Medical Billing Forum

General Category => General Questions => : cpbridges March 27, 2011, 11:30:29 PM

: Mental Health Case Management Billing
: cpbridges March 27, 2011, 11:30:29 PM
Hello all!

I currently bill for mental health providers and I am wanting to add on billing for case management.  Is billing case management different than billing mental health?  Are there any books out there to help bill case management? Any insight to billing case management would be greatly appreciated.

Thanks so much guys!
: Re: Mental Health Case Management Billing
: Michele March 28, 2011, 10:48:24 AM
What cpt codes would you be billing?
: Re: Mental Health Case Management Billing
: cpbridges March 30, 2011, 06:10:56 PM
I dont know. We use CPT 90801, 90805, 90807, and 90862 for mental health visits and follow ups.  Also CPT 90804, 90806, and 90847 for Counseling sessions.  However, I have never had any experience with case management. 
: Re: Mental Health Case Management Billing
: Michele March 31, 2011, 12:12:23 PM
I'm sorry, but I'm not familiar with what you mean when you say "case management". 
: Re: Mental Health Case Management Billing
: rdmoore2003 March 31, 2011, 03:08:12 PM
these codes are most of the same codes we use.   by case management do you mean f/u?
: Re: Mental Health Case Management Billing
: PMRNC April 01, 2011, 11:00:57 PM
Case management is a term the insurance company uses to refer to the team that oversee's the cases.. the ones that actually determine the patient authorizations.  So I'm unsure what this is refereed to in regards to our end of it.
: Re: Mental Health Case Management Billing
: rofakamd April 12, 2011, 08:55:29 PM
if by doing case mgt you mean getting authorizations for outpt visits... typically that is done by the therapist since the ins company wants clinical information the biller does not have access too. ie pt gaf scores (level of functioning) ect... they probably should not be done by a typical biller...
with some insurances companies all they need is a phone call and no particular info or it is done online which is what i do since no clinical info is needed and get the auth for the providers..
i dont charge extra for that since it takes less than 2 minutes literally and ensures we are both paid!!
hope this helps