Having a hard time sorting out the information on file with insurance companies you’re in-network with? Getting rejected claims stating you’re out of network when you know you’re in network? This guide will help you understand one reason why: your NPI and Tax ID information is mismatched and registered incorrectly. (There are many reasons for […]
Understanding EOBs: Allowed Amount vs Adjusted Amount vs Insurance Reimbursement vs Patient Responsibility
Let’s try to explain this as fast as possible! Let’s say you bill your full billed fee of $150 to an insurance company. They adjust your fee down by $50, which is the adjusted amount. You are not allowed to collect this amount from anyone, so do not charge this extra to the patient. That […]
Place of Service Codes for Mental Health Billing [2025 Cheat Sheet]
If you are billing in office, use place of service code 11. If you bill in a patient’s home, use place of service 12. If you’re billing in their home for telehealth, use POS 10. For any other, less common places of service, use these codes below: Place of Service Code(s) Place of Service Name […]
Can I Bill as an Out Of Network Provider for Medicare Part B?
The short answer is definitely not. The long answer is that it’s a huge pain in the butt; authorization is required on a case by case basis, and the billing is a nightmare. So the long and the short of it is that if you don’t have a physical Medicare contract, and you haven’t been […]
2017 Mental Health Billing Checklist (8 To Do For The New Year!)
Let’s dive into it! Call insurance companies and verify eligibility and benefits, asking about the patients deductible! Make sure they have the same coverage and that you understand what their patient responsibility will be. Use Square.com to collect copays, coinsurnace and deductible payments. Automate this part of your practice so you’re always paid by your […]
Beginner’s Guide To Mental Health Billing for Therapists
Our Beginner’s Guide to Mental Health Billing is for the brand new and having-no-clue outpatient therapist looking to learn how to bill insurance companies. You will learn what client information you need, how to verify mental health benefits, create and submit claims, and account for EOBs. Every mental health insurance claim will require a large […]
Register Your Private Practice with Google Business for More Free Referrals
This is a super simple, fast, and easy to do marketing tactic for your private practice. Sign up for Google Places to register your private practice with Google Business. This will post your private practice within Google’s “Map” search results, it will put you at the top of search results when a new patient types […]
Updated DSM-5 Mental Health Diagnosis Codes (Effective Oct 1, 2016)
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 […]
How To Troubleshoot Your Problem Claims
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. […]
Mental Health Billing Q&A #4: Can I Bill Multiple Intake Sessions
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 […]
