Are you a behavioral health provider who’s looking to start billing for telehealth services? If so, you’ll need to make sure you’re using the correct codes in order to get reimbursed.
In this blog post, we’ll walk you through the process of billing for telehealth in behavioral health. We’ll cover the different codes you’ll need to use, as well as how to effectively communicate with payers.
By the end of this post, you’ll have a
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What is Telehealth?
Telehealth is the remote provision of health care services and public health efforts using information and communication technologies. It is an effective way to reach patients in rural and underserved communities, and can provide real-time access to specialists. Telehealth can also increase access to care for patients with chronic conditions, and those who need after-hours or on-call services.
What are the benefits of Telehealth?
There are many benefits of telehealth, which is why it is becoming an increasingly popular way to provide healthcare services. One of the main benefits is that it can help you save time and money on travel costs. Additionally, it can be more convenient for patients who have difficulty leaving their homes or who live in rural areas. Additionally, telehealth can help reduce the risk of exposure to contagious diseases and can provide access to medical care that might not be available otherwise. In general, telehealth can provide a higher quality of care and improved access to care for patients.
What are the challenges of billing for Telehealth?
There are a few unique challenges that arise when billing for Telehealth services in the behavioral health space. First and foremost, many insurance companies are still getting up to speed on what Telehealth is and how it should be billed. This can lead to billing issues and delays in reimbursement.
Another challenge is that many behavioral health providers are not set up to bill for Telehealth services. This can be a problem because the billing process for Telehealth services is often different than the process for in-person services.
Lastly, there can be technical challenges with billing for Telehealth services. For example, some providers use video conferencing platforms that are not compatible with electronic medical records (EMR) systems. This can make it difficult to capture all of the required information for billing purposes.
How to overcome the challenges of billing for Telehealth
Billing for Telehealth in behavioral health can be tricky. Here are four tips to overcome the challenges and get paid for your services.
1. Check with your state’s Medicaid office to see if Telehealth is covered.
2. Make sure you have the proper equipment and software set up before you start billing for Telehealth.
3. Keep detailed documentation of your sessions, including date, duration, and CPT codes used.
4. Have a system in place to track patient no-shows or cancellations.
What are the best practices for billing for Telehealth?
There are a few best practices to follow when billing for Telehealth in behavioral health. First, it is important to check with your individual state’s requirements as they may vary. Secondly, be sure to use the correct place of service (POS) code when billing- POS code 02 should be used when billing for Telehealth. Lastly, use the correct diagnosis code when billing. The most common diagnosis codes used when billing for Telehealth are F43.8 (adjustment disorder with mixed anxiety and depressed mood) and Z63.0 (ion of family member).
How to get started with billing for Telehealth?
If you are new to billing for Telehealth, there are a few things you need to know in order to get started. First, you need to make sure that your documentation meets the requirements of the payer. This includes documenting the reason for the Telehealth visit, the length of the visit, and any other required information. Second, you need to know how to bill for Telehealth services.
There are two main ways to bill for Telehealth services: using a real-time interactive audio and video system (synchronous) or via asynchronous means (store-and-forward). If you are using a synchronous system, you will need to use the place of service (POS) code 02. If you are using an asynchronous system, you will need to use the POS code 03. You will also need to include the modifier GT (for synchronous visits) or GQ (for asynchronous visits) on your claim.
In addition, you will need to include the revenue code 0361 for professional services and 0369 for facility fees on your claim. You can find more information on how to bill for Telehealth services in the Centers for Medicare & Medicaid Services’ (CMS) fact sheet “Billing and Payment for Telehealth Services”
##Keywords: Telehealth, Real-time interactive audio and video system, Asynchronous store-and-forward system
What are the common mistakes made when billing for Telehealth?
One mistake made when billing for Telehealth is that the provider bills for a Telehealth service but the payer denies it because they said it wasn’t medically necessary. In order to avoid this, the provider should make sure that the purpose of the visit is clearly documented in the medical record.
Another common mistake is not billing for all of the services rendered. When billing for Telehealth, providers should include all of the same documentation they would for an in-person visit, such as: diagnostic tests, counseling notes, and progress notes.
Additionally, some providers forget to bill for an evaluation and management (E/M) service when they are providing Telehealth services. The E/M service can be reported with a Telehealth modifier (-GT), which indicates that the service was delivered via a Telecommunications system.
Finally, some providers do not realize that they can bill for follow-up visits using Telehealth. Follow-up visits are considered to be ‘establishing care’ so they can be reported with a new patient G0402 code.
How to avoid common mistakes when billing for Telehealth?
Telehealth has been on the rise in recent years, as it offers a convenient and effective way to provide care. However, billing for Telehealth can be a challenge, as there are a few different ways to do it. In this article, we will go over some tips on how to bill for Telehealth in Behavioral Health in order to avoid common mistakes.
The first thing to keep in mind is that not all insurers will cover Telehealth services. When billing for Telehealth, you should always check with the patient’s insurer to see if they cover the service. If they do not cover the service, you may still be able to bill the patient directly.
Another common mistake when billing for Telehealth is using the wrong codes. Make sure to use the correct CPT and HCPCS codes when billing for Telehealth services. The wrong codes can lead to rejected claims and delays in reimbursement.
Medicare has specific guidelines that need to be followed when billing for Telehealth services. Make sure you are familiar with these guidelines before billing Medicare patients. Failure to follow these guidelines can result in denied claims and penalties.
In general, it is important to be familiar with the insurer’s policies on Telehealth before billing for services. Each insurer has different policies and guidelines that need to be followed. By following these tips, you can avoid common mistakes when billing for Telehealth services in Behavioral Health.
What are the future trends in Telehealth billing?
It’s estimated that by 2025, 75% of all Americans will have some type of health insurance that covers telehealth services. This trend is being driven by the increasing demand for more convenient and affordable healthcare options.
There are a few key factors that will impact the way telehealth services are billed in the future:
1. The move to value-based care: In order to be reimbursed for telehealth services, providers will need to demonstrate how their services improve patient outcomes. This will require new ways of measuring and documenting results.
2. The growth of patient-centered medical homes: A key component of telehealth is the ability to provide continuous care and support to patients outside of traditional office visits. This model of care is becoming increasingly popular, and as a result, Telehealth billing will need to adapt to this model.
3. The expansion of Medicaid: Medicaid programs are starting to cover a wider range of telehealth services, which will increase access to care for low-income patients.
4. The rise of digital health: More and more health apps and devices are becoming available that allow patients to track their own health data. This trend will impact the way Telehealth providers bill for their services, as they will need to integrate with these apps and devices.
How to stay ahead of the curve in Telehealth billing?
As a provider, it’s key to know how to get paid for the work you do. With the ever-changing technology, there are new billing codes and procedures. That’s why it’s important to know how to stay ahead of the curve in Telehealth billing.
An important thing to keep in mind is that not all Telehealth services are the same. The Centers for Medicare & Medicaid Services (CMS) recognizes two types of Telehealth services: synchronous and asynchronous. Synchronous visits are live visits between a provider and a patient, while asynchronous visits don’t involve real-time interaction but rather allow for the exchange of information between them at different times.
Here are some helpful tips on how to stay ahead of the curve in Telehealth billing:
1. Be aware of the different types of Telehealth services and how they should be billed.
2. Know which CPT codes to use for each type of service.
3. Use modifiers when appropriate to get proper reimbursement.
4. Stay up-to-date on CMS guidance and updates regarding Telehealth services.