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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 […]

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) […]

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 […]

Telehealth Billing for Therapists: The Definitive Guide [2024]

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 […]

HCPCS Codes for Mental Health Claims

HCPCS Codes for Mental Health

HCPCS Codes, which stand for Healthcare Common Procedure Coding System, are codes created by the Centers for Medicare and Medicaid Services (CMS) to help identify services rendered and approved by various Medicaid and Medicare programs in the United States. There are three levels of HCPCS codes: Level 1 — Numerical CPT Codes Examples:  90791, 90834, […]

Mental Health Modifiers: The Definitive Guide [2024]

license level modifiers for mental health

Mental Health Modifiers are two digit alphanumerical codes used on CMS1500 insurance claims to signify identifying information about the provider rendering services. Mental health CPT code modifiers can describe the way services are rendered as well, telehealth modifiers as an example. In this guide, you’ll learn about the behavioral health modifiers you need to use […]

How to Bill Mental Health Claims Without a Diagnosis

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The unfortunate answer here is that all medical insurance claims require a ICD10 diagnosis to file.  Even if you do not believe there is a diagnosis to utilize, one must be used to bill, and your professional obligation is to pick a diagnosis as accurately as possible. Many providers do not want to share diagnosis […]

Insurance Reimbursement Rates for Psychiatrists [2024]

commercial insurance reimbursement rate for psychiatry

Our guide on insurance reimbursement rates for psychiatrists will teach you what are the most common psychiatry CPT codes, what are the medicare reimbursement rates for psychiatrists, as well as medicaid reimbursement rates for psychiatric services. If you’re in private practice and hate all of this, reach out about our mental health insurance billing service. […]

Mental Health Billing for Dummies [2024 Guide]

mental health billing for dummies

Mental health billing for dummies will teach you the billing terms you need to know, what information to collect, how to bill mental health insurance claims from start to finish, and what to do when it all messes up. Mental health insurance billing is a pain!  We get it, it’s why we created a mental […]