Billing and reimbursement for mental and behavioral health services requires strict coding compliance. Proper documentation is essential for accurate claims submission and optimal reimbursement. Comprehend which services may be provided via Telehealth, when modifiers should be appended, and the appropriate place of service code to use.
Know who can provide Behavioral Health Integration Services. Distinguish between BHI and CoCM services. Understand which services require advance patient consent and when the patient is impacted by cost sharing. Learn about the Psychiatric Collaborative Care Model the Primary Care Behavioral Health Integration Model. A vast range of mental and behavioral health interventions are covered by therapy billing services. Comprehension of specialty-specific coding schemas and guidelines will ensure compliance and correct claims submission.
Learn about these services and more:
- New section of E/M codes for audio-visual and audio only visits
- Post discharge communication
- Digital mental health treatment
- Safety planning interventions
- Non physician non-face-to-face services
- Behavioral change Interventions
- Preventive medicine counseling
- Developmental Screenings
- Adaptive behavior interventions
- Cognitive assessments
- Care plan services
- Inter-professional digital services
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Participants will learn how to secure proper and legal reimbursement for the provision of behavioral health services in a primary care or specialty setting.
No prerequisites required.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.
Comments from past participants:
"Excellent content - very informative."
"Great information on Behavioral Health billing."
"I appreciate the up-to-date information!"
Prod ID: 510