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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Billing often becomes one of the biggest administrative burdens for solo and small behavioral health practices. Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers.

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Decoding your medical bill: What those charges really mean

KevinMD.com

Most people don’t read their medical bills—they panic over them. I’ve worked with countless individuals who feel helpless in the face of these documents, unsure of what they owe, why they owe it, or whether Read more… Decoding your medical bill: What those charges really mean originally appeared in KevinMD.com.

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Basics of Medical Documentation: What Aspiring Medical Billers and Coders Need to Know

Northwest Career College

Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. What is Medical Documentation?

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How to bill for a house call visit

Mobius MD

Here’s a quick overview of tips and CPT codes for the next time you bill for a house call visit. Consider this when you bill for a house call Medicare reimburses providers for home visits only if they are medically necessary. In the case of house calls , physicians need to document that the home visit was medically necessary.

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Medical billing audits: A proactive approach to compliance and revenue protection 

Health Prime

Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Also, third-party payers conduct billing audits through their employees or their agents. Fraud Avoidance: Either billing errors or fraudulent activities committed on your part can lead to criminal prosecution and a tainted public image.

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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

But understanding how to maintain compliance and bill properly is something that behavioral health clinicians and practice owners have to do. Every part of the billing process, front to back, is subject to these rules. More billing codes. Heavier documentation. Develop documentation processes.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.