normal phone calls that are not recorded are allowed for HIPAA compliant communication.   Likewise when a […]

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Telehealth Billing for Therapists: The Definitive Guide

cigna telehealth billing for therapy

Telehealth billing for therapists is complex, requiring the correct medical claims coding cpt codes, modifiers, and place of service code.  Our exhaustive guide to telehealth billing for therapists will teach you how to code your mental health insurance claims for telehealth billing as the process to ensure you get paid every time.  We will also […]

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How to Get Credentialed with Aetna for Mental Health Providers

how to get credentialied with aetna for mental health providers

Many providers wonder how to get credentialed with Aetna for mental health services and in this guide we’ll teach you how to submit your application, what’s required, as well as a time-frame for processing. Aetna is one of the largest insurance brands in the United States and it’s no wonder providers are inquiring about how […]

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