There are only a handful of updated diagnosis codes in that take effect October 1st, 2016.  Here is that list!  Old ICD10 diagnosis code on the left, new code on the right! Avoidant/Restrictive Food Intake Disorder F50.8 -> F50.89 Binge-Eating Disorder F50.8 -> F50.81 Disruptive Mood Dysregulation Disorder F34.8 -> F34.81 Excoriation (Skin-Picking) Disorder L98.1 […]

Looking for a team to help you directly with your problem claims?  Contact us directly to learn more about our mental health billing service. Fixing Your Claims Incorrect claims floating in the insurance maze is all too common.  This article’s goal is to help you follow a series of steps to fix your problem claims. […]

We strongly recommend against billing multiple intake sessions using CPT code 90791.  This is because, most often, this CPT code would be inaccurate after the first session, constituting possible insurance fraud, but most likely a denial of the claim. If a patient has seen a different therapist during that billing year, we advise you to […]

We often have new providers giving us incorrect information, wondering why claims aren’t being paid. It’s critical to get front and back photocopies of the insurance card(s) from your new patients upon their first visit, as well as having them fill out an intake form (you can find ours here). This simple step will make […]

Timely filing denials are the most common denials that we deal with at TheraThink when a new provider brings us their old claims to see if we can help. In these cases, there is nothing we can do if the claims were not submitted within the timely filing window. Timely filing for Medicare in one […]

The answer is definitely no.  Your contracted rate is agreed upon when signing your each contract you have with each insurance company. We’ve had providers demand that they be paid more as a result of our services.  This is a fruitless request.  The allowed amount is agreed upon as a result of the contract signed […]

Just a quick post about United Health Care, Optum, and United Behavioral Health Plans and how they are handling CPT codes 90834 vs 90837. All Optum, UBH, and UHC plans will automatically approve CPT code 90834 (45 – 55 minute individual therapy sessions) without authorization. But you’ll now need to obtain authorization for individual sessions […]

This short article will explain how these insurance companies relate, what questions to ask to make sure you’re in network, and how to file claims. Please note: YOU ARE NOT ON THE UHC WEBSITE United Health Care (UHC), Optum, and United Behavioral Health (UBH) are all “Optum” companies which handle mental health claims. All of […]