How To Bill Mental Health Telehealth

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How To Bill Mental
Health Telehealth
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How To Bill Mental Health Telehealth
In recent years, telehealth has become a popular
method for mental health treatment. Telehealth
allows patients to receive mental health services
from the comfort of their own homes, and it has
become increasingly important during the COVID-19
pandemic. However, many mental health providers
are unsure of how to bill for telehealth
services. To answer the billing question how to
bill mental health telehealth, we discussed the
best practices for billing mental health
telehealth services along with applicable CPT
codes, modifiers, and place of service
codes. How to Bill Mental Health Telehealth When
billing for mental health telehealth services,
its crucial to understand the requirements of
your payer and use proper billing codes. Verify
patient eligibility, document services, submit
claims timely, and be prepared for denials. Lets
quickly review these best practices for billing
mental health telehealth 1. Understand Your
Payer Requirements Before you begin billing for
mental health telehealth services, it is
important to understand the specific requirements
of your payer. Different insurance companies have
different rules and regulations regarding
telehealth services. Some insurance companies may
require pre-authorization for telehealth
services, while others may not cover certain
types of telehealth services. To ensure that you
are properly billing for your telehealth
services, it is important to review the specific
requirements of your payer.
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How To Bill Mental Health Telehealth
2. Use Proper Billing Codes When billing for
mental health telehealth services, it is
important to use the proper billing codes. The
American Medical Association (AMA) has created
specific codes for telehealth services. The codes
for telehealth services are similar to the codes
for in-person services, but with a GT modifier
to indicate that the service was provided via
telehealth. It is important to use the proper
billing codes to ensure that your claims are
processed correctly. We also discussed applicable
CPT codes, modifiers, and place of services
codes, at the end of this article. 3. Verify
Patient Eligibility Before providing mental
health telehealth services, it is important to
verify that the patient is eligible for
telehealth services. Most insurance companies
have specific requirements for telehealth
services, such as the patients location or the
type of service provided. It is important to
verify that the patient meets all eligibility
requirements before providing telehealth services
to avoid denied claims. 4. Document Your
Services Just like with in-person services, it is
important to document your mental health
telehealth services. Documentation should include
the date of service, the type of service
provided, and the length of the session. It is
also important to include any specific details
about the telehealth session, such as the type of
technology used. Proper documentation is
important to ensure that your claims are
processed correctly.
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How To Bill Mental Health Telehealth

• 5. Submit Claims Timely
• It is important to submit claims for mental
  health telehealth services in a timely manner.
  Most insurance companies have specific deadlines
  for submitting claims. Failure to submit claims
  on time can result in denied claims or delayed
  payments. To ensure that you are paid for your
  services in a timely manner, it is important to
  submit your claims as soon as possible.
• 6. Be Prepared for Denials
• Despite your best efforts, you may experience
  denials when billing for mental health telehealth
  services. If you receive a denied claim, it is
  important to review the reason for the denial and
  take appropriate action. In some cases, the
  denial may be due to a simple error that can be
  corrected. In other cases, the denial may be due
  to a specific requirement that was not met. By
  understanding the reason for the denial, you can
  take appropriate action to correct the issue and
  resubmit the claim.
• CPT Codes for Mental Health Telehealth
• Following CPT codes are approved for mental
  health telehealth billing by both the current
  procedural terminology (CPT) and the Centers for
  Medicare Services (CMS)
• 99202 99215 Evaluation and Management Service
  Codes
• 90791 90792 Diagnostic Interview

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How To Bill Mental Health Telehealth

• 90832 Psychotherapy for 30 Minutes
• 90834 Psychotherapy for 45 Minutes
• 90837 Psychotherapy for 55 Minutes
• 90836 Add On CPT Code for Individual
  Psychotherapy
• 90838 Add On CPT Code for Individual
  Psychotherapy when Preformed with Evaluation and
  Management Services
• 90845 Psychoanalysis
• 90846 Family Psychotherapy without the patient
  present
• 90847 Family Psychotherapy with the patient
  present
• Modifiers for Mental Health Telehealth
• Modifiers play a crucial role in properly billing
  for mental health telehealth services. Four
  common modifiers used for mental health
  telehealth services include 95, GT, GQ, and G0.
  The 95 modifier is used to indicate that the
  service was provided via telehealth. The GT
  modifier is also used to indicate that the
  service was provided via telehealth, but it is
  specifically used for Medicare billing. The GQ
  modifier is used for asynchronous telehealth
  services, such as store-and-forward technologies.
  The G0 modifier is used to indicate that the
  service was provided through real-time
  interactive audio and video telecommunications
  systems. By using the appropriate modifier,
  mental health providers can ensure that their
  claims are processed correctly and they are paid
  for their telehealth services.

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How To Bill Mental Health Telehealth
Place of Service Codes (POS) for Mental Health
Telehealth When billing for mental health
telehealth services, it is important to use the
appropriate place of service (POS) code. For
telehealth services, there are two main POS codes
that can be used 02 and 10. The POS code 02 is
used to indicate that the service was provided
through a telehealth platform, while the POS code
10 is used to indicate that the service was
provided through a secure electronic messaging
platform. The use of the correct POS code is
important for billing purposes, as it indicates
to the payer that the service was provided
remotely. It is important to note that some
insurance companies may have specific
requirements for the use of each POS code, so it
is important to review the specific requirements
of your payer. In conclusion, billing for mental
health telehealth services can be a complex
process, but it is an important part of providing
telehealth services. To ensure that you are
properly billing for your services, it is
important to understand your payer requirements,
use proper billing codes, verify patient
eligibility, document your services, submit
claims timely, and be prepared for denials. By
following these best practices, you can ensure
that your mental health telehealth services are
billed correctly and that you are paid for your
services in a timely manner. About Medisys Data
Solutions (MDS) We hope that you might have got
satisfactory answer to the question, how to bill
mental health telehealth? In this article, we
shared most common CPT codes and their short
description. Sharing complete CPT code
description and guidelines is not possible due to
copyright issues.
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How To Bill Mental Health Telehealth
Medisys Data Solutions (MDS) is a medical billing
company that specializes in billing for various
healthcare services, including mental health
telehealth services. We have a team of
experienced billing professionals who are
knowledgeable about the specific requirements for
billing mental health telehealth services and can
ensure that claims are submitted correctly and in
a timely manner. By utilizing our services,
mental health providers can focus on providing
quality care to their patients while having the
peace of mind that their billing is being handled
by experts. To know more about our mental health
telehealth billing services, contact at
info_at_medisysdata.com / 888-720-8884
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