Insurance Billing

What Is The CPT Code For Bereavement Counseling And When To Use It

In 1966, the American Medical Association(AMA) created the Current Procedural Code(CPT) system. Invented to standardize billing procedures across a variety of disciplines, CPT codes make insurance billing more simple for a variety of industries in the medical field. For mental health professionals, it also can be more complicated and confusing. There are dozens upon dozens …

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What Are The CPT Modifiers For Mental Health?

Insurance Billing, Uncategorized / By Kym Tolson

Billing insurance can be a confusing process. There are many codes that can be used by therapists who are on an insurance panel. So many, in fact, that it can feel like another full-time job trying to figure them all out. What Are The CPT Modifiers For Mental Health? Technically speaking, there are no CPT …

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a therapist learning about new ICD-10 Codes

The New ICD-10 Codes for Mental Health & Deletion of Prolonged Services Codes: What This Means for You

Insurance Billing / By Kym Tolson

The new ICD-10 codes for mental health are coming into effect in 2023, but what do they mean for you?

CPT 90837 Modifier 95: What Is this Exactly?

Insurance Billing / By Kym Tolson

Billing codes can be very frustrating for most mental health practitioners. At times, it can even feel like a foreign language you can’t understand, no matter how hard you try. With everything going on in your professional and personal life, the last thing you want to do is spend countless hours trying to figure out …

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How Do You Bill for EMDR? Everything You Need To Know

Insurance Billing / By Kym Tolson

As practicing mental health professionals, we have many tools that we can use to help treat a client. There are also many CPT codes that you can use, depending on the session type. When you are in a talk therapy session involving a specific treatment method such as CBT, EFT, or EMDR, you may feel …

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writing progress notes that meets medical necessity

How to Make Sure Your Progress Notes Meet Medical Necessity

Insurance Billing / By Kym Tolson

So, here are a couple of truths about getting reimbursed by insurance: You must prove that your services were “medically necessary” to get paid. Medical necessity can be frustratingly subjective and open to interpretation. With those in mind, your odyssey into capably and confidently billing insurance for your private practice continues. When you grasp how …

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What Does It Mean For A Therapist To Be Paneled?

Insurance Billing / By Kym Tolson

Being a private practice owner can be as challenging as it is rewarding. On the one hand, you get to do what you are passionate about—helping people through the issues they are facing. On the other, you have to navigate the murky waters of billing and insurance.

a woman confused with secondary insurance billing

Secondary Billing: How Do I Do It?

Insurance Billing / By Kym Tolson

Perhaps you’re wondering what to do when you have a balance remaining after you submit a claim to your client’s primary insurance provider? Are you clear on the difference between primary and secondary insurance? Essentially, if your client has secondary insurance, you submit a claim there for the remaining funds. So, how exactly- and correctly- …

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